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Perceptions of participants and staff of implementing a physical activity program in rural primary care
Institution:1. University of Nebraska Medical Center, College of Nursing, 2402 University Drive, Kearney, NE 68849-4510, USA;2. University of Nebraska, 6001 Dodge Street, Omaha, NE 68182 USA;3. University of Nebraska, 2504 9th Ave., Kearney, NE 68849, USA;4. University of Nebraska Medical Center, 42nd and Emile, Omaha, NE 68198, USA;1. School of Economics and Management, Xidian University, No. 2 South Taibai Street, Xi’an, Shaanxi Province, PR China;2. Shaanxi Xi ''an Yanta District, Shida Road, Shaanxi Normal University, Xi’an, Shaanxi Province, PR China;1. Texas A&M University, College of Education and Human Development, Department of Health and Kinesiology, MS 4243, College Station, TX 77843-4243, United States;2. Baylor University, College of Health and Human Sciences, Department of Health, Human Performance, and Recreation, One Bear Place #97343, Waco, TX 76798, United States;3. Baylor University, Division of Student Life, One Bear Place #97016, Waco, TX 76798, United States;1. Department of Nursing, Brock University, 1812 Sir Isaac Brock Way, St. Catharines, Ontario, L2S 3A1, Canada;2. Department of Geography & Tourism Studies, Brock University, 1812 Sir Isaac Brock Way St. Catharines, Ontario, Canada;1. Department of Agricultural Education and Communication at the University of Florida, 213 Rolfs Hall, PO Box 110540, 32611, Gainesville, FL, United States;2. University of Florida. 218 Rolfs Hall, PO Box 110540, 32611 Gainesville, FL, United States;3. University of Florida. 3028B McCarty Hall D, University of Florida, Gainesville, FL 32611, United States;4. University of Florida. 113C Bryant Hall, PO Box 112060, Gainesville, FL 32611, United States
Abstract:Addressing the lack of physical activity (PA) in rural adults is vital because of the role it plays in the risk for many chronic diseases. The purpose of the study was to explore the feasibility of conducting a 12-week intervention utilizing a Fitbit to increase PA behavior in inactive rural adults recruited from a primary care clinic. Semi-structured interviews were conducted with study participants (n=10) and a focus group was held with nurses (n=7) from the primary care clinic. Data were analyzed using the process of immersion/crystallization. Participants and nurses both felt the program had a positive impact on PA and that the program was needed in the community. Study participants most often reported their favorite part of the study was being able to track their activity as well as the goal setting. However, study participants reported barriers to continued participation in PA related to a lack of time and ability to be active in cold weather. Further, nursing staff reported barriers in regard to a lack of resources (staffing and money) These barriers need to be examined further and addressed in order to implement a sustainable PA program that can be maintained through a primary care clinic.
Keywords:Rural  Physical activity  Program evaluation
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