Tai Chi Enhances Self-Efficacy and Exercise Behavior in Older Adults

2001 ◽  
Vol 9 (2) ◽  
pp. 161-171 ◽  
Author(s):  
Fuzhong Li ◽  
Edward McAuley ◽  
Peter Harmer ◽  
Terry E. Duncan ◽  
Nigel R. Chaumeton
Keyword(s):  
Older Adults ◽  
Self Efficacy ◽  
Repeated Measures ◽  
Intervention Program ◽  
Tai Chi ◽  
Controlled Trial ◽  
Exercise Adherence ◽  
Exercise Behavior ◽  
Control Group ◽  
Random Effects Models

The article describes a randomized, controlled trial conducted to examine the effects of a Tai Chi intervention program on perceptions of personal efficacy and exercise behavior in older adults. The sample comprised 94 low-active, healthy participants (mean age = 72.8 years. SD = 5.1) randomly assigned to either an experimental (Tai Chi) group or a wait-list control group. The study length was 6 months, with self-efficacy responses (barrier, performance efficacies) assessed at baseline, at Week 12, and at termination (Week 24) of the study. Exercise attendance was recorded as an outcome measure of exercise behavior. Random-effects models revealed that participants in the experimental group experienced significant improvements in self-efficacy over the course of the intervention. Subsequent repeated-measures ANOVA revealed that participants’ changes in efficacy were associated with higher levels of program attendance. The findings suggest that self-efficacy can be enhanced through Tai Chi and that the changes in self-efficacy are likely to improve exercise adherence.

scholarly journals A Randomized Controlled Trial of Tai Chi for Tension Headaches

2007 ◽  
Vol 4 (1) ◽  
pp. 107-113 ◽  
Author(s):  
Ryan B. Abbott ◽  
Ka-Kit Hui ◽  
Ron D. Hays ◽  
Ming-Dong Li ◽  
Timothy Pan
Keyword(s):  
Mental Health ◽  
Intervention Program ◽  
Tai Chi ◽  
Controlled Trial ◽  
Adult Population ◽  
Well Being ◽  
Control Group ◽  
Physical And Mental Health ◽  
Tension Type Headaches ◽  
Headache Impact

This study examined whether a traditional low-impact mind–body exercise, Tai Chi, affects health-related quality-of-life (HRQOL) and headache impact in an adult population suffering from tension-type headaches. Forty-seven participants were randomly assigned to either a 15 week intervention program of Tai Chi instruction or a wait-list control group. HRQOL (SF-36v2) and headache status (HIT-6™) were obtained at baseline and at 5, 10 and 15 weeks post-baseline during the intervention period. Statistically significant (P< 0.05) improvements in favor of the intervention were present for the HIT score and the SF-36 pain, energy/fatigue, social functioning, emotional well-being and mental health summary scores. A 15 week intervention of Tai Chi practice was effective in reducing headache impact and also effective in improving perceptions of some aspects of physical and mental health.

Effect of buddy-style intervention on exercise adherence in community-dwelling disabled older adults: A pilot randomized controlled trial

2021 ◽  
pp. 026921552110411
Author(s):  
Hiromichi Takeda ◽  
Katsuhiko Takatori
Keyword(s):  
Older Adults ◽  
Controlled Trial ◽  
Intervention Group ◽  
Exercise Adherence ◽  
Control Group ◽  
Adult Day Care ◽  
Control Groups ◽  
Randomized Controlled ◽  
And Control ◽  
Pilot Randomized Controlled Trial

Objective To assess the preliminary effects of a buddy-style intervention to improve exercise adherence. Design A parallel-group, open-label, pilot randomized controlled trial. Setting Adult day-care centers. Participants Sixty-five disabled older adults. Interventions All participants underwent a 12-week home exercise program, and the intervention group received a 5–10 min buddy-style intervention between older adults in the intervention group once weekly at an adult day-care center. Main measures Based on the exercise log calendar, the number of days of exercise was assessed for each of the three phases: 1–4 weeks, 5–8 weeks, and 9–12 weeks. Short physical performance battery was measured at baseline and after 12 weeks. Results Of the 590 screened older adults, 65 were recruited and 33 were assigned to the intervention group. One participant in each group withdrew before the program began, and four and five patients in the intervention and control groups, respectively, dropped out by the 12-week assessment. Analysis of covariance of the 28 and 26 patients in the intervention and control groups, respectively, for whom exercise log calendars could be retrieved, showed that the intervention group (24.4/28 days) exercised significantly more days than the control group (20.6/28 days) at 9–12 weeks ( P = 0.009). In the between-group effect of the intention-to-treat analysis of short physical performance battery, walking and standing test ( P = 0.790, P = 0.829) were not significantly different, and balance test ( P = 0.049) was significantly better in the control group. Conclusions There was a preliminary effect of the buddy-style intervention to improve exercise adherence.

scholarly journals RelAte: pilot study of the effects of a mealtime intervention on social cognitive factors and energy intake among older adults living alone

2016 ◽  
Vol 116 (9) ◽  
pp. 1573-1581 ◽  
Author(s):  
Joanna E. McHugh Power ◽  
Olga Lee ◽  
Niamh Aspell ◽  
Emma McCormack ◽  
Michelle Loftus ◽  
...  
Keyword(s):  
Older Adults ◽  
Treatment Group ◽  
Energy Intake ◽  
Self Efficacy ◽  
Controlled Trial ◽  
Complex Interventions ◽  
Living Alone ◽  
Control Group ◽  
Nutritional Interventions ◽  
Randomised Controlled

AbstractMealtime interventions typically focus on institutionalised older adults, but we wanted to investigate whether they may also be effective among those living independently. Using a randomised controlled trial design, we assessed the effects of a novel mealtime intervention on self-efficacy, food enjoyment and energy intake. A total of 100 adults living alone aged over 60 years were randomised to the treatment or control conditions: all received a guidebook on nutrition and culinary skills. Treatment group participants received a weekly visit from a trained volunteer who prepared and shared a meal with them. Participants in the treatment group showed improvements relative to those in the control group at borderline significance (P=0·054) for self-efficacy and at significance for food enjoyment. Significant improvements were observed in female participants in the treatment but not in the control group in energy intake (although following corrections for multiple comparisons, only the effect on food enjoyment remained significant). These findings will inform the design of future complex interventions. For this type of intervention to be successful, more focus has to be placed on making interventions more personalised, potentially according to sex. Findings are important for nutritional sciences as they indicate that, in order to improve energy intake and food enjoyment among older adults, multimodal nutritional interventions including social components may be successful.

scholarly journals AgingPLUS: Theoretical Background and Study Design of the Randomized Trial

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 434-435
Author(s):  
George Rebok ◽  
David Roth ◽  
Kaigang Li ◽  
Abigail Nehrkorn-Bailey ◽  
Diana Rodriguez ◽  
...  
Keyword(s):  
Older Adults ◽  
Self Efficacy ◽  
Intervention Program ◽  
Efficacy Beliefs ◽  
Control Group ◽  
Experimental Medicine ◽  
Middle Aged ◽  
Post Test ◽  
Goal Planning

Abstract The AgingPLUS program targets three psychological mechanisms that are known barriers to middle-aged and older adults’ engagement in physical activity (PA): Negative views of Aging (NVOA), low self-efficacy beliefs, and poor goal planning skills. These risk factors are addressed in a 4-week intervention program that is compared to a generic health education program as the control group. Middle-aged and older adults (age 45-75 years) are enrolled in the trial for 8 months, with four assessment points: Baseline (pre-test), Week 4 (immediate post-test), Week 8 (delayed post-test), and Month 6 (long-term follow-up). The major outcome variables are participants’ engagement in PA as assessed via daily activity logs and actigraphs. Positive changes in NVOA, self-efficacy beliefs, and goal planning are the intervention targets and hypothesized mediating variables leading to increases in PA. This trial adopted the experimental medicine approach to assess the short- and long-term efficacy of the AgingPLUS program.

Effects of a Yoga Intervention on Adults with Lower Limb Osteoarthritis: a Randomized Controlled Trial

2020 ◽  
Vol 33 (2) ◽  
Author(s):  
Susan Zacharia ◽  
E. Laurette Taylor ◽  
Paul W. Branscum ◽  
Marshall K. Cheney ◽  
Craig W. Hofford ◽  
...  
Keyword(s):  
Prevention Program ◽  
Relapse Prevention ◽  
Repeated Measures ◽  
Controlled Trial ◽  
Exercise Adherence ◽  
Control Group ◽  
Activity Levels ◽  
Yoga Intervention ◽  
Physical Health Outcomes ◽  
Added Benefit

This study investigated the effectiveness of a yoga exercise and relapse prevention program on physical health outcomes, predictors of exercise and exercise adherence in adults aged 40-64 years with osteoarthritis. A yoga intervention was first implemented to all the participants, and then participants were randomized into one of two conditions: a relapse prevention program, which provided continued encouragement and guidance for practicing yoga, and a control group. Results (two-way repeated measures ANOVA) indicated that participation in the yoga intervention significantly improved pain (P<0.001), physical function (P<0.001) and physical activity levels (P=0.003), but the relapse prevention interven-tion provided no added benefit.

Exercise Self-Efficacy and Control Beliefs: Effects on Exercise Behavior after an Exercise Intervention for Older Adults

2009 ◽  
Vol 17 (1) ◽  
pp. 1-16 ◽  
Author(s):  
Shevaun D. Neupert ◽  
Margie E. Lachman ◽  
Stacey B. Whitbourne
Keyword(s):  
Older Adults ◽  
Self Efficacy ◽  
Intervention Program ◽  
Exercise Intervention ◽  
Structural Equations ◽  
Exercise Behavior ◽  
Control Beliefs ◽  
Exercise Regimen ◽  
Physical Resistance ◽  
And Control

The current study examined exercise self-efficacy and exercise behavior during and after a strength-training intervention program with older adults. A model with cross-lagged and contemporaneous paths was tested with structural equations. Within testing occasions, higher physical resistance was related to greater beliefs in efficacy and control over exercise. At 3 months into the intervention, those who had higher physical resistance were less likely to show subsequent changes in beliefs. Those who had higher self-efficacy and control beliefs at 6 months were more likely to report that they were still exercising at 9 and 12 months after the intervention. Findings indicate that exercise self-efficacy and exercise behavior are associated with one another and that beliefs developed during an intervention are important for maintenance of an exercise regimen.

scholarly journals IMPACT OF SELF-EFFICACY THEORY ON IMPROVING ADHERENCE OF OLDER ADULTS PATIENTS WITH GLAUCOMA’S MEDICATION

2020 ◽  
Vol 5 (4) ◽  
pp. 44
Author(s):  
Faiza A. Abou-El-Soud ◽  
Helalia Shalabi Mohamed
Keyword(s):  
Older Adults ◽  
Medication Adherence ◽  
Self Efficacy ◽  
Intervention Program ◽  
Control Group ◽  
Unique Contribution ◽  
Group Setting ◽  
Glaucoma Medication ◽  
Significant Difference ◽  
The Impact

Purpose: This study was aimed to measure the impact of self-efficacy theory to improve medication adherence among older adults’ patients with glaucoma. Methodology: A quasi-experimental design was used to investigate the study hypotheses.  Study Sample: A total of 284 older adults with glaucoma were screened to select non-adherent patients with medication. The recruited study sample was (152) who are non-adherent with glaucoma medication divided equally into (76 study group) and (76 control group). Setting: the study was conducted at the outpatient clinics of Ophthalmology at University Hospital, Shebin El-Kom, Egypt.  Tools: three tools were used for the purpose of data collection (I) Bio-socio-demographic characteristics questionnaire; (II) Medication Adherence Rating Scale (III) Glaucoma Medication Self-Efficacy Scale. Findings: The findings revealed that the mean age of the studied sample was 74.86+4.63 (non-adherent to medication). Patients age and presence of more than three multiple chronic illnesses with poly-medications are the highest risk factors of adherence to medications (OR = 10.9; 95% CI 6.8 -16.32, P = 0.000); (OR = 12.6; 95% CI 8.2 -18.4, P = 0.000) and (OR = 13.2; 95% CI 7.4 -19.8, P = 0.000) respectively. Participants who received the intervention program showed a significant improvement in their self-efficacy in overcoming medication adherence barriers compared to the control group. An improvement of the self-efficacy in their ability in carrying out glaucoma medication correctly compared to the control group was shown by highly statistically significant differences between total mean scores at (t =3.426, P =.001; t =17.174, P=.000; t =18.141, P=.000) respectively. The intervention program of glaucoma medication management had a positive impact on the patients’ outcomes compared to the control group. There is a statistically significant difference between patients’ feelings and thoughts pre and post-intervention was detected. Unique contribution to theory, practice and policy: The findings confirm the effectiveness of an intervention/educational program based on self-efficacy theory in terms of improving glaucoma medication adherence among older adults. Glaucoma’s medication principles should be discussed at regular intervals based on patients' needs and the barriers they are facing.

scholarly journals 427 - Psychoeducation Program for the Prevention of Older Adults´ Infantilization in Professionals working in Nursing Homes

2021 ◽  
Vol 33 (S1) ◽  
pp. 48-48
Author(s):  
C. Noriega ◽  
G. Pérez-Rojo ◽  
J. López ◽  
C. Velasco ◽  
M.I. Carretero ◽  
...  
Keyword(s):  
Older Adults ◽  
Nursing Homes ◽  
Repeated Measures ◽  
Intervention Program ◽  
Direct Care ◽  
Control Group ◽  
Post Intervention ◽  
Negative Stereotypes ◽  
Significant Difference ◽  
Experimental Group

IntroductionKayser-Jones (1981) described infantilization as one of the four most frequent types of violence in nursing homes. Older people perceive infantilization as disrespectful and patronizing. In professionals, it can lead to protective behaviors that reduce autonomy and generate more dependency. Despite the importance of this phenomenon, the interventions are scarce and show methodological limitations.ObjectiveThis study analyzed the efficacy of a psychoeducation program for the prevention of infantilization in professionals working in nursing homes. The sample included 154 direct-care workers. The experimental group (N=111) attended a psychoeducational group intervention program while the control group (N=43) did not attend any intervention program. We assessed the infantilized practices the professionals recognized they conducted and the ones observed in the institution before and after the intervention. The intervention lasted 6 hours and included four sessions distributed in two days. These sessions aimed to reduce negative stereotypes, preventing infantilized communication patterns and the use of behaviors or practices that are frequently used with children. We also offered professionals alternative practices that recognize autonomy, decision-making and respect older adults´ dignity and uniqueness. To analyze data, we conducted Repeated measures of ANOVA and one-way ANCOVAs.Results:The scores of infantilization in the experimental group significantly decreased from pre-intervention to post-intervention in the professional, F(1, 85) = 37.184, p = .01, partial η2 = .030, and in the institution, F(1, 84) = 32.128, p = .01, partial η2 = .277, while the control group did not show any changes. There was a statistically significant difference in post-intervention between the experimental and the control group when participants scored their infantilization practices, F(1, 115) = 5.175, p = .03, partial η2 = .043, and infantilization practices observed in the institution, F(1, 115) = 5.810, p = .018, partial η2 = .048.Conclusion:These results reflect the importance of developing interventions focused on preventing infantilization, methodologically rigorous, in which professionals´ training and education are considered key pieces to generate a culture of change. More research is needed to understand this problem in greater depth to develop programs that address this problem at different levels.Funding:This research was funded by the Spanish Ministry of Economy and Competitiveness (grant no. PSI2016-79803-R).

scholarly journals In the Eyes of Those Who Were Randomized: Perceptions of Disadvantaged Older Adults in a Tai Chi Trial

2018 ◽  
Vol 60 (4) ◽  
pp. 672-682 ◽  
Author(s):  
On-Yee Lo ◽  
Lisa A Conboy ◽  
Alexandra Rukhadze ◽  
Caroline Georgetti ◽  
Margaret M Gagnon ◽  
...  
Keyword(s):  
Older Adults ◽  
Qualitative Study ◽  
Self Efficacy ◽  
Tai Chi ◽  
Exercise Intervention ◽  
Controlled Trial ◽  
Well Being ◽  
Subsidized Housing ◽  
Cluster Randomized ◽  
Supportive Program

Abstract Background and Objectives Older adults living in subsidized housing have typically been excluded from exercise intervention studies. We conducted a qualitative study to explore the perceived physical, psychological, social, and economic factors that influenced participation in and adherence to a year-long Tai Chi intervention within an ongoing cluster-randomized controlled trial (RCT) for older adults living within subsidized housing facilities. Research Design and Methods Focus groups were held with participants of the RCT who were allocated to the trial’s Tai Chi intervention. Individual phone interviews were conducted with those allocated to Tai Chi who had low adherence or who had withdrawn their participation from the study. Emergent themes were extracted using grounded-theory methods. Results In this qualitative study, we enrolled 41 participants who were allocated to the RCT’s Tai Chi intervention: 38 completed and 3 withdrew from the study. Average Tai Chi class attendance was 64.3%. Pragmatic factors that led to higher adherence and retention included: locating classes within each facility; providing programs at no cost; and deployment of a skilled research support team. In addition, the use of an accessible, simplified Tai Chi program improved confidence, social support, self-efficacy, and self-reported improvements in physical and psychological well-being. Discussion and Implications Perceived physical, psychological, social benefits, and self-efficacy likely enhance adherence and retention to research-based Tai Chi interventions for older adults. Delivering an on-site, no cost, and supportive program appears critical to overcoming financial and environmental barriers to participation for those living within subsidized housing.

scholarly journals Satisfaction with health and oneself and the Unplugged program among Slovak Schoolchildren

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
O Orosova ◽  
B Gajdosova ◽  
J Benka
Keyword(s):  
Self Efficacy ◽  
Repeated Measures ◽  
Controlled Trial ◽  
Control Group ◽  
Significant Interaction Effect ◽  
Level Of Satisfaction ◽  
Long Term Effect ◽  
Contrast Analysis ◽  
Cluster Randomized

Abstract Background The investigation of protective factors and intervention effects on health are important issues of prospective studies. The aims of this study were to explore the changes in schoolchildren’s satisfaction with their health and themselves (SH) following their participation in the Unplugged program (PU). Methods This study was carried out as a cluster randomized controlled trial (1195 participating schoolchildren, Mean age=11.52; 47.4% boys) with data collection conducted immediately before PU implementationT1, immediately after the implementationT2 then 3 monthsT3, 12 monthsT4, and 18 months after the implementationT5. The schools were randomly assigned to either an experimental (EG, n = 540) or control group (CG, n = 655). EG was exposed to PU consisting of 12 lessons (http://www.eudap.net/). The effect of participating in PU, gender, and self-efficacy (SET1) were explored in relation to changes in SH in both EG and CG. GLM Repeated Measures were used for the data analyses. Results There was a significant main effect of time on SH, F(4, 1096)=6.685, p &lt; 0.001. The contrast analysis revealed that SH was significantly lower at every follow-up when compared to SH at T1. There was a significant interaction effect SHxSE, F(4, 1096)=2.868, p &lt; 0.05. The contrast analysis revealed that SH was significantly lower at T2 than at T1 among the schoolchildren with a lower level of SE. Finally, the SHxSExPU interaction was significant F(4, 1096)=2.779, p &lt; 0.05 and the contrast analysis revealed that SH was significantly higher at T5 than at T1 among those participants of PU with a higher level of SE. Conclusions The findings generally suggest that while there was a decrease of SH among schoolchildren between T1 and T5 a long-term effectT5 of PU was found among the program participants with higher levels of SE who were able to maintain higher level of SH. Key messages Schoolchildren’s satisfaction with their health and themselves was found to generally decrease in time during the 22 months when Unplugged was implemented and evaluated. A long-term effect of Unplugged was detected among program participants with higher levels of self-efficacy who were able to maintain higher level of satisfaction with their health and themselves.

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