“It Wasn’t Like We Expected”: Analyzing (Non-)Participation of Family Caregivers of People With Dementia in Sports Activities From Different Perspectives
Restricted accessResearch articleFirst published online September, 2021
“It Wasn’t Like We Expected”: Analyzing (Non-)Participation of Family Caregivers of People With Dementia in Sports Activities From Different Perspectives
Family caregivers of people with dementia represent a physically and psychologically burdened target group, which can benefit from offers of health promotion, but rarely use existing services. This article deals with the motives and conditions that induce this target group to be (not) active in sports. For this purpose, the perspectives of family caregivers and local sports clubs in Germany are compared to uncover similarities and discrepancies with the aim of developing target group-specific health promotion services. Results were classified into three dimensions for (non-)participation in sports activities. People who participated in sports club programs generally confirmed its positive effects. Among other things, the sports clubs and family caregivers surveyed emphasized the compatibility of the care situation with possible leisure activities as very important components for (non-)participation. The results show that the subjective health attitudes must be taken into account in the design of health promotion offers.
AltgeldT. (2009). Gemeindenahe Gesundheitsförderung für ältere Menschen [Community based health promotion for older people]. Prävention und Gesundheitsförderung, 4(3), 149–157.
AntonovskyA. (1979). Health, stress, and coping (1st ed.). Jossey-Bass.
4.
BlüherS.DrägerD. (2011). Ältere Menschen als Pflegende: Zielgruppenspezifische Gesundheitsförderung und Prävention [Older people as carer: target group-specific health promotion and prevention]. In SchottT.HornbergC. (Eds.), Die Gesellschaft und ihre Gesundheit: 20 Jahre Public Health in Deutschland; Bilanz und Ausblick einer Wissenschaft (1st ed., pp. 644–667). VS Verlag für Sozialwissenschaften.
5.
BudnickA.KummerK.BlüherS.DrägerD. (2012). Pflegende Angehörige und Gesundheitsförderung. Pilotstudie zur Validität eines deutschsprachigen Assessments zur Erfassung von Ressourcen und Risiken älterer pflegender Angehöriger (ARR) [Family caregivers and health promotion. Pilot study of the validity of a German assessment to record ressources and risks of family caregivers]. Z Gerontol Geriatr, 45(3), 201–211.
6.
Chodzko-ZajkoW. J.ProctorD. N.Fiatarone SinghM. A.MinsonC. T.NiggC. R.SalemG. J.SkinnerJ. S. (2009). American College of Sports Medicine position stand: Exercise and physical activity for older adults. Medicine and Science in Sports and Exercise, 41(7), 1510–1530.
7.
DenkingerM. D.NikolausT.DenkingerC.LukasA. (2012). Physical activity for the prevention of cognitive decline: Current evidence from observational and controlled studies. Zeitschrift für Gerontologie + Geriatrie, 45(1), 11–16.
8.
DrägerD.BlüherS. (2012). Gesundheitsförderung für ältere pflegende Angehörige. Entwicklung, Implementierung und Evaluation eines Assessments zur Primärprävention in vernetzten Strukturen [Health promotion for older family caregivers. Development, implementation and evaluation of an assessment of primary prevention in networked structures]. Bundesministerium für Bildung und Forschung.
FaltermaierT.KühnleinI.Burda-VieringM. (1998). Gesundheit im Alltag: Laienkompetenz in Gesundheitshandeln und Gesundheitsförderung [Health in everyday life: amateur competence in health behaviour and health promotion]. Juventa-Verlag.
11.
ForbesD.ForbesS. C.BlakeC. M.ThiessenE. J.ForbesS. (2015). Exercise programs for people with dementia. The Cochrane Database of Systematic Reviews, 12, CD006489. https://doi.org/10.1002/14651858.CD006489.pub4
12.
GaryR.DunbarS. B.HigginsM.ButtsB.CorwinE.HepburnK.ButlerJ.MillerA. H. (2018). An intervention to improve physical function and caregiver perceptions in FCGs of persons with heart failure. Journal of Applied Gerontology, 39(2), 181–191. https://doi.org/10.1177/0733464817746757
13.
GeißR. (2014). Subjektive Gesundheitsvorstellungen von häuslichen pflegenden Angehörigen am Beispiel von Apoplexie: Eine teilstandardisierte Untersuchung der subjektiven Gesundheitskonzepte und Kontrollüberzeugungen [Subjective health beliefs of family caregivers through the example of stroke: a semi-structured analysis of the subjective health concepts and control beliefs] [Bachelor’s thesis], Faculty of Life Sciences, Hochschule für Angewandte Wissenschaften Hamburg. http://edoc.sub.uni-hamburg.de/haw/volltexte/2015/2855/
14.
HeinemannK. (2007). Einführung in die Soziologie des Sports: Sport und Sportunterricht [Introduction into the sociology of sports: Sport and school sport] (Vol. 1, 5th ed.). Hoffmann & Hoffmann.
InnesA.PageS. J.CutlerC. (2016). Barriers to leisure participation for people with dementia and their carers: An exploratory analysis of carer and people with dementia’s experiences. Dementia, 15(6), 1643–1665.
17.
JimenezD. E.SchulzR.PerdomoD.LeeC. C.CzajaS. J. (2019). Implementation of a Psychosocial Intervention Program for working caregivers. Journal of Applied Gerontology: The Official Journal of the Southern Gerontological Society, 38(9), 1206–1227.
LloydJ.PattersonT.MuersJ. (2016). The positive aspects of caregiving in dementia: A critical review of the qualitative literature. Dementia, 15(6), 1534–1561.
20.
LukasA.KilianR.HayB.MucheR.von ArnimC. A. F.OttoM. (2012). Gesunderhaltung und Entlastung pflegender Angehöriger von Demenzkranken durch ein “initiales Case Management”: Erfahrungen aus dem Ulmer Leuchtturmprojekt Demenz (ULTDEM-Studie) [Staying health and discharge of family caregivers of people with dementia by an initial case management: experiences from an Ulm lighthouse project dementia (ULTDEM-Study)]. Z Für Gerontologie Und Geriatrie, 45(4), 298–309.
21.
MückeM.LudygaS.ColledgeF.GerberM. (2018). Influence of regular physical activity and fitness on stress reactivity as measured with the Trier Social Stress Test protocol: A systematic review. Sports Medicine, 48, 2607–2622. https://doi.org/10.1007/s40279-018-0979-0
22.
PinquartM.SörensenS. (2006a). Gender differences in caregiver stressors, social resources, and health: An updated meta-analysis. The Journals of Gerontology: Series B, Psychological Sciences and Social Sciences, 61(1), 33–45.
23.
PinquartM.SörensenS. (2006b). Helping caregivers of persons with dementia: Which interventions work and how large are their effects?International Psychogeriatrics, 18(4), 577–595.
24.
RothgangH.MüllerM. (2018). Barmer GEK Pflegereport 2018: Schriftenreihe zur Gesundheitsanalyse [Barmer GEK care report 2018: series of health analysis], Band 12. Barmer.
25.
SchmittS. (2011). Subjektive Gesundheitskonzepte und Gesundheitsförderung im Alter: Eine Analyse gesundheitsbezogener Bedürfnisse von Bewohnern/innen stationärer Altenpflegeeinrichtungen und ihre Relevanz für pflegerische Interventionen [Subjective health concepts and health promotion in old age: an analysis of health-related needs of people living in care homes and their relevance for care interventions] [Doctoral dissertation]. Universität Bremen. http://elib.suub.uni-bremen.de/edocs/00101967-1.pdf
UebelackerL. A.EatonC. B.WeisbergR.SandsM.WilliamsC.CalhounD.MansonJ. E.DenburgN. L.TaylorT. (2013). Social support and physical activity as moderators of life stress in predicting baseline depression and change in depression over time in the Women’s Health Initiative. Social Psychiatry and Psychiatric Epidemiology, 48(12), 1971–1982.
