Investigation On Knowledge,attitude,and Practice Of Resistance Exercise Among The Elderly In Taiyuan City And Analysis Of Its Influencing Factors

Objective:This study intends to investigate the current situation of the knowledge,attitude and behavior of the elderly in resistance exercise in Taiyuan City by compiling the Questionnaire on the knowledge,attitude and behavior of the elderly in resistance exercise,and analyze and explore the factors that affect the elderly in Taiyuan City in guiding the implementation of resistance exercise.To provide theoretical reference basis for clinical and grassroots doctors to carry out scientific and reasonable exercise guidance for the elderly,and truly realize the scientific law,comprehensive and personalized exercise way guidance for the elderly,so as to achieve the maximum benefit of exercise to promote health.Methods:1.A questionnaire entry pool was initially formed through literature review and group discussion;Through two rounds of Delphi expert consultation,the Questionnaire on the Status of Knowledge,attitude and Practice of Resistance exercise for the elderly was modified and improved;Convenience sampling method was adopted to conduct a questionnaire survey on 175 elderly people in 3 communities in Taiyuan City.Items were further screened by means of item analysis and other methods,and reliability and validity analysis was carried out to form the formal questionnaire of the Elderly People’s Knowledge,attitude and Practice of resistance movement.2.Convenience sampling method was adopted to conduct a questionnaire survey on the knowledge,attitude and practice of resistance movement among 355 elderly people in 3 community centers in Taiyuan City,and the current situation was analyzed.Univariate analysis and multiple linear regression analysis were used to understand the current situation of the knowledge,attitude and practice of resistance movement among the elderly,and to explore the influencing factors.Results:1.Delphi expert letter consultation: A total of 15 experts were invited,and the recovery rate of the two rounds of questionnaire was 100%,indicating a high degree of expert enthusiasm.The expert authority coefficient was 0.913,and the Kendall coordination coefficient W of the two rounds of Delphi expert letter consultation were0.310 and 0.117,respectively,which had statistical significance(p < 0.05),indicating that the expert consistency test was highly reliable.There were 28 items in the initial questionnaire,and 25 items remained after two rounds of expert consultation.2.Results of questionnaire reliability and validity analysis: After item analysis,2items were deleted and 23 items remained,including 9 items of knowledge dimension,7items of belief dimension and 7 items of behavior dimension.Validity analysis: Three common factors were extracted from structural validity through exploratory factor analysis,including the common factors of resistance movement knowledge,belief and behavior and their corresponding items were different.The KMO and Bartlett sphericity test were 0.902 and 5059.461,respectively,and the cumulative variance contribution rate was 79.379%.Content validity: Item I-CVI was 0.85-1,scale S-CVI was 0.907,Cronbach’s α of the general questionnaire was 0.943,Cronbach’s α coefficients of knowledge,belief and practice were 0.969,0.944,0.955,respectively.The retest reliability of the total questionnaire was 0.941,and the retest reliability of each dimension was 0.969,0.901 and 0.953.3.Investigation on the status quo of knowledge,attitude and practice of resistance exercise of the elderly in Taiyuan: the total score of knowledge,attitude and practice of resistance exercise of the elderly was(54.28 ±13.172),and the scores of knowledge,attitude and behavior were(22.81±7.487)points,(17.61±6.261)points and(13.86±4.408)points respectively.Multiple linear regression analysis showed that the factors influencing the scores of resistance exercise knowledge of the elderly in Taiyuan were age,educational background and weekly exercise frequency.Gender,age and weekly exercise frequency were the influencing factors of attitude dimension.The behavioral dimension was influenced by age,educational background and current chronic disease.Conclusion:The reliability and validity of the Questionnaire on knowledge,attitude and practice of Resistance exercise for the elderly constructed in this study are good,and can be used as an evaluation tool for knowledge,attitude and practice of resistance exercise for the elderly.Age,education background and weekly exercise frequency were the main factors affecting the scores of resistance exercise knowledge of the elderly in Taiyuan.Gender,age and weekly exercise frequency were the main factors affecting the dimensions of resistance exercise attitude of the elderly in Taiyuan City.Age,education background and whether suffering from chronic diseases were the main factors influencing the scores of resistance exercise behavior of the elderly in Taiyuan.The scores of knowledge and practice of resistance exercise for the elderly are generally low.It is necessary to strengthen the relevant knowledge and skills training of resistance exercise for the elderly,so as to make them realize the importance of resistance exercise for health and integrate resistance exercise into their exercise plan.