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

Author

Listed:
  • Claudio Di Lorito

    (Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, UK)

  • Alessandro Bosco

    (Division of Psychiatry & Applied Psychology, School of Medicine, University of Nottingham and Institute of Mental Health, Triumph Road, Nottingham NG7 2TU, UK)

  • Kristian Pollock

    (School of Health Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, UK)

  • Rowan H. Harwood

    (School of Health Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, UK)

  • Roshan das Nair

    (Division of Psychiatry & Applied Psychology, School of Medicine, University of Nottingham and Institute of Mental Health, Triumph Road, Nottingham NG7 2TU, UK)

  • Pip Logan

    (Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, UK)

  • Sarah Goldberg

    (School of Health Sciences, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, UK)

  • Vicky Booth

    (Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, UK)

  • Kavita Vedhara

    (Division of Primary Care, School of Medicine, Room 1305 Tower Building, University Park, Nottingham NG7 2RD, UK)

  • Maureen Godfrey

    (Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, UK)

  • Marianne Dunlop

    (Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, University of Nottingham, Queen’s Medical Centre, Nottingham NG7 2UH, UK)

  • Veronika van der Wardt

    (Wissenschaftliche Mitarbeiterin, Zentrum für Methodenwissenschaften und Gesundheitsforschung Abteilung für Allgemeinmedizin, Präventive und Rehabilitative Medizin, Philipps-Universität Marburg Karl-von-Frisch-Straße 4, 35032 Marburg, Germany)

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.

Suggested Citation

  • Claudio Di Lorito & Alessandro Bosco & Kristian Pollock & Rowan H. Harwood & Roshan das Nair & Pip Logan & Sarah Goldberg & Vicky Booth & Kavita Vedhara & Maureen Godfrey & Marianne Dunlop & Veronika , 2020. "External Validation of the ‘ PHYT in Dementia’ , a Theoretical Model Promoting Physical Activity in People with Dementia," IJERPH, MDPI, vol. 17(5), pages 1-18, February.
  • Handle: RePEc:gam:jijerp:v:17:y:2020:i:5:p:1544-:d:325959
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    References listed on IDEAS

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    1. David M. Eddy & William Hollingworth & J. Jaime Caro & Joel Tsevat & Kathryn M. McDonald & John B. Wong, 2012. "Model Transparency and Validation," Medical Decision Making, , vol. 32(5), pages 733-743, September.
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    Cited by:

    1. Claudio Di Lorito & Carol Duff & Carol Rogers & Jane Tuxworth & Jocelyn Bell & Rachael Fothergill & Lindsey Wilkinson & Alessandro Bosco & Louise Howe & Rebecca O’Brien & Maureen Godfrey & Marianne Du, 2021. "Tele-Rehabilitation for People with Dementia during the COVID-19 Pandemic: A Case-Study from England," IJERPH, MDPI, vol. 18(4), pages 1-19, February.

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