Motivation, community, and resilience in older adults exercise: a three-year qualitative follow-up to the BELL trial

Abstract

This qualitative study explores the long-term impact of the BELL trials weekly group kettlebell training on older adults engagement, community building, and intrinsic motivation. Three years post-trial, participants from the Wednesday Friends group were interviewed to understand how social bonds, shared leadership, adaptability, and health benefits contributed to their sustained participation. Applying the COM-B model and the four Cs model of thematic analysis, findings reveal that social support, resilience, and self-efficacy were central to continued engagement, underscoring key motivators for older adults adherence to group-based exercise. These insights offer healthcare providers data-driven strategies to foster long-term engagement in community exercise programs for older adults.

Competing Interest Statement

The authors have declared no competing interest.

Funding Statement

This study did not receive any funding

Author Declarations

I confirm all relevant ethical guidelines have been followed, and any necessary IRB and/or ethics committee approvals have been obtained.

Yes

The details of the IRB/oversight body that provided approval or exemption for the research described are given below:

Bond University Human Research Ethics Committee (BUHREC; [NM03338]) gave ethical approval for this work.

I confirm that all necessary patient/participant consent has been obtained and the appropriate institutional forms have been archived, and that any patient/participant/sample identifiers included were not known to anyone (e.g., hospital staff, patients or participants themselves) outside the research group so cannot be used to identify individuals.

Yes

I understand that all clinical trials and any other prospective interventional studies must be registered with an ICMJE-approved registry, such as ClinicalTrials.gov. I confirm that any such study reported in the manuscript has been registered and the trial registration ID is provided (note: if posting a prospective study registered retrospectively, please provide a statement in the trial ID field explaining why the study was not registered in advance).

Yes

I have followed all appropriate research reporting guidelines, such as any relevant EQUATOR Network research reporting checklist(s) and other pertinent material, if applicable.

Yes

Data Availability

All data produced in the present work are contained in the manuscript

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