Differences in Effectiveness of the Active Living Every Day Program for Older Adults With Arthritis

2013 ◽  
Vol 21 (4) ◽  
pp. 387-401 ◽  
Author(s):  
Nina R. Sperber ◽  
Kelli D. Allen ◽  
Brenda M. DeVellis ◽  
Robert F. DeVellis ◽  
Megan A. Lewis ◽  
...  
Keyword(s):  
Physical Activity ◽  
Usual Care ◽  
Outcome Expectations ◽  
Baseline Characteristic ◽  
Active Living ◽  
Interaction Terms ◽  
Care Groups ◽  
Activity Frequency ◽  
Efficacy Outcome ◽  
Active Living Every Day

Objective:The authors explored whether demographic and psychosocial variables predicted differences in physical activity for participants with arthritis in a trial of Active Living Every Day (ALED).Method:Participants (N = 280) from 17 community sites were randomized into ALED or usual care. The authors assessed participant demographic characteristics, self-efficacy, outcome expectations, pain, fatigue, and depressive symptoms at baseline and physical activity frequency at 20-wk follow-up. They conducted linear regression with interaction terms (Baseline Characteristic × Randomization Group).Results:Being female (p ≤ .05), less depressed (p ≤ .05), or younger (p ≤ .10) was associated with more frequent posttest physical activity for ALED participants than for those with usual care. Higher education was associated with more physical activity for both ALED and usual-care groups.Discussion:ALED was particularly effective for female, younger, and less depressed participants. Further research should determine whether modifications could produce better outcomes in other subgroups.

scholarly journals Aging and the Social Cognitive Determinants of Physical Activity Behavior and Behavior Change: Evidence from the Guide to Health Trial

2011 ◽  
Vol 2011 ◽  
pp. 1-11 ◽  
Author(s):  
Eileen Smith Anderson-Bill ◽  
Richard A. Winett ◽  
Janet R. Wojcik ◽  
David M. Williams
Keyword(s):  
Physical Activity ◽  
Weight Loss ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Outcome Expectations ◽  
Physical Activity Behavior ◽  
Baseline Phase ◽  
Efficacy Outcome ◽  
Cognitive Determinants ◽  
Aging Adults

Part oneof this study investigated the effect of aging on social-cognitive characteristics related to physical activity (PA) among adults in the baseline phase of a health promotion intervention. Participants' questionnaire responses and activity logs indicated PA levels and self-efficacy declined with age, while social support and the use of self-regulatory behaviors (e.g., goal setting, planning, and keeping track) increased. With age participants were also less likely to expect PA to interfere with their daily routines and social obligations. Part two of the study was among overweight/obese, inactive participants completing the intervention; it examined whether improvements in psychosocial variables might counteract declining PA associated with age. After treatment, participants were more active and decreased body weight regardless of age, and improved self-efficacy, outcome expectations, and self-regulatory behaviors. In a causal model, increases in self-efficacy at 7-months lead to increased PA levels and, albeit marginally, weight loss at 16 months; increased PA was associated with greater weight loss. Aging adults who were more confident exercised more and as a result lost more weight. This longitudinal study suggests interventions that offset the effect of aging on self-efficacy may be more successful in helping older participants become more active and avoid weight gain.

scholarly journals Within-Day Time-Varying Associations Between Behavioral Cognitions and Physical Activity in Adults

2016 ◽  
Vol 38 (4) ◽  
pp. 423-434 ◽  
Author(s):  
Jaclyn P. Maher ◽  
Eldin Dzubur ◽  
Jimi Huh ◽  
Stephen Intille ◽  
Genevieve F. Dunton
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Outcome Expectations ◽  
Time Of Day ◽  
Time Varying ◽  
Daily Lives ◽  
Windows Of Opportunity ◽  
Efficacy Outcome ◽  
Intervention Content ◽  
Ecological Momentary

This study used time-varying effect modeling to examine time-of-day differences in how behavioral cognitions predict subsequent physical activity (PA). Adults (N = 116) participated in three 4-day “bursts” of ecological momentary assessment (EMA). Participants were prompted with eight EMA questionnaires per day assessing behavioral cognitions (i.e., intentions, self-efficacy, outcome expectations) and wore an accelerometer during waking hours. Subsequent PA was operationalized as accelerometer-derived minutes of moderate- or vigorousintensity PA in the 2 hr following the EMA prompt. On weekdays, intentions positively predicted subsequent PA in the morning (9:25 a.m.–11:45 a.m.) and in the evening (8:15 p.m.–10:00 p.m.). Self-efficacy positively predicted subsequent PA on weekday evenings (7:35 p.m.–10:00 p.m.). Outcome expectations were unrelated to subsequent PA on weekdays. On weekend days, behavior cognitions and subsequent PA were unrelated regardless of time of day. This study identifies windows of opportunity and vulnerability for motivation-based PA interventions aiming to deliver intervention content within the context of adults’ daily lives.

scholarly journals Self-Regulatory Imagery and Physical Activity in Middle-Aged and Older Adults: A Social-Cognitive Perspective

2018 ◽  
Vol 26 (1) ◽  
pp. 14-24 ◽  
Author(s):  
Maria-Christina Kosteli ◽  
Jennifer Cumming ◽  
Sarah E. Williams
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Self Efficacy ◽  
Social Cognitive ◽  
Self Regulation ◽  
Outcome Expectations ◽  
Self Report ◽  
Middle Aged ◽  
Efficacy Outcome ◽  
Exercise Imagery

Limited research has investigated exercise imagery use in middle-aged and older adults and its relationship with affective and behavioral correlates. The study examined the association between self-regulatory imagery and physical activity (PA) through key social cognitive variables. Middle-aged and older adults (N = 299; M age = 59.73 years, SD = 7.73, range = 50 to 80) completed self-report measures assessing self-regulatory imagery use, self-efficacy, outcome expectations, perceived barriers, self-regulatory behavior, enjoyment, and PA levels. Path analysis supported a model (χ² [14] = 21.76, p = .08, CFI = .99, TLI = .97, SRMR = .03, RMSEA = .04) whereby self-regulatory imagery positively predicted self-efficacy, outcome expectations, and self-regulatory behaviors. Furthermore, self-regulatory imagery indirectly predicted barriers, outcome expectations, self-regulation, enjoyment, and PA. This research highlights self-regulatory imagery as an effective strategy in modifying exercise-related cognitions and behaviors. Incorporating social cognitive constructs into the design of imagery interventions may increase PA engagement.

Motivational Factors Influencing Older Adults Diagnosed with Knee Osteoarthritis to Join and Maintain an Exercise Program

2005 ◽  
Vol 13 (1) ◽  
pp. 45-60 ◽  
Author(s):  
Teresa M. Damush ◽  
Susan M. Perkins ◽  
Alan E. Mikesky ◽  
Melanie Roberts ◽  
John O’Dea
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Knee Osteoarthritis ◽  
Multivariate Analyses ◽  
Exercise Program ◽  
Outcome Expectations ◽  
Motivational Factors ◽  
Community Dwelling ◽  
Factors Influencing ◽  
Efficacy Outcome

In order to provide successful interventions to increase physical activity among inactive older adults, it is imperative to understand motivational factors influencing exercise. The authors present data from 191 (baseline) and 125 (12-month) community-dwelling men and women with mean ages of 68.71 (7.47) and 67.55 (7.55) years, respectively, from a strength-training trial. Approximately 53% had diagnosed knee osteoarthritis. Using a Likert scale, participants self-reported their degree of motivation from personal, social, and environmental factors. Using multivariate analyses, the authors evaluated demographic and clinical correlates of motivational factors to join and continue with exercise. The following results were reported: Knee osteoarthritis was positively related to motivation from an organized exercise opportunity and from efficacy/outcome expectations, and knee pain was positively related to motivation from social support and experience with the exercise task. Understanding these motivators might help in targeting recruitment efforts and interventions designed to increase physical activity in older adults with lower extremity arthritis.

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