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The results suggest that a group-based physical activity program encouraged by health care providers and delivered at churches through a train-the-trainer model would be well received by aging adults from three urban areas of Ghana. As for desired physical activity program characteristics, participants expressed interest in group-based activities and becoming peer leaders and preference for a church-based program. Peer influence and health care providersвЂ™ recommendations were motivating factors for physical activity participation.

Participants had positive perceptions of being physically active, but were unaware of physical activity guidelines and how to meet them. ResultsДЇindings indicate that older adults in Ghana have a need for and an interest in physical activity promotion. Quantitative data were collected through a questionnaire assessing participant demographics, physical activity levels, and health rating as well as physical activity knowledge and self-efficacy. Qualitative data were collected using a semi-structured script that prompted for responses related to physical activity perceptions and the fit and feasibility of physical activity program characteristics.

Through a concurrent exploratory mixed-methods design, data were gathered from Ghanaian older adults ( NвЂ‰=вЂ‰123) during focus groups ( NвЂ‰=вЂ‰10) conducted at one diabetes clinic and nine churches across three urban areas. The aim of this exploratory study was to determine older Ghanaian adultsвЂ™ perceptions of physical activity and asses fit and feasibility of adapting and delivering a physical activity program for this population. Community-based physical activity programs are a recommended method of increasing physical activity levels however, none currently exist in Ghana. Physical activity rates have decreased, especially among older adults, coinciding with urbanization and an increase in sedentary work. Ghana is experiencing an epidemiological shift in public health issues toward non-communicable diseases that are underpinned by modifiable health behaviors.

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