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Bastones (Y- Barreras en la comunidad para el uso de bastones y la…

- - - - Problems with sidewalk pavement and puddles/poor drainage were the most frequently mentioned environmental barriers, by 90% and 80%, respectively. More than 60% identified
        problems with construction, snow removal, and curb
        cuts. About 50% experienced narrow sidewalks, public
        attitudes, scaffolding, and crosswalks as environmental
        barriers p.3
      - Barriers to physical activity by people with disabilities
        persist in spite of legislative requirements and existing
        accommodations p.3
  - - - Primary health care professionals are considered ideally placed to influence levels of activity in older people because of their access and contact with members of the general population p.97
      - Practice implications: Primary health care professionals need to be able to provide specific advice as to the quantity (frequency, duration, intensity and type) of exercise or physical activity to undertake.
      - ...the recommendation for exercise came as treatment, after they became ill again, rather than as a preventative measure or to increase general activity levels. Nevertheless, it was a motivator in these cases. p.99
      - Older adults within this study commented on the personal attributes and support they received from instructors and/or facilitators of exercise and others in physical activity groups. Having pleasant instructors was perceived to be a good motivator to continue with group based exercise and physical activity pursuits p.99
      - although primary health care professional advice
        provided the motivation to initiate exercise and physical activity,
        instructor support appears to be crucial for less active young older adults to maintain exercise and physical activity, particularly in regards to instruction, supervision and encouragement. p.100
      - the role of peer mentors (exercise buddies)
        may be influential in encouraging and supporting individuals
        through activity programmes p.100
      - mail and telephone counselling may provide the external
        trigger required to continue the support necessary to motivate
        young older adults to maintain exercise and physical activity
        pursuits p.101
      - Hence, in routine primary care consultations, health care practitioners need to promote exercise and physical activity as a primary, as well as a secondary, prevention measure. p.101
    - - Improvements in sidewalk design and maintenance would address several major barriers