BACKGROUND: The study objectives were to determine (a) the effects of group-mediated cognitive-behavioral interventions on change in performance self-efficacy, satisfaction with function, and with appearance among older, overweight/obese adults in poor cardiovascular health and (b) whether self-efficacy mediated change in 400-m walk time. METHODS: This translational, randomized controlled trial of physical activity and weight loss was conducted within community Cooperative Extension Centers. Participants were randomized to three intervention arms: Physical Activity, Weight Loss + Physical Activity, or a Successful Aging education control. RESULTS: Across 18 months, the Weight Loss + Physical Activity intervention demonstrated greater improvements in self-efficacy, satisfaction with function, and appearance versus other trial arms. Physical Activity intervention participants also experienced significant improvements in self-efficacy and satisfaction with function versus those in Successful Aging. Self-efficacy mediated 400-m walk time at 18 months. CONCLUSIONS: Both group-mediated cognitive-behavioral interventions yielded desirable improvements in social cognitions and preserved mobility improvements post-intervention.
RCT Entities:
BACKGROUND: The study objectives were to determine (a) the effects of group-mediated cognitive-behavioral interventions on change in performance self-efficacy, satisfaction with function, and with appearance among older, overweight/obese adults in poor cardiovascular health and (b) whether self-efficacy mediated change in 400-m walk time. METHODS: This translational, randomized controlled trial of physical activity and weight loss was conducted within community Cooperative Extension Centers. Participants were randomized to three intervention arms: Physical Activity, Weight Loss + Physical Activity, or a Successful Aging education control. RESULTS: Across 18 months, the Weight Loss + Physical Activity intervention demonstrated greater improvements in self-efficacy, satisfaction with function, and appearance versus other trial arms. Physical Activity intervention participants also experienced significant improvements in self-efficacy and satisfaction with function versus those in Successful Aging. Self-efficacy mediated 400-m walk time at 18 months. CONCLUSIONS: Both group-mediated cognitive-behavioral interventions yielded desirable improvements in social cognitions and preserved mobility improvements post-intervention.
Authors: Ann Marie McNeill; Ronit Katz; Cynthia J Girman; Wayne D Rosamond; Lynne E Wagenknecht; Joshua I Barzilay; Russell P Tracy; Peter J Savage; Sharon A Jackson Journal: J Am Geriatr Soc Date: 2006-09 Impact factor: 5.562
Authors: Nancy T Artinian; Gerald F Fletcher; Dariush Mozaffarian; Penny Kris-Etherton; Linda Van Horn; Alice H Lichtenstein; Shiriki Kumanyika; William E Kraus; Jerome L Fleg; Nancy S Redeker; Janet C Meininger; Joanne Banks; Eileen M Stuart-Shor; Barbara J Fletcher; Todd D Miller; Suzanne Hughes; Lynne T Braun; Laurie A Kopin; Kathy Berra; Laura L Hayman; Linda J Ewing; Philip A Ades; J Larry Durstine; Nancy Houston-Miller; Lora E Burke Journal: Circulation Date: 2010-07-12 Impact factor: 29.690
Authors: J M Guralnik; A Z LaCroix; R D Abbott; L F Berkman; S Satterfield; D A Evans; R B Wallace Journal: Am J Epidemiol Date: 1993-04-15 Impact factor: 4.897
Authors: Duane B Corbett; W Jack Rejeski; Catrine Tudor-Locke; Nancy W Glynn; Stephen B Kritchevsky; Mary M McDermott; Timothy S Church; Roger A Fielding; Thomas M Gill; Abby C King; Michael E Miller; Haiying Chen; Marco Pahor; Todd M Manini Journal: J Gerontol B Psychol Sci Soc Sci Date: 2018-10-10 Impact factor: 4.077
Authors: W Jack Rejeski; Julia Rushing; Jack M Guralnik; Edward H Ip; Abby C King; Todd M Manini; Anthony P Marsh; Mary M McDermott; Roger A Fielding; Anne B Newman; Catrine Tudor-Locke; Thomas M Gill Journal: J Gerontol A Biol Sci Med Sci Date: 2015-02-13 Impact factor: 6.053
Authors: Shannon L Mihalko; Phillip Cox; Daniel P Beavers; Gary D Miller; Barbara J Nicklas; Mary Lyles; David J Hunter; Felix Eckstein; Ali Guermazi; Richard F Loeser; Paul DeVita; Stephen P Messier Journal: Transl Behav Med Date: 2019-03-01 Impact factor: 3.046
Authors: Brian C Focht; Matthew J Garver; Alexander R Lucas; Steven T Devor; Charles F Emery; Kevin V Hackshaw; Ciaran M Fairman; Jessica Bowman; W Jack Rejeski Journal: J Behav Med Date: 2017-01-20
Authors: Jason Fanning; Michael P Walkup; Walter T Ambrosius; Lawrence R Brawley; Edward H Ip; Anthony P Marsh; W Jack Rejeski Journal: J Behav Med Date: 2017-11-22
Authors: W Jack Rejeski; Anthony P Marsh; Stephen Anton; Shyh-Huei Chen; Tim Church; Thomas M Gill; Jack M Guralnik; Nancy W Glynn; Abby C King; Julia Rushing; Edward H Ip Journal: J Gerontol A Biol Sci Med Sci Date: 2013-05-17 Impact factor: 6.053
Authors: Eric Tam; Pedro Kondak Villas Boas; Fernando Ruaro; Juliane Flesch; Jennifer Wu; Amelia Thomas; James Li; Felipe Lopes Journal: Geriatrics (Basel) Date: 2021-05-19