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Predictors of Adherence in a Community-Based Tai Chi Program*

Published online by Cambridge University Press:  28 April 2015

Suhayb Shah ,
Chris Ardern  and
Hala Tamim
Suhayb Shah*
Affiliation:
School of Kinesiology & Health Science, York University
Chris Ardern
Affiliation:
School of Kinesiology & Health Science, York University
Hala Tamim
Affiliation:
School of Kinesiology & Health Science, York University
*
†La correspondance et les demandes de tirés-à-part doivent être adressées à: / Correspondence and requests for offprints should be sent to: Suhayb Shah, M.Sc. York University Dept. Kinesiology and Health Science 4700 Keele St. Toronto, ON M3J1P3 (swabby@yorku.ca)
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Abstract

This study examined factors affecting adherence in a 16-week tai chi program among multi-ethnic middle-aged and older adults living in a low socioeconomic environment in Toronto. Analysis was based on data collected from three tai chi program cohorts that took place from August 2009 to March 2012. The main outcome variable, adherence, was measured by the total number of sessions attended by each of the participants. Total sample size was 210 participants with a mean age of 68.1 ± 8.6. Based on the regression model, greater adherence was significantly associated with older age, greater perceived stress, higher education, and higher mental and physical scores of Short Form-36 components. Conversely, lower adherence was significantly associated with higher baseline weekly physical activity. Our findings suggest that we target less-educated individuals with poor mental and physical health to optimize adherence for future community-based tai chi programs.

Résumé

Cette étude a examiné les facteurs qui influent l'adhésion dans un programme de de tai-chi à 16 semaines parmi les adultes multi-ethniques d'âge moyen et plus âgés qui vivent dans un environnement faible socio-économique à Toronto. L'analyse a été basée sur des données recueillies auprès de trois cohortes du programme de tai-chi qui ont eu lieu à partir d'août 2009 à mars 2012. La variable principale de résultat, l'adhésion, a été mesurée par le nombre total de sessions suivies par chacun des participants. L'échantillon total était de 210 participants, avec un âge moyen de 68,1 ± 8,6. Basé sur le modèle de régression, l'adhésion a été associée de façon significative à l'âge plus avancé, au stress plus perçu, à l'enseignement supérieur, et aux scores mentales et physiques plus élevés de composants sur le Questionnaire Abrégée 36. Inversement, une faible observance était significativement associée à une activité physique hebdomadaire de base plus élevée. Nos résultats suggèrent que nous devrions cibler les personnes les moins instruites, à la santé mentale et physique médiocre, pour optimiser l'adhésion aux futurs programmes de tai-chi communautaires.

Keywords

agingadherenceexerciselow socioeconomic statusphysical activitytai chivieillissmentadhésionexercicefaible statut socio-économiqueactivité physiquetai-chi
Type
Articles
Information
Canadian Journal on Aging / La Revue canadienne du vieillissement , Volume 34 , Issue 2 , June 2015 , pp. 237 - 246
Copyright
Copyright © Canadian Association on Gerontology 2015 

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Footnotes

*

The project was funded by Social Sciences and Humanities Research Council of Canada and Sport Canada Research Initiative.

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