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"

Objectives: 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.

Design: Individual semi-structured qualitative interviews.
Methods: 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.
Results: 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.
Conclusions: 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.

© The Authors, CC BY-NC 4.0

论文《成人听力损失人群体育活动的阻碍因素与促进因素质性研究》补充文件。

研究背景与目的：现有越来越多的流行病学证据表明，听力损失与体力活动不足存在相关性。目前，针对该关联背后成因的研究证据仍较为匮乏。本研究旨在探究中老年听力损失人群参与体育活动的阻碍因素与促进因素。

研究设计：半结构化个人质性访谈。

研究方法：本研究采用现象学研究方法，通过视频会议对10名40岁及以上的成人进行访谈。访谈提纲以能力-机会-动机-行为（Capability, Opportunity, Motivation and Behaviour, COM-B）模型为依据。研究采用反思性主题分析法生成主题，并将主题映射至COM-B模型与行为改变轮（Behaviour Change Wheel）之中。

研究结果：本研究共生成9项与听力损失相关的特异性主题，其中体育活动的阻碍因素包括：精神疲劳、与环境的互动障碍（声学环境复杂、运动过程中助听器使用困难）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（助听器的数字功能）、社会支持（仅面向听力损失人群的团体）以及听力损失自我效能感可促进体育活动的开展。

研究结论：中老年听力损失人群在参与体育活动时会面临与听力损失相关的特异性阻碍因素，这对其整体健康与生活福祉具有有害影响。因此，干预措施与公共卫生项目需针对这些额外的阻碍因素进行量身定制。未来仍需开展进一步研究，以验证潜在的行为改变技术的有效性。

© 作者，CC BY-NC 4.0 许可协议