CONTEXT: Participation in regular physical activity is recognized as one of the most important health behaviors associated with the prevention of chronic disease and the promotion of health and well-being among the elderly. Although a number of cross-sectional studies have reported predictors of physical activity participation, few studies have assessed changes in intervention-related mediators associated with physical activity adherence in the elderly. OBJECTIVE: The purpose of this study was to compare the relative abilities of cognitive mediating variables (i.e., self-efficacy beliefs and outcome expectancies/realizations) versus a social mediating variable (i.e., exercise-related social support) to examine mediators of a telephone-based, exercise-counseling intervention on exercise adherence during months 7 to 12 of an exercise intervention. METHOD:Participants were 103 community-dwelling, healthy, sedentary, older adults (67 women and 36 men). Self-efficacy for exercise, outcome expectancies/realizations, and social support for exercise were assessed at baseline, 6 months, and 12 months. Participants received telephone-based exercise counseling to promote exercise adherence during the course of two 12-month exercise programs (i.e., aerobic/strength or flexibility exercises). RESULTS: Changes in cognitive mediators (i.e., self-efficacy and fitness outcome realizations) were associated with 7- to 12-month exercise adherence while exercise-related social support was not. CONCLUSION: Attention should be given to increasing confidence in the elderly to overcome barriers to exercise and achieve relevant fitness outcomes in exercise programs.
RCT Entities:
CONTEXT: Participation in regular physical activity is recognized as one of the most important health behaviors associated with the prevention of chronic disease and the promotion of health and well-being among the elderly. Although a number of cross-sectional studies have reported predictors of physical activity participation, few studies have assessed changes in intervention-related mediators associated with physical activity adherence in the elderly. OBJECTIVE: The purpose of this study was to compare the relative abilities of cognitive mediating variables (i.e., self-efficacy beliefs and outcome expectancies/realizations) versus a social mediating variable (i.e., exercise-related social support) to examine mediators of a telephone-based, exercise-counseling intervention on exercise adherence during months 7 to 12 of an exercise intervention. METHOD:Participants were 103 community-dwelling, healthy, sedentary, older adults (67 women and 36 men). Self-efficacy for exercise, outcome expectancies/realizations, and social support for exercise were assessed at baseline, 6 months, and 12 months. Participants received telephone-based exercise counseling to promote exercise adherence during the course of two 12-month exercise programs (i.e., aerobic/strength or flexibility exercises). RESULTS: Changes in cognitive mediators (i.e., self-efficacy and fitness outcome realizations) were associated with 7- to 12-month exercise adherence while exercise-related social support was not. CONCLUSION: Attention should be given to increasing confidence in the elderly to overcome barriers to exercise and achieve relevant fitness outcomes in exercise programs.
Authors: Sean P Mullen; Edward McAuley; William A Satariano; Melissa Kealey; Thomas R Prohaska Journal: J Gerontol B Psychol Sci Soc Sci Date: 2012-04-03 Impact factor: 4.077
Authors: Jennifer J Salinas; DeAnne K Hilfinger Messias; Daisy Morales-Campos; Deborah Parra-Medina Journal: J Health Care Poor Underserved Date: 2014-02
Authors: K F Reid; M P Walkup; J A Katula; K M Sink; S Anton; R Axtell; D R Kerwin; A C King; F Kramer; M E Miller; V Myers; C Rosano; S A Studenski; O L Lopez; J Verghese; R A Fielding; J Williamson Journal: J Prev Alzheimers Dis Date: 2017
Authors: Pao-Feng Tsai; Jason Y Chang; Nupur Chowdhury; Cornelia Beck; Paula K Roberson; Karl Rosengren Journal: Res Gerontol Nurs Date: 2009-10-27 Impact factor: 1.571