“Good for my body. Good for my soul.”: Exploring Older Adults Living with Chronic Disease(s) Experiences with Community Based Exercise Programming

Abstract

Longer lifespans are associated with increased risk of developing chronic diseases (CD). However, exercise can delay the onset of and promote the management of CD symptoms. One avenue for older adults to pursue exercise is through community-based exercise programs (CBEP). Unfortunately, engagement with and adherence to such programs is a poorly understood area. To combat this, researchers (and practitioners) require a more comprehensive understanding of the experiences of older adults as they pursue such activities. The present study discusses findings from one partner organization offering a CBEP. In total, 11 individuals (9 female, 2 male) participated in virtual semi-structured interviews conducted between March 2022 and July 2023. During this time, the limitations imposed by the COVID-19 pandemic had prompted organizations to provide virtual synchronous exercise classes. Interviews were transcribed verbatim, and transcripts were coded using reflexive thematic analysis. Three major themes were identified: Characteristics of the adapted CBEP contributing to a positive experience, Features specific to the online format that impact participation, and “You can’t do it alone”: The perspective of exercise engagement beyond the program. The central concept uniting these themes was that participant experiences were shaped by the need for guidance and relatedness. Our work suggests participants will have a positive experience when virtual synchronous exercise programs are delivered by individuals who are competent (i.e., can tailor exercise programming), professional, and personable. This study contributes to our understanding of older adults’ experiences in CPEB and enhances our understanding of factors related to adherence.