External Validation of the ‘PHYT in Dementia’, a Theoretical Model Promoting Physical Activity in People with Dementia

Claudio Di Lorito, Alessandro Bosco, Kristian Pollock, Rowan Harwood, Roshan das Nair, Pip Logan, Sarah Goldberg, Vickie Booth, Kavita Vedhara, Maureen Godfrey, Marianne Dunlop, Veronika van der Wardt

Research output: Contribution to journalArticlepeer-review

Abstract

Physical activity is beneficial for people with dementia. We previously developed a theoretical model to explain behaviour change in physical activity in dementia (PHYT-in-dementia). This study aimed to externally validate the model. Validation occurred through the process evaluation of a programme promoting activity in people with dementia (PrAISED 2). Twenty participants with dementia and their carers were interviewed to investigate their experience of the programme. The data were analysed through content analysis. The original constructs of the model were used as initial codes and new codes were generated, if elicited from the data. The constructs were also ranked, based on their frequency in the interviews. All of the original model constructs were validated and two novel constructs created: ‘personal history’ and ‘information/knowledge’. Certain constructs (e.g., support) were more frequently mentioned than others (e.g., personal beliefs). We suggested modifications and integrated them into a revised model. The PHYT-in-dementia recognised that dementia has an impact on motivation to initiate and maintain behaviour change over time. The model advocates that interventions adopt a more holistic approach than traditional behaviour change strategies. The suggested revisions require further validation to accurately predict behaviour change in physical activity in people with dementia.

Original languageEnglish
Article number1544
JournalInternational Journal of Environmental Research and Public Health
Volume17
Issue number5
DOIs
Publication statusPublished - 28 Feb 2020

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