Table 1.
Initial program theories about how SAGE works for most participants
Initial program theory | Supporting theories from the literature | |
---|---|---|
1. | People persevere with the program because they feel health benefits (e.g. improved balance and mobility) which boost feelings of strength and independence | PA generates feelings of physical and psychological wellness [58], and yoga does this particularly effectively, including for older people [33, 59, 60] |
2. | The perceived quality of yoga instructors is important for making people feel safe and confident. This includes instructors who understand the needs of older people | The quality of instructors affects older people’s feelings of safety and confidence in PA [5]. The concept of therapeutic alliance is key to understanding instructor/participant relationship quality [61] |
3. | Tailoring of the classes is crucial. People must feel they can participate according to their abilities and health needs | Tailoring of PA programs is a key motivator in adherence for older people [5, 62, 63]. Fall prevention interventions should be tailored for targeted recipients to maximise safety and effects [64] |
4. | Group classes facilitate social connections which may add to the enjoyment of classes | Many empirical studies [62, 65–68] and theories back this concept including self-determination theory [69] and the upward spiral theory of lifestyle change [70] |
5. | Free classes are an incentive to give yoga a go and stick with it long-term | Subsidised costs increase participation in PA [71, 72]. The ‘zero price effect’ [73] increases perceptions of value |