The FABS trial: A randomised control trial of the effects of a 6-month physical activity intervention on adherence and long-term physical activity and self-efficacy in older adults with memory complaints

Abstract The benefits of physical activity (PA) are well-established and it is recommended that older adults achieve at least 150 to 300 minutes of moderate intensity PA and strengthening activities weekly. However, only 54.0% and 23.2% of older adults achieve these recommendations for endurance and strengthening (respectively), and 48% dropout within the first 6-months. Most PA research focuses on the 6-month initiation phase leaving a gap regarding long-term adherence. We explored predictors of long-term adherence (>2-years) to PA from 97participants at 6-month follow-up and yearly surveys. Variables examined included age, race, gender, body mass index (BMI), and self-reported comorbidities, symptoms, physical function, and barrier-specific self-efficacy scale (α-level 0.05). Lower BMI (29.1±5.1 versus 31.6±6.5, p=0.047) and higher self-efficacy to overcome environmental barriers (p=0.016) and social isolation (p=0.05) were associated with long-term adherence. Self-efficacy to overcome environmental and social barriers should be addressed to promote long-term adherence to exercise among older adults

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The long-term effects of a primary care physical activity intervention on mental health in low-active, community-dwelling older adults

Aging & Mental Health ◽

10.1080/13607863.2013.781118 ◽

2013 ◽

Vol 17 (6) ◽

pp. 766-772 ◽

Cited By ~ 9

Author(s):

Asmita Patel ◽

Justin W.L. Keogh ◽

Gregory S. Kolt ◽

Grant M. Schofield

Keyword(s):

Mental Health ◽

Physical Activity ◽

Older Adults ◽

Primary Care ◽

Physical Activity Intervention ◽

Community Dwelling ◽

Long Term Effects ◽

Community Dwelling Older Adults

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Feasibility and Preliminary Efficacy of a Multimodal Approach to Increase Physical Activity in Older Adults With Memory Complaints: The Education for Action Study

Journal of Aging and Physical Activity ◽

10.1123/japa.2020-0484 ◽

2021 ◽

pp. 1-13

Author(s):

Danylo F. Cabral ◽

Vinicius S. Santos ◽

Oceano T.T. Pereira ◽

Maria J. Silva ◽

Alvaro Pascual-Leone ◽

...

Keyword(s):

Physical Activity ◽

Older Adults ◽

Task Performance ◽

Dual Task ◽

Pilot Trial ◽

Evidence Based ◽

Memory Complaints ◽

Dual Task Performance ◽

And Control ◽

With Memory

In this randomized controlled pilot trial, the authors explored the feasibility, technology compliance, and preliminary efficacy of the Education for Action (EDU-ACT), a multimodal intervention combining evidence-based strategies of physical activity (PA) education and coaching in PA levels over 4 weeks between EDU-ACT and control groups. The authors also assessed pre–post changes in neurocognitive function, functional mobility and dual-task performance, sleep and quality of life. Thirty-two sedentary older adults with memory complaints (age = 66 ± 5.3) completed the study (EDU-ACT = 18 and control = 14). The EDU-ACT adherence rate was 95%, and compliance of daily PA reporting was, on average, 22.7 days (94.6%). The EDU-ACT group demonstrated a significantly greater number of steps, processing speed, and dual-task performance when compared with controls (p < .05). In this study, a multimodal, evidence-based, low-cost intervention was feasible, well-accepted, with high adherence and compliance rates, and effective at promoting clinically meaningful increases in PA, for at least 1 month postintervention, in older adults with memory complaints.

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Telephone-Based Motivational Interviewing to Promote Physical Activity and Stage of Change Progression in Older Adults

Journal of Aging and Physical Activity ◽

10.1123/japa.2013-0056 ◽

2014 ◽

Vol 22 (4) ◽

pp. 527-535 ◽

Cited By ~ 9

Author(s):

Kaitlin R. Lilienthal ◽

Anna Evans Pignol ◽

Jeffrey E. Holm ◽

Nancy Vogeltanz-Holm

Keyword(s):

Physical Activity ◽

Older Adults ◽

Motivational Interviewing ◽

Self Efficacy ◽

Stage Of Change ◽

Aging Adults ◽

Healthy Activity ◽

To Receive

This study examined the efficacy of motivational interviewing (MI) for increasing physical activity in aging adults. Eighty-six participants aged 55 years and older were randomly assigned to receive either four weekly sessions of telephone-based MI for increasing physical activity, or a healthy activity living guide (information only control). Changes from baseline weekly caloric expenditure from physical activity, self-efficacy for physical activity, and stage of change for physical activity were compared across groups at posttreatment and six months follow-up. Results indicated that MI participants had higher weekly caloric expenditures from physical activity at posttreatment, but not at six months follow-up; higher self-efficacy for physical activity at six months follow-up; and demonstrated greater stage of change progression across assessments. These findings support the use of telephone-based MI for increasing physical activity in older adults in the short-term. Future studies will need to determine if follow-up booster sessions increase long-term efficacy.

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