Long-Term Changes in Physical Activity Following a One-Year Home-Based Physical Activity Counseling Program in Older Adults with Multiple Morbidities
This study assessed the sustained effect of a physical activity (PA) counseling intervention on PA one year after intervention, predictors of sustained PA participation, and three classes of post-intervention PA trajectories (improvers, maintainers, and decliners) in 238 older Veterans. Declines in...
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| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2011-01-01
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| Series: | Journal of Aging Research |
| Online Access: | http://dx.doi.org/10.4061/2011/308407 |
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| _version_ | 1850178600829976576 |
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| author | Katherine S. Hall Richard Sloane Carl F. Pieper Matthew J. Peterson Gail M. Crowley Patricia A. Cowper Eleanor S. McConnell Hayden B. Bosworth Carola C. Ekelund Miriam C. Morey |
| author_facet | Katherine S. Hall Richard Sloane Carl F. Pieper Matthew J. Peterson Gail M. Crowley Patricia A. Cowper Eleanor S. McConnell Hayden B. Bosworth Carola C. Ekelund Miriam C. Morey |
| author_sort | Katherine S. Hall |
| collection | DOAJ |
| description | This study assessed the sustained effect of a physical activity (PA) counseling intervention on PA one year after intervention, predictors of sustained PA participation, and three classes of post-intervention PA trajectories (improvers, maintainers, and decliners) in 238 older Veterans. Declines in minutes of PA from 12 to 24 months were observed for both the treatment and control arms of the study. PA at 12 months was the strongest predictor of post-intervention changes in PA. To our surprise, those who took up the intervention and increased PA levels the most, had significant declines in post-intervention PA. Analysis of the three post-intervention PA trajectories demonstrated that the maintenance group actually reflected a group of nonresponders to the intervention who had more comorbidities, lower self-efficacy, and worse physical function than the improvers or decliners. Results suggest that behavioral counseling/support must be ongoing to promote maintenance. Strategies to promote PA appropriately to subgroups of individuals are needed. |
| format | Article |
| id | doaj-art-bafe20ce294d4dd5b69ea1e9b3cbc152 |
| institution | OA Journals |
| issn | 2090-2212 |
| language | English |
| publishDate | 2011-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Journal of Aging Research |
| spelling | doaj-art-bafe20ce294d4dd5b69ea1e9b3cbc1522025-08-20T02:18:42ZengWileyJournal of Aging Research2090-22122011-01-01201110.4061/2011/308407308407Long-Term Changes in Physical Activity Following a One-Year Home-Based Physical Activity Counseling Program in Older Adults with Multiple MorbiditiesKatherine S. Hall0Richard Sloane1Carl F. Pieper2Matthew J. Peterson3Gail M. Crowley4Patricia A. Cowper5Eleanor S. McConnell6Hayden B. Bosworth7Carola C. Ekelund8Miriam C. Morey9Geriatric Research, Education, and Clinical Center, Durham Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC 27705, USACenter for the Study of Aging and Human Development, Duke University, Durham, NC 27710, USACenter for the Study of Aging and Human Development, Duke University, Durham, NC 27710, USAGeriatric Research, Education, and Clinical Center, Durham Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC 27705, USANeurodiagnostic Center, Durham Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC 27705, USADuke Clinical Research Institute, Duke University Medical Center, Durham, NC 27705, USAGeriatric Research, Education, and Clinical Center, Durham Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC 27705, USACenter for the Study of Aging and Human Development, Duke University, Durham, NC 27710, USAGeriatric Research, Education, and Clinical Center, Durham Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC 27705, USAGeriatric Research, Education, and Clinical Center, Durham Veterans Affairs Medical Center, 508 Fulton Street, Durham, NC 27705, USAThis study assessed the sustained effect of a physical activity (PA) counseling intervention on PA one year after intervention, predictors of sustained PA participation, and three classes of post-intervention PA trajectories (improvers, maintainers, and decliners) in 238 older Veterans. Declines in minutes of PA from 12 to 24 months were observed for both the treatment and control arms of the study. PA at 12 months was the strongest predictor of post-intervention changes in PA. To our surprise, those who took up the intervention and increased PA levels the most, had significant declines in post-intervention PA. Analysis of the three post-intervention PA trajectories demonstrated that the maintenance group actually reflected a group of nonresponders to the intervention who had more comorbidities, lower self-efficacy, and worse physical function than the improvers or decliners. Results suggest that behavioral counseling/support must be ongoing to promote maintenance. Strategies to promote PA appropriately to subgroups of individuals are needed.http://dx.doi.org/10.4061/2011/308407 |
| spellingShingle | Katherine S. Hall Richard Sloane Carl F. Pieper Matthew J. Peterson Gail M. Crowley Patricia A. Cowper Eleanor S. McConnell Hayden B. Bosworth Carola C. Ekelund Miriam C. Morey Long-Term Changes in Physical Activity Following a One-Year Home-Based Physical Activity Counseling Program in Older Adults with Multiple Morbidities Journal of Aging Research |
| title | Long-Term Changes in Physical Activity Following a One-Year Home-Based Physical Activity Counseling Program in Older Adults with Multiple Morbidities |
| title_full | Long-Term Changes in Physical Activity Following a One-Year Home-Based Physical Activity Counseling Program in Older Adults with Multiple Morbidities |
| title_fullStr | Long-Term Changes in Physical Activity Following a One-Year Home-Based Physical Activity Counseling Program in Older Adults with Multiple Morbidities |
| title_full_unstemmed | Long-Term Changes in Physical Activity Following a One-Year Home-Based Physical Activity Counseling Program in Older Adults with Multiple Morbidities |
| title_short | Long-Term Changes in Physical Activity Following a One-Year Home-Based Physical Activity Counseling Program in Older Adults with Multiple Morbidities |
| title_sort | long term changes in physical activity following a one year home based physical activity counseling program in older adults with multiple morbidities |
| url | http://dx.doi.org/10.4061/2011/308407 |
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