| Literature DB >> 35166154 |
Karl Spiteri1,2, David R Broom1, Kate Grafton3, Bob Laventure4, John Xerri de Caro5.
Abstract
This study explored the insights of old age pre-retirement employees towards physical activity and sedentary behavior. A quota sampling of 20 participants from within the Civil Service in Malta were invited to an interview. Participants who were included met the statutory requirement for retirement within the subsequent 6 months to 1 year. Semi-structured interviews were conducted using a narrative approach. Structural narrative analysis and reflective thematic analysis were used. The story structure highlighted the significance of the individual experiences on the perceptions towards future physical activity during retirement. Two themes were identified using the thematic analysis, influencers, and perceptions. Triangulation identified that sedentary behavior was not part of the narration. The transition from work to retirement is a unique and personal experience and therefore when promoting an active lifestyle, the individual experience and past behaviors must be actively considered.Entities:
Keywords: health behaviors; physical activity; retirement; sedentary behavior; successful aging
Mesh:
Year: 2022 PMID: 35166154 PMCID: PMC9024021 DOI: 10.1177/07334648211062374
Source DB: PubMed Journal: J Appl Gerontol ISSN: 0733-4648
Figure 1.Data analysis process based on the work of Bailey et al., (2013) and Braun and Clarke (2006).
Figure 2.Story structure.
Story Structure with Examples.
| Albert, 61-year-old Male | Sean 61-year-old Male | |
|---|---|---|
| Past experiences | Albert works on a shift basis; this gives him ample time to be active. Since he was young Albert was always interested in sports and felt an urge to be active. He used to cycle and play football and cycled in different periods of his life. When he was not physically active, he tried to keep himself busy by doing “active” things. Either helping out with religious activities or working in the fields. His father was regularly active as well and he got this enthusiasm for activity from him. It was passed on from father to son. | Sean is a manager, working on shifts. Throughout his life he was always aware of the importance of being active. When he was young at school, he used to play football with friends, but later family and work became a greater priority than exercise. During the summer periods, as the day is longer, he attempts to go for walks when he is off duty. |
| Current state of activity | Being busy is what he enjoys most. At work, the sedentary nature of his work makes him nervous and he tries to move around as much as possible. | During the week he tries to include some light walking. Being knowledgeable about the importance of being active, especially in old age, he highlights the need for him to do so. At the same time, however, his belief does not place exercise on the high priority list. |
| Retirement perceptions | Albert views retirement as an opportunity to continue to be active and engage in different activities; even though these might not be in the form of exercise, he is certain he will remain active. | Now that retirement is approaching, he is feeling at a loss. He is experiencing a void in his life. The lack of structured work routine is making him question his purpose in life. |
| Perceived PA and SB behavior after retirement | Albert has many plans and is sure that he will not spend one single day sitting down. | Sean feels that retirement is like a black hole, his prospects are not positive. Most likely he will be watching TV most of the time. |
Reflective Thematic Analysis Findings.
| Theme | Quotes |
|---|---|
| 1) Learned experiences | |
| When narrating their story, the participants frequently referred to their lived experiences, which influenced their views towards PA, health, and retirement. Life events shaped their approach towards PA, and how positive experiences, or a lack of them, impacted on their current PA behavior. | “ |
| Participants shared their experiences of how they recalled their own parents’ experience of retirement. Overall participants used these experiences in a positive way, to have influence on the way they wanted to live their own retirement period. | “ |
| 2) Psychosocial factors shaping the retirement transition | |
| Psychosocial influences were identified as playing a pivotal role within the retirement transition. During the interview, participants spoke about different aspects which influenced the way they approached their retirement transition, and possible life adjustments thereafter. The transition from work to retirement brought on certain anxieties. Some expressed concerns about financial issues to maintain their previous lifestyle. | “ |
| Retirement was acknowledged to be an unfamiliar event. The habitual work routine that had become customary was to be replaced by something new. Participants discussed ways in which they were consciously preparing for a new life ahead. They were planning for this by making purposeful adjustments in their mindset, for the new challenges they believed that they would encounter once they retired from work. | “ |
| Retirement was viewed as a motivation and identified as an opportunity to improve on PA behaviors. This motivation was however, balanced out by the anxieties. This interplay of emotions appears to be varied. Retirement was identified as a phase during which free time was not an issue, but motivation was needed to start incorporating PA in the routine | |
| 3) Discernment aspect of retirement | |
| As the time for retirement approached, participants reported that they had started to take stock of their life as it had evolved until now and started to consider what they could possibly do in the next phase of their life. The life adjustments required after retirement were seen to provide new opportunities. At the same time, it was understood to be a destined change, to which they needed to adjust for. Even those who were not actively thinking about retirement, were reflecting on their life, and on what was on next. | |
| It was necessary to adapt one’s life. The interruption from working within a routine, covering several hours a day needed to be filled up. It was regarded as a choice between on one hand a necessity to do something, or on the other hand do nothing. As a result of this anticipated change, it was considered necessary to plan. Whilst some developed concrete plans of what to do next, others were waiting for the post retirement period to make the necessary adaptations | |
| 4) Engagement in PA | |
| The participants’ perceptions towards PA appeared to influence their attitudes, and this in turn would impact on their level of engagement. Some viewed PA as being any form of activity, a physically active engagement, whilst other viewed PA as something specifically associated to exercise. | |
| Depending on their point of view, participants saw themselves as either engaging or not engaging in PA. Two other perceptions of PA were the health benefits and peer support. | |
| Most of the participants revealed PA as something positive which could result in varied health benefits, both physical and mental. All participants, but one, had no knowledge on the recommended levels of PA. Interestingly the participant who did know, reported to have received rehabilitation for knee pain. Sufficient PA was determined by personal perceptions, centered around being tired at the end of the day or by pushing oneself to the “personal limit.” Peer support was one of the aspects identified by most participants which was needed for engagement, or to get engaged in PA. Some participants acknowledged peer support to get going, and start a PA routine; others identified lack of support as the reason for their lack of PA. | |
| 5) The inevitable process of aging | |
| The retirement process brought about a reflection about aging in almost all participants. Two subthemes emerged: a) the change process of aging and b) self-efficacy. “Getting older” was felt to be a process of decreasing health and physical abilities. | “ |
| Growing older led to an expectation of increasing health problems, which would negatively impact on PA behavior due to a decrease in physical abilities. The physical ability to be active was considered to decrease with age, until a point when it had to stop. | “ |
| Even participants who considered themselves as active persons, reflected about the fact that PA had to stop at some point, with some hinting to a state of dependency. The recognition of aging had implications on self-efficacy. Aware of the need to adjust into a new routine, some questioned if change was still possible at their age. Changing habits was seen as a highly unlikely task. Some believed that they had enough self-determination to continue with their activity, and in doing so delay the impact of aging. | “ |
| 6) Cognizant sedentary behavior | |
| SB was identified as opposite to being physically active and was associated with sitting activities. It was regarded as a “harmful” behavior which had the unintended health consequences of body stiffness or mental exhaustion when at work. However, SB was also a means to unwind after a long day at work or integrated as part of a hobby. Subthemes were identified: a) the beliefs and experiences of the effects of SB. Sitting for a long period of time was regarded as intolerable. Both during recreational activities or formal meetings. The need to stand and walk around was recognized, therefore sitting for long periods was considered restrictive. Second, b) there are unintended consequences due to the nature of activities. Sitting or lack of activity was at times an unintended consequence. Certain work practices required the person to stay seated for long periods of time, with limited possibility to move around. Participants were aware of this and voiced their concerns. | “ |
| Some of these activities were used to relax and identified as a desired need or tiring when part of the work routine. C) a demeanor of SB and therefore striking a balance between being active and SB was important, and not in competition with each other. | |
| Engaging in SB was an easier option, being active required planning and goal setting. | “ |