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) |