Understanding barriers and enablers to participation in a proposed online lifestyle intervention for older adults with age-related macular degeneration to guide programme implementation

Richard Kha, Qingyun Wen, Nicholas Bender, Charlotte Jones, Bamini Gopinath, Rona Macniven, Diana Tang*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Age-related macular degeneration (AMD) is a blinding condition associated with depression, loneliness and unhealthy lifestyle behaviours which drives AMD progression. We have proposed the first online lifestyle intervention for AMD, called Movement, Interaction and Nutrition for Greater Lifestyles in the Elderly (MINGLE) to promote positive lifestyle changes and reduce loneliness. This qualitative grounded-theory study explored enablers and barriers to future participation in MINGLE for older adults with AMD. Thirty-one participants were interviewed and thematic analysis revealed nine themes. Enablers to participation were: socialising and learning about AMD, motivation to improve health, programme accessibility and structure. Barriers were: lack of time, technology, limited knowledge regarding holistic interventions, vision-related issues, mobility and negative perception of group interactions. These factors must be considered when developing lifestyle interventions for AMD patients to maximise participation. Supporting technology use and raising awareness about benefits of healthy lifestyle behaviours for AMD may help overcome these barriers.

Original languageEnglish
Pages (from-to)317–331
Number of pages15
JournalJournal of Health Psychology
Volume29
Issue number4
Early online date15 Oct 2023
DOIs
Publication statusPublished - Mar 2024

Bibliographical note

Copyright the Author(s) 2023. Version archived for private and non-commercial use with the permission of the author/s and according to publisher conditions. For further rights please contact the publisher.

Keywords

  • disability
  • exercise
  • food
  • health behaviour
  • qualitative methods
  • social interaction
  • well-being

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