Towards co‐designing active ageing strategies: A qualitative study to develop a meaningful physical activity typology for later life

This is the author accepted manuscript. The final version is available from Wiley Open Access via the DOI in this record.Background Physical activity levels decline in later life despite the known benefits for physical, cognitive and mental health. Older people find it difficult to meet activity targets; therefore, more realistic and meaningful strategies are needed. We aimed to develop a typology of older people's motivations and lifelong habits of being active as a starting point to co‐designing active ageing strategies in a workshop. Methods We conducted semi‐structured interviews with 27 participants aged 65‐80 in Norfolk, UK, and participant observation with 17 of them. At a workshop with 13 study participants and 6 government and civil society representatives, we invited reflections on preliminary findings. Results Three types were developed. “Exercisers” had engaged in sport and exercise throughout their life but experienced physical ill health and limitations as barriers. “Out‐and‐about‐ers” pursued social engagement and a variety of interests but experienced biographical disruption through retirement and loss of companions that limited social activities in later life. A final type characterized people who preferred “sedentary/solitary” activities. A workshop elicited suggestions for new strategies relating to these types that addressed people's specific motivations. An example was to combine social engagement and physical activity in “dog‐parent”‐walking schemes to link people through shared responsibility for a dog. Conclusions We suggest that these potential strategies map more closely onto the everyday life‐worlds in which public health might seek to intervene than common physical activity interventions. Most notably, this means a more differentiated understanding of barriers, and acknowledging that intellectual, social or solitary pursuits can include incidental physical activity.This work was supported by the UK Research Councils’ Lifelong Health and Wellbeing (LLHW) Initiative in partnership with the Department of Health [grant number MR/K025147/1]; LLHW is led by the Medical Research Council. The work was undertaken under the auspices of the Centre for Diet and Activity Research (CEDAR), a UKCRC Public Health Research Centre of Excellence which is funded by the British Heart Foundation, Cancer Research UK, Economic and Social Research Council, Medical Research Council, the National Institute for Health Research and the Wellcome Trust . SG, DO and JP are also supported by the Medical Research Council [Unit programme numbers MC_UU_12015/4 and MC_UU_12015/6]