RiAT

Design Feature
Project Type
Master Plan
State
Western Australia
Location
Urban, Regional

Physical activity can help older adults maintain physical health, independence, psychological wellbeing, and cognitive function. However, the majority of older adults do not engage in enough physical activity to attain these health benefits. Retirement villages provide an ideal setting to promote group-based physical activity.

Motivating active lifestyles

The Residents in Action Trial (RiAT) was an outdoor group walking program which aimed to increase walking and reduce sitting in physically inactive older adults in retirement villages. The program worked to achieve this by increasing motivation and confidence to walk in local neighbourhood environments.

RiAT was developed in 2015-16 and implemented from 2017-2018 in 14 retirement villages in Metropolitan and Regional Areas of Perth, including Australind, Mandurah and Busselton.  

The RiAT Trial
The RiAT Trial

To establish RiAT, retirement village walkability was audited by two trained researchers. Using the Pathway Environmental Audit Tool, the physical environment was rated according to land use/destinations (e.g., number of amenities in walking distance), streetscape (i.e., pedestrian safety such as sheltered bus stops), aesthetics and social environment (i.e., appearance of surroundings and whether others walk in the area), footpath features (e.g., width, slope maintenance of footpath), and crossings (e.g., presence of an intersection control). From this assessment, three safe and accessible walking routes per village were risk-assessed and mapped for use.

Older adults from the retirement village communities were recruited as volunteer “Peer Walk Leaders” (PWLs) to lead group walking sessions. Training resources were produced to assist PWLs to motivate groups to be physically active and to overcome confidence barriers. The resources additionally helped walkers to motivate themselves and feel empowered by walking. The PWLs led outdoor group-walks three times a week, for a minimum of ten weeks. Retirement village residents engaged in group-based and individual outdoor walks for 16 weeks, aiming to sustain these levels of activity.

The RiAT Trial
The RiAT Trial

The RE-AIM framework was used to evaluate the program. A mixed methods approach (using a combination of accelerometers, surveys, and interviews) was adopted to examine the feasibility, reach, efficacy, adoption, implementation and maintenance of the program.

The majority (92%) of walkers who started the program completed it, and those who participated increased their daily step count by 750 steps/day and additionally reduced their sitting time by 32 minutes/day.

The village audit indicated that neighbourhood walkability varied across sites, and the program can work well in environments across different levels of walkability. However, access to a walkable environment, in particular a safe and walk-and-talk friendly environment, was shown to facilitate program implementation.

The RiAT Trial
The RiAT Trial

Findings also indicated that social support was critical for success. Participants differed in whether they preferred to walk as a group, with a partner, or alone. Those walking with others at least weekly achieved greater improvements in terms of physical activity levels, confidence, motivation, and functional health, compared to people mainly walking alone. Supportive peer interactions were perceived to be important for motivating older adults to take part in, and maintain, group-based walking activities.

The project and its evaluation were designed with input from key stakeholders including Amana Living and Council on the Ageing Western Australia (COTA WA). Both organisations were represented on the project steering committee.

Project Team

The project was supported by the Western Australian Health Promotion Foundation (Healthway), and led by the Physical Activity and Well-Being Research Group at Curtin University (www.pawresearchgroup.com), including the following researchers:

  • Professor Cecilie Thøgersen-Ntoumani (Curtin University)
  • Professor Nikos Ntoumanis (Curtin University)
  • Dr Eleanor Quested (Curtin University)
  • Dr Elissa Burton (Curtin University)
  • Professor Keith Hill (Monash University)
  • Professor Stuart Biddle (University of Southern Queensland)
  • Professor Ester Cerin (Australian Catholic University)
  • Associate Professor Joanne McVeigh (Curtin University)
  • Dr Jenny Olson (Curtin University)
  • Ms. Marlene Kritz (Curtin University)

Project Cost

  • $141 per participant (including pedometers, walk maps, printing of resources, workshop catering).

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