Long-Term Effects of a Stage-Based Intervention for Changing Exercise Intentions and Behavior in Older Adults
Purpose: We examined the efficacy of an intervention tailored to the individual's stage of change for exercise adoption on exercise stage of change, physical activity, and physical function in community-dwelling older adults. Design and Methods: We randomized participants to a print and telepho...
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| Veröffentlicht in: | The Gerontologist 2008-06, Vol.48 (3), p.358-367 |
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| container_title | The Gerontologist |
| container_volume | 48 |
| creator | Greaney, Mary L. Riebe, Deborah Ewing Garber, Carol Rossi, Joseph S. Lees, Faith D. Burbank, Patricia A. Nigg, Claudio R. Ferrone, Christine L. Clark, Phillip G. |
| description | Purpose: We examined the efficacy of an intervention tailored to the individual's stage of change for exercise adoption on exercise stage of change, physical activity, and physical function in community-dwelling older adults. Design and Methods: We randomized participants to a print and telephone intervention or a contact comparison group. Through the use of longitudinal analyses we examined the intervention's effectiveness in promoting stage progression, altering decisional balance and the processes of change, increasing self-efficacy and physical activity, and improving physical function among older adults who completed the 24-month study (N = 966). We conducted similar analyses that excluded individuals who were in maintenance at baseline and 24 months. Results: At the end of the study, there were no differences in stage progression, self-efficacy, decisional balance, the processes of change, physical activity, or physical function by intervention assignment. When the analyses excluded those participants (n = 358) who were in the maintenance stage for exercise throughout the intervention, we found that, compared with the comparison group, a greater proportion of individuals who received the exercise intervention progressed in stage by 24 months. Conversely, more individuals in the comparison group remained stable or regressed in stage compared with the intervention group. Implications: Results indicate that a tailored intervention is effective in increasing motivational readiness for exercise in individuals who were in stages of change other than maintenance. |
| doi_str_mv | 10.1093/geront/48.3.358 |
| format | Article |
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Design and Methods: We randomized participants to a print and telephone intervention or a contact comparison group. Through the use of longitudinal analyses we examined the intervention's effectiveness in promoting stage progression, altering decisional balance and the processes of change, increasing self-efficacy and physical activity, and improving physical function among older adults who completed the 24-month study (N = 966). We conducted similar analyses that excluded individuals who were in maintenance at baseline and 24 months. Results: At the end of the study, there were no differences in stage progression, self-efficacy, decisional balance, the processes of change, physical activity, or physical function by intervention assignment. When the analyses excluded those participants (n = 358) who were in the maintenance stage for exercise throughout the intervention, we found that, compared with the comparison group, a greater proportion of individuals who received the exercise intervention progressed in stage by 24 months. Conversely, more individuals in the comparison group remained stable or regressed in stage compared with the intervention group. Implications: Results indicate that a tailored intervention is effective in increasing motivational readiness for exercise in individuals who were in stages of change other than maintenance.</description><identifier>ISSN: 0016-9013</identifier><identifier>EISSN: 1758-5341</identifier><identifier>DOI: 10.1093/geront/48.3.358</identifier><identifier>PMID: 18591361</identifier><identifier>CODEN: GRNTA3</identifier><language>eng</language><publisher>United States: Oxford University Press</publisher><subject>Aged, 80 and over ; Behavior ; Behavior Change ; Behavior modification ; Elderly ; Exercise ; Exercise - physiology ; Female ; Follow-Up Studies ; Health promotion ; Health Promotion - methods ; Humans ; Intervention ; Longevity - physiology ; Maintenance ; Male ; Motivation ; Motor Activity - physiology ; Nursing Homes ; Older Adults ; Older people ; Outreach Programs ; Physical Activities ; Physical Fitness ; Prognosis ; Self Efficacy ; Studies ; Surveys and Questionnaires ; Time Factors ; Transtheoretical model</subject><ispartof>The Gerontologist, 2008-06, Vol.48 (3), p.358-367</ispartof><rights>Copyright Gerontological Society of America, Incorporated Jun 2008</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c515t-2bff50e2d68c2c85791f53935c39fff562110bc4ae68e6cb611c8e12bd0c1a213</citedby><cites>FETCH-LOGICAL-c515t-2bff50e2d68c2c85791f53935c39fff562110bc4ae68e6cb611c8e12bd0c1a213</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906,33755,33756</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ800835$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18591361$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Greaney, Mary L.</creatorcontrib><creatorcontrib>Riebe, Deborah</creatorcontrib><creatorcontrib>Ewing Garber, Carol</creatorcontrib><creatorcontrib>Rossi, Joseph S.</creatorcontrib><creatorcontrib>Lees, Faith D.</creatorcontrib><creatorcontrib>Burbank, Patricia A.</creatorcontrib><creatorcontrib>Nigg, Claudio R.</creatorcontrib><creatorcontrib>Ferrone, Christine L.</creatorcontrib><creatorcontrib>Clark, Phillip G.</creatorcontrib><title>Long-Term Effects of a Stage-Based Intervention for Changing Exercise Intentions and Behavior in Older Adults</title><title>The Gerontologist</title><addtitle>The Gerontologist</addtitle><description>Purpose: We examined the efficacy of an intervention tailored to the individual's stage of change for exercise adoption on exercise stage of change, physical activity, and physical function in community-dwelling older adults. Design and Methods: We randomized participants to a print and telephone intervention or a contact comparison group. Through the use of longitudinal analyses we examined the intervention's effectiveness in promoting stage progression, altering decisional balance and the processes of change, increasing self-efficacy and physical activity, and improving physical function among older adults who completed the 24-month study (N = 966). We conducted similar analyses that excluded individuals who were in maintenance at baseline and 24 months. Results: At the end of the study, there were no differences in stage progression, self-efficacy, decisional balance, the processes of change, physical activity, or physical function by intervention assignment. When the analyses excluded those participants (n = 358) who were in the maintenance stage for exercise throughout the intervention, we found that, compared with the comparison group, a greater proportion of individuals who received the exercise intervention progressed in stage by 24 months. Conversely, more individuals in the comparison group remained stable or regressed in stage compared with the intervention group. Implications: Results indicate that a tailored intervention is effective in increasing motivational readiness for exercise in individuals who were in stages of change other than maintenance.</description><subject>Aged, 80 and over</subject><subject>Behavior</subject><subject>Behavior Change</subject><subject>Behavior modification</subject><subject>Elderly</subject><subject>Exercise</subject><subject>Exercise - physiology</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Health promotion</subject><subject>Health Promotion - methods</subject><subject>Humans</subject><subject>Intervention</subject><subject>Longevity - physiology</subject><subject>Maintenance</subject><subject>Male</subject><subject>Motivation</subject><subject>Motor Activity - physiology</subject><subject>Nursing Homes</subject><subject>Older Adults</subject><subject>Older people</subject><subject>Outreach Programs</subject><subject>Physical Activities</subject><subject>Physical Fitness</subject><subject>Prognosis</subject><subject>Self Efficacy</subject><subject>Studies</subject><subject>Surveys and Questionnaires</subject><subject>Time Factors</subject><subject>Transtheoretical model</subject><issn>0016-9013</issn><issn>1758-5341</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BHHNA</sourceid><recordid>eNqN0s9v0zAUB3ALgVg3OHNByOLALa1_xI5z3KrCVlXaJAqauFiO85xlpM6wk2n77zFNNSQu7GRZ34--h_ceQu8omVNS8kUDoffDIldzPudCvUAzWgiVCZ7Tl2hGCJVZSSg_Qscx3pL0Z6x4jY6oEiXlks7QbtP7JttC2OGVc2CHiHuHDf46mAayMxOhxhd-gHAPfmh7j10f8PLG-Kb1DV49QLBthD3Z5xEbX-MzuDH3bZKtx5ddDQGf1mM3xDfolTNdhLeH9wR9-7zaLs-zzeWXi-XpJrOCiiFjlXOCAKulsswqUZTUCV5yYXnpUiQZpaSyuQGpQNpKUmoVUFbVxFLDKD9Bn6beu9D_GiEOetdGC11nPPRj1LJkipSy_D9M42SEPAfmjORMPgNyKZRQCX78B972Y_BpLJql3RaSsiKhxYRs6GMM4PRdaHcmPGpK9J8L0NMF6Fxprvm-9sOhdqx2UP_1h5Un8H4CEFr7FK_WihDFRYqzKW7jAA9PuQk_tSx4IfT59Q99Jdfb9fX3tb7ivwExG8T5</recordid><startdate>20080601</startdate><enddate>20080601</enddate><creator>Greaney, Mary L.</creator><creator>Riebe, Deborah</creator><creator>Ewing Garber, Carol</creator><creator>Rossi, Joseph S.</creator><creator>Lees, Faith D.</creator><creator>Burbank, Patricia A.</creator><creator>Nigg, Claudio R.</creator><creator>Ferrone, Christine L.</creator><creator>Clark, Phillip G.</creator><general>Oxford University Press</general><general>Gerontological Society of America</general><scope>BSCLL</scope><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7U3</scope><scope>7U4</scope><scope>ASE</scope><scope>BHHNA</scope><scope>DWI</scope><scope>FPQ</scope><scope>K6X</scope><scope>K9.</scope><scope>NAPCQ</scope><scope>WZK</scope><scope>7X8</scope></search><sort><creationdate>20080601</creationdate><title>Long-Term Effects of a Stage-Based Intervention for Changing Exercise Intentions and Behavior in Older Adults</title><author>Greaney, Mary L. ; Riebe, Deborah ; Ewing Garber, Carol ; Rossi, Joseph S. ; Lees, Faith D. ; Burbank, Patricia A. ; Nigg, Claudio R. ; Ferrone, Christine L. ; Clark, Phillip G.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c515t-2bff50e2d68c2c85791f53935c39fff562110bc4ae68e6cb611c8e12bd0c1a213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Aged, 80 and over</topic><topic>Behavior</topic><topic>Behavior Change</topic><topic>Behavior modification</topic><topic>Elderly</topic><topic>Exercise</topic><topic>Exercise - physiology</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Health promotion</topic><topic>Health Promotion - methods</topic><topic>Humans</topic><topic>Intervention</topic><topic>Longevity - physiology</topic><topic>Maintenance</topic><topic>Male</topic><topic>Motivation</topic><topic>Motor Activity - physiology</topic><topic>Nursing Homes</topic><topic>Older Adults</topic><topic>Older people</topic><topic>Outreach Programs</topic><topic>Physical Activities</topic><topic>Physical Fitness</topic><topic>Prognosis</topic><topic>Self Efficacy</topic><topic>Studies</topic><topic>Surveys and Questionnaires</topic><topic>Time Factors</topic><topic>Transtheoretical model</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Greaney, Mary L.</creatorcontrib><creatorcontrib>Riebe, Deborah</creatorcontrib><creatorcontrib>Ewing Garber, Carol</creatorcontrib><creatorcontrib>Rossi, Joseph S.</creatorcontrib><creatorcontrib>Lees, Faith D.</creatorcontrib><creatorcontrib>Burbank, Patricia A.</creatorcontrib><creatorcontrib>Nigg, Claudio R.</creatorcontrib><creatorcontrib>Ferrone, Christine L.</creatorcontrib><creatorcontrib>Clark, Phillip G.</creatorcontrib><collection>Istex</collection><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Social Services Abstracts</collection><collection>Sociological Abstracts (pre-2017)</collection><collection>British Nursing Index</collection><collection>Sociological Abstracts</collection><collection>Sociological Abstracts</collection><collection>British Nursing Index (BNI) (1985 to Present)</collection><collection>British Nursing Index</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Premium</collection><collection>Sociological Abstracts (Ovid)</collection><collection>MEDLINE - Academic</collection><jtitle>The Gerontologist</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Greaney, Mary L.</au><au>Riebe, Deborah</au><au>Ewing Garber, Carol</au><au>Rossi, Joseph S.</au><au>Lees, Faith D.</au><au>Burbank, Patricia A.</au><au>Nigg, Claudio R.</au><au>Ferrone, Christine L.</au><au>Clark, Phillip G.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ800835</ericid><atitle>Long-Term Effects of a Stage-Based Intervention for Changing Exercise Intentions and Behavior in Older Adults</atitle><jtitle>The Gerontologist</jtitle><addtitle>The Gerontologist</addtitle><date>2008-06-01</date><risdate>2008</risdate><volume>48</volume><issue>3</issue><spage>358</spage><epage>367</epage><pages>358-367</pages><issn>0016-9013</issn><eissn>1758-5341</eissn><coden>GRNTA3</coden><abstract>Purpose: We examined the efficacy of an intervention tailored to the individual's stage of change for exercise adoption on exercise stage of change, physical activity, and physical function in community-dwelling older adults. Design and Methods: We randomized participants to a print and telephone intervention or a contact comparison group. Through the use of longitudinal analyses we examined the intervention's effectiveness in promoting stage progression, altering decisional balance and the processes of change, increasing self-efficacy and physical activity, and improving physical function among older adults who completed the 24-month study (N = 966). We conducted similar analyses that excluded individuals who were in maintenance at baseline and 24 months. Results: At the end of the study, there were no differences in stage progression, self-efficacy, decisional balance, the processes of change, physical activity, or physical function by intervention assignment. When the analyses excluded those participants (n = 358) who were in the maintenance stage for exercise throughout the intervention, we found that, compared with the comparison group, a greater proportion of individuals who received the exercise intervention progressed in stage by 24 months. Conversely, more individuals in the comparison group remained stable or regressed in stage compared with the intervention group. Implications: Results indicate that a tailored intervention is effective in increasing motivational readiness for exercise in individuals who were in stages of change other than maintenance.</abstract><cop>United States</cop><pub>Oxford University Press</pub><pmid>18591361</pmid><doi>10.1093/geront/48.3.358</doi><tpages>10</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Sociological Abstracts; Oxford University Press Journals All Titles (1996-Current); Alma/SFX Local Collection |
| subjects | Aged, 80 and over Behavior Behavior Change Behavior modification Elderly Exercise Exercise - physiology Female Follow-Up Studies Health promotion Health Promotion - methods Humans Intervention Longevity - physiology Maintenance Male Motivation Motor Activity - physiology Nursing Homes Older Adults Older people Outreach Programs Physical Activities Physical Fitness Prognosis Self Efficacy Studies Surveys and Questionnaires Time Factors Transtheoretical model |
| title | Long-Term Effects of a Stage-Based Intervention for Changing Exercise Intentions and Behavior in Older Adults |
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