Supplementary information files for "A qualitative study assessing the barriers and facilitators to physical activity in adults with hearing loss"

Supplementary files for article "A qualitative study assessing the barriers and facilitators to physical activity in adults with hearing loss"<br><br><b>Objectives:</b> Growing epidemiological evidence has shown hearing loss is associated with physical inactivity. Currently, there is a dearth in evidence investigating why this occurs. This study aimed to investigate the barriers and facilitators to physical activity in middle-aged and older adults with hearing loss.<br><b>Design</b>: Individual semi-structured qualitative interviews.<b>Methods</b>: A phenomenological approach was taken. Ten adults (≥40 years) were interviewed via videoconferencing. The interview schedule was underpinned by the capability, opportunity, motivation and behaviour (COM-B) model. Reflexive thematic analysis was used to generate themes, which were subsequently mapped onto the COM-B model and behaviour change wheel.<b>Results</b>: Nine hearing loss specific themes were generated, which included the following barriers to physical activity: mental fatigue, interaction with the environment (acoustically challenging environments, difficulties with hearing aids when physically active) and social interactions (perceived stigma). Environmental modifications (digital capabilities of hearing aids), social support (hearing loss-only groups) and hearing loss self-efficacy were reported to facilitate physical activity.<b>Conclusions</b>: Middle-aged and older adults with hearing loss experience hearing-specific barriers to physical activity, which has a deleterious impact on their overall health and well-being. Interventions and public health programmes need to be tailored to account for these additional barriers. Further research is necessary to test potential behaviour change techniques.<br><br>© The Authors, CC BY-NC 4.0

<b>论文《成人听力损失人群身体活动障碍与促进因素质性研究》补充资料</b><br><br><b>研究背景与目的：</b>日益增多的流行病学证据表明，听力损失与身体活动不足存在关联。目前学界对该关联背后的成因尚缺乏相关研究证据。本研究旨在探究中老年听力损失人群参与身体活动的障碍与促进因素。<br><b>研究设计：</b>半结构化质性访谈。<br><b>研究方法：</b>采用现象学研究方法。共纳入10名年龄≥40岁的成年人，通过视频会议方式开展访谈。访谈提纲以能力-机会-动机-行为（Capability, Opportunity, Motivation and Behaviour, COM-B）模型为理论基础。采用反思性主题分析法生成研究主题，并将主题映射至COM-B模型与行为改变轮（Behavior Change Wheel）中。<br><b>研究结果：</b>共生成9项针对听力损失的特异性主题，其中身体活动的障碍因素包括：精神疲劳、环境互动相关问题（声学环境嘈杂、运动过程中助听器使用障碍）以及社交互动问题（感知到的污名化）。研究同时发现，环境改造（助听器的数字化功能）、社交支持（仅限听力损失人群的团体）以及听力损失自我效能感可促进身体活动的开展。<br><b>研究结论：</b>中老年听力损失人群存在针对听力损失的特异性身体活动障碍，这对其整体健康与福祉存在有害影响。因此，干预措施与公共卫生项目需针对这些额外障碍进行定制化设计。未来仍需开展进一步研究以验证潜在的行为改变技术。<br><br>© 作者，CC BY-NC 4.0