Adherence to prescribed exercise poses significant challenges for older adults despite proven benefits. The aim of this exploratory descriptive qualitative study was to explore the perceived barriers to and facilitators of prescribed home exercise adherence in community-dwelling adults 65 years and older. Three focus groups with 17 older adults (M_age ± SD = 77 ± 5.12) living in Singapore were conducted. Inductive thematic analysis revealed that “the level of motivation” of individuals constantly influenced their exercise adherence (core theme). The level of motivation appeared to be a fluid concept and changed due to interactions with two subthemes: (a) individual factors (exercise needs to be tailored to the individual) and (b) environmental factors (i.e., support is essential). Hence, these factors must be considered when designing strategies to enhance exercise adherence in this vulnerable population. Strategies must be informed by the culturally unique context, in this case, a developed country with a multiethnic urban Asian population.

尽管已证明有益，但坚持规定的锻炼对老年人构成了重大挑战。这项探索性描述性定性研究的目的是探讨 65 岁及以上社区居民坚持规定家庭锻炼的感知障碍和促进因素。由 17 名老年人组成的三个焦点小组 ( M_年龄 ±  SD = 77 ± 5.12) 居住在新加坡进行。归纳主题分析表明，个人的“动机水平”不断影响他们的锻炼依从性（核心主题）。动机水平似乎是一个流动的概念，并且由于与两个子主题的相互作用而发生变化：(a) 个人因素（锻炼需要因人而异）和 (b) 环境因素（即支持必不可少）。因此，在设计策略以增强这一弱势群体的锻炼依从性时，必须考虑这些因素。战略必须以独特的文化背景为依据，在这种情况下，是一个拥有多民族城市亚洲人口的发达国家。