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Table 6 Intention to change health behaviour and self-reported reasons for not changing health behaviour/preventative care use identified with the HRA-O questionnaire at the three study sites

From: Development, feasibility and performance of a health risk appraisal questionnaire for older persons

Category Self reported answer category London (U.K.) Hamburg (Germany) Solothurn (Switzerland)
Intention to increase physical activity Plans to take steps in next month 2.5% (21/853) 1.0% (5/507) 1.6% (7/426)
  Plans to take steps in the next 6 months 2.9% (25/853) 0.6% (3/507) 0.2% (1/426)
Reasons for not increasing physical acitivity I already exercise frequently and regularly 36.2% (338/933) 47.7% (284/595) 63.2% (331/524)
  I have a physical limitation 22.0% (205/933) 14.3% (85/595) 6.7% (35/524)
  I don't have time/don't get around it 18.8% (175/933) 6.1% (36/595) 3.8% (20/524)
  I have pain with physical activity 18.0% (168/933) 25.7% (153/595) 16.8% (88/524)
  I have an illness limiting my physical activity 11.5% (107/933) 25.9% (154/595) 13.2% (69/524)
  I don't have anyone to exercise with 5.8% (54/933) 8.4% (50/595) 4.4% (23/524)
  There is nowhere to exercise 1.9% (18/933) 8.7% (52/595) 4.8% (25/524)
Intention to decrease high fat intake Plans to take steps in next month 2.1% (16/765) 2.8% (7/253) 0.9% (3/333)
  Plans to take steps in the next 6 months 1.6% (12/765) 0.8% (2/253) 0.9% (3/333)
Reason for not decreasing high fat intake I already minimise fat intake 75.4% (594/788) 70.9% (183/258) 67.5% (239/354)
  I like the taste of high-fat foods 19.5% (154/788) 19.4% (50/258) 9.3% (33/354)
  I don't think it's important to eat less fat 5.3% (42/788) 11.6% (30/258) 13.6% (48/354)
  Trouble to shop/prepare low-fat foods 2.4% (19/788) 5.4% (14/258) 7.6% (27/354)
Intention to increase fruit/fibre intake Plans to take steps in next month 0.8% (5/623) 0.7% (4/596) 0.2% (1/470)
  Plans to take steps in the next 6 months 1.0% (6/623) 0.2% (1/596) 0.2% (1/470)
Reason for not increasing low fruit/fibre intake I already eat plenty of fruits/vegetables 87.9% (558/635) 91.0% (553/608) 93.7% (458/489)
Intention to change current tobacco use Plans to quit smoking in next month 16.7% (14/84) 16.0% (12/75) 22.6% (12/53)
  Plans to quit smoking in next 6 months 28.6% (24/84) 17.3% (13/75) 18.9% (10/53)
Reason for not using preventative services My general practitioner never recommended it 50.5% (548/1086) 22.2% (173/778) 16.0% (117/731)
  I've never thought about it 21.5% (234/1086) 12.3% (96/778) 10.9% (80/731)
  I have no need to; I have no health problems 17.5% (190/1086) 17.0% (132/778) 20.2% (148/731)
  I have already had these preventative services 15.7% (171/1086) 37.1% (289/778) 39.8% (291/731)
  1. HRA-O: Health Risk Appraisal for Older Persons, values are percentages (nominator/denominator).
  2. Denominators are persons at risk for the selected health behaviour or preventative care use (e.g., intention to decrease high fat intake among persons with high fat intake, as defined in Table 5). Answers are for predefined categories. Multiple answer were allowed for reasons of sub-optimal health behaviour; only reasons given by ≥5% of persons in at least one study site are listed, and listed according to the rank order in London.