Table 2: Mapping of the four emergent themes and sub-themes to the construction of the Health Belief Model (HBM), with representative participant quotations.

Theme

Key Sub-themes

Corresponding HBM Construct

Illustrative Quote

Theme 1: Perceptions of Physical Activity

• Movement as part of faith

• Activity for dignity, independence, and health maintenance

Perceived Benefits / Cues to Action

“For me, moving is part of my faith… when I pray, I feel my body stretch and my soul rest.” (P12, 67)

Theme 2: Barriers to Physical Activity

• Chronic pain, arthritis, diabetes

• Fear of injury and aging

• Cultural modesty norms

• Lack of safe spaces / hot climate

Perceived Barriers

“My knees hurt after a short walk… I’m afraid if I fall, I won’t get up again.” (P08, 72)

Theme 3: Motivators & Facilitators

• Family encouragement

• Faith as purpose

• Visible health gains (less pain, better sleep)

• Peer or community activities

Perceived Benefits / Cues to Action

“My daughter tells me, ‘Mama, go for a walk, it’s good for your heart.’ When she joins me, I feel young again.” (P05, 64)

Theme 4: Strategies & Sources of Support

• Self-discipline and home-based movement

• Guidance from healthcare professionals

• Community/women-only programs

• Spiritual resilience

Self-Efficacy / Enabling Factors

“I tell myself every morning, don’t sit too long… I move while cooking or stretch my arms.” (P17, 66)

Theme 5: Role of Healthcare & Policy Environment

• Limited structured wellness programs for older women

• Need for culturally appropriate, women-only facilities

• Desire for regular counseling on safe activity • Importance of supportive public-health messages

 

Cues to Action / Perceived Benefits / Self-Efficacy

“Doctors never told us that walking daily helps… we need proper advice and programs for women our age.” (P19, 68)