scholarly journals The contributions of self-efficacy, trait anxiety, and fear of falling to physical activity behavior among residents of continuing care retirement communities

2010 ◽  
Vol 1 (1) ◽  
pp. 4 ◽  
Author(s):  
J. Carson Smith ◽  
Kathryn R. Zalewski ◽  
Robert W. Motl ◽  
Mark Van Hart ◽  
Jacob Malzahn
Keyword(s):  
Physical Activity ◽  
Trait Anxiety ◽  
High Intensity ◽  
Self Efficacy ◽  
Fear Of Falling ◽  
Moderate Intensity ◽  
Retirement Communities ◽  
Continuing Care ◽  
Continuing Care Retirement Communities ◽  
Anxiety And Fear

Self-efficacy for exercise has been shown to be an independent predictor of physical activity (PA) in community dwelling older adults. There is relatively little known, however, regarding the strength and independence of the relationship between self-efficacy and objectively measured PA among residents of continuing care retirement communities (CCRCs). We examined the independent contribution of self-efficacy on PA behavior and assessed whether the explanation of variance in PA behavior was incrementally improved by considering trait anxiety and fear of falling as theoretical impediments to PA. Fifty-two men and women (83.5±5 yrs) residing in one of four CCRCs in metro Milwaukee wore an accelerometer on their ankle for 7 days to measure number of steps per day, the percentage of time spent active and inactive, and moderate and high intensity PA. Self-efficacy for exercise, self-efficacy for overcoming barriers to exercise, trait anxiety, and fear of falling were assessed. Multiple linear regression was utilized to examine the independently explained variance in PA. Exercise self-efficacy significantly and independently explained 13.4% of the variance in number of steps/day (P<0.05). The explanation of variance in moderate intensity activity was incrementally improved when trait anxiety was factored into the model. Overcoming barriers self-efficacy was significantly related to time spent in high intensity activity (r=0.30, P<0.05), but did not significantly and independently explain variance in high intensity PA behavior. Trait anxiety and fear of falling were not identified as significant impediments to PA in CCRC residents. Furthermore, trait anxiety was shown to facilitate, not impede, moderate intensity PA. Self-efficacy for physical activity may serve as a representative target for interventions aimed at increasing physical activity in CCRC residents.

scholarly journals Malnutrition-Sarcopenia Syndrome and its Associated Factors Among Older Adults

2021 ◽  
Vol 5 (Supplement_1) ◽  
pp. 823-823
Author(s):  
Murad Taani
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Muscle Mass ◽  
Sedentary Time ◽  
Nutritional Assessment ◽  
Mini Nutritional Assessment ◽  
Retirement Communities ◽  
Continuing Care ◽  
Convenience Sample ◽  
Continuing Care Retirement Communities

Abstract Malnutrition and sarcopenia are present in parallel in older adults and characterized by a combination of inadequate nutrient intake and decreased muscle mass, strength, and/or function. The presence of both conditions has been termed Malnutrition-Sarcopenia Syndrome (MSS) and is associated with negative health outcomes. The objective of this correlational study was to identify the prevalence and factors associated with the malnutrition-sarcopenia syndrome among older adults living in continuing care retirement communities. A convenience sample of 104 older adults living in CCRCs participated in this study. Muscle mass, strength, and function were measured using bioimpedance analysis, Jamar digital hand dynamometer, and the Short Physical Performance Battery test, respectively. Physical activity, sedentary time, and nutritional status were measured using ActiGraph GT3X and Mini Nutritional Assessment, respectively. Questionnaires were used to measure self-efficacy for exercise and goal congruence for physical activity and protein intake. Of the 104 participants, 37 (35.2%) had sarcopenia, 19 (18.1%) had malnutrition, and 14 (13.5 %) had MSS. Compared with those without MSS, older adults with MSS were more than two times more likely to have a sedentary lifestyle (Odd ratio, 2.028; 95% confidence interval, 2.012–2.044). Findings showed that sarcopenia, malnutrition, and MSS are prevalent in older adults living in continuing care retirement communities. Older adults should be screened and assessed for both malnutrition and sarcopenia. The results also suggest that decreasing the sedentary time could help in preventing MSS among older adults living in continuing care retirement communities.

scholarly journals ‘We have become prisoners of our own age’: from a continuing care retirement community to a total institution in the midst of the COVID-19 outbreak

2021 ◽  
Author(s):  
Liat Ayalon ◽  
Sharon Avidor
Keyword(s):  
Emotional Responses ◽  
Retirement Community ◽  
Retirement Communities ◽  
Continuing Care ◽  
Total Institution ◽  
Continuing Care Retirement Communities ◽  
Personal Experiences ◽  
Total Institutions ◽  
Design And Methods ◽  
Depth Interviews

Abstract Background and objectives during the coronavirus disease 2019 pandemic in Israel, people residing in continuing care retirement communities (CCRC) found themselves under strict instructions to self-isolate, imposed by the CCRC managements before, during and after the nationwide lockdown. The present study explored the personal experiences of CCRC residents during the lockdown. Research design and methods in-depth interviews were conducted with 24 CCRC residents from 13 different CCRCs. Authors performed a thematic analysis of interview transcripts, using constant comparisons and contrasts. Results three major themes were identified: (i) ‘Us vs. them: Others are worse off’. Older residents engaged in constant attempts to compare their situation to that of others. The overall message behind these downward comparisons was that the situation is not so bad, as others are in a worse predicament; (ii) ‘Us vs. them: Power imbalance’. This comparison emphasised the unbalanced power-relations between older adults and the staff and management in the setting and (iii) ‘We have become prisoners of our own age’. Interviewees described strong emotions of despair, depression and anger, which were intensified when the rest of society returned back to a new routine, whilst they were still under lockdown. Discussion and implications the measures imposed on residents by managements of CCRCs during the lockdown, and the emotional responses of distress among some of the residents, revealed that CCRCs have components of total institutions, not normally evident. This underscores the hidden emotional costs of the lockdown among those whose autonomy was compromised.

scholarly journals Morning resolutions, evening disillusions: Theories of willpower affect how health behaviours change across the day

2020 ◽  
pp. 089020702096230
Author(s):  
Zoë Francis ◽  
Jutta Mata ◽  
Lavinia Flückiger ◽  
Veronika Job
Keyword(s):  
Physical Activity ◽  
Self Efficacy ◽  
Health Behaviours ◽  
Self Control ◽  
Moderate Intensity ◽  
Moderate Intensity Physical Activity ◽  
Health Goals ◽  
Health Goal ◽  
Intensity Physical Activity ◽  
Health Intentions

People may be more or less vulnerable to changes in self-control across the day, depending on whether they believe willpower is more or less limited. Limited willpower beliefs might be associated with steeper decreases in self-control across the day, which may result in less goal-consistent behaviour by the evening. Community members with health goals (Sample 1; N = 160; 1814 observations) and students (Sample 2; N = 162; 10,581 observations) completed five surveys per day for one to three weeks, reporting on their recent physical activity, snacking, subjective state, and health intentions. In both samples, more limited willpower beliefs were associated with less low- and moderate-intensity physical activity, particularly later in the day. Limited willpower beliefs were also associated with more snacking in the evenings (Sample 1) or overall (Sample 2). These behavioural patterns were mediated by differential changes in self-efficacy and intentions across the course of the day (in Sample 1), and the above patterns of low- and moderate-physical intensity held after controlling for related individual differences, including trait self-control and chronotype (in Sample 2). Overall, more limited willpower theories were associated with decreasing goal-consistent behaviour as the day progressed, alongside decreasing self-efficacy and weakening health-goal intentions.

scholarly journals Association between leisure-time physical activity and the risk of chronic diseases

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
A Dedele ◽  
A Miskinyte
Keyword(s):  
Physical Activity ◽  
Chronic Diseases ◽  
High Intensity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Adult Population ◽  
World Health ◽  
Health Study ◽  
Moderate Intensity ◽  
The Impact

Abstract Background According to the World Health Organization, non-communicable diseases or chronic diseases, account for 71 percent of all deaths globally, affecting individuals of all age groups and countries. Epidemiological studies have shown an association between a lack of physical activity (PA) and the risk of raised blood pressure, increased body mass index and obesity that can lead to chronic diseases. Methods The aim of the study was to assess the relationship between leisure-time PA and the risk of chronic diseases among adult population. We conducted a cross-sectional study of 470 men and 641 women who participated in “The Impact of Sustainable Mobility, Physical Activity and Environmental Factors on Urban Population Health Study (ISMA)” in Lithuania. Leisure-time PA was self-reported and divided into three levels: low, moderate and high. Logistic regression was used to estimate adjusted odds ratios (ORs) of chronic diseases according to leisure-time PA. Results More than half (55%) of the study population engaged in a moderate intensity PA and 12% of participants engaged in a high intensity leisure-time PA. Men 1.6 times more often than women reported engaging in a high intensity PA in leisure time (p = 0.004). Adults who engaged in low intensity leisure-time PA had almost 3 times (OR = 2.91; 95% confidence interval (CI) 1.62-5.24) higher risk of chronic diseases, whereas those adults who reported moderate intensity leisure-time PA had an OR of 1.63 (95% CI 0.92-2.87) compared to individuals who engaged in a high-level PA. Conclusions Our findings suggest that high levels of leisure-time PA could reduce the risk of chronic diseases and this effect was significantly stronger in men. Key messages Global decline in PA is related to inaction during leisure time and sedentary behaviour at work and at home that has a major health impact worldwide. High levels of leisure-time PA are important factor for chronic disease prevention.

scholarly journals Effects of an intervention to reduce fear of falling and increase physical activity during hip and pelvic fracture rehabilitation

2020 ◽  
Vol 49 (5) ◽  
pp. 771-778 ◽  
Author(s):  
Klaus Pfeiffer ◽  
Karin Kampe ◽  
Jochen Klenk ◽  
Kilian Rapp ◽  
Michaela Kohler ◽  
...  
Keyword(s):  
Physical Activity ◽  
Physical Performance ◽  
Pelvic Fracture ◽  
Self Efficacy ◽  
Fear Of Falling ◽  
Intervention Group ◽  
Inpatient Rehabilitation ◽  
Control Group ◽  
Behavioural Intervention ◽  
Post Intervention

Abstract Background fear of falling and reduced fall-related self-efficacy are frequent consequences of falls and associated with poorer rehabilitation outcomes. To address these psychological consequences, geriatric inpatient rehabilitation was augmented with a cognitive behavioural intervention (“Step by Step”) and evaluated in a RCT. Methods one hundred fifteen hip and pelvic fracture patients (age = 82.5 years, 70% female) admitted to geriatric inpatient rehabilitation were randomly allocated to the intervention or control group. The intervention consisted of eight additional individual sessions during inpatient rehabilitation, one home visit and four telephone calls delivered over 2 months after discharge. Both groups received geriatric inpatient rehabilitation. Primary outcomes were fall-related self-efficacy (short falls efficacy scale-international) and physical activity as measured by daily walking duration (activPAL3™ sensor) after admission to rehabilitation, before discharge and 1-month post-intervention. Results in covariance analyses, patients in the intervention group showed a significant improvement in fall-related self-efficacy (P = 0.025, d = −0.42), but no difference in total daily walking duration (P = 0.688, d = 0.07) 1-month post-intervention compared to the control condition. Further significant effects in favour of the intervention group were found in the secondary outcomes “perceived ability to manage falls” (P = 0.031, d = 0.41), “physical performance” (short physical performance battery) (P = 0.002, d = 0.58) and a lower “number of falls” (P = 0.029, d = −0.45). Conclusions the intervention improved psychological and physical performance measures but did not increase daily walking duration. For the inpatient part of the intervention further research on the required minimum intensity needed to be effective is of interest. Duration and components used to improve physical activity after discharge should be reconsidered.

Validity of the Multidimensional Outcome Expectations for Exercise Scale in Continuing-Care Retirement Communities

2012 ◽  
Vol 20 (4) ◽  
pp. 456-468 ◽  
Author(s):  
Katherine S. Hall ◽  
Thomas R. Wójcicki ◽  
Siobhan M. Phillips ◽  
Edward McAuley
Keyword(s):  
Older Adults ◽  
Factor Structure ◽  
Functional Performance ◽  
Factor Model ◽  
Outcome Expectations ◽  
Retirement Communities ◽  
Continuing Care ◽  
Continuing Care Retirement Communities ◽  
Confirmatory Factor ◽  
Best Fit

Objective:The current study examined the psychometric properties and validity of the Multidimensional Outcome Expectations for Exercise Scale (MOEES) in a sample of older adults with physical and functional comorbidities.Methods:Confirmatory factor analysis was used to examine the hypothesized 3-factor model in 108 older adults (M age 85 yr) residing in continuing-care retirement communities.Results:Analyses supported the 3-factor structure of the MOEES reflecting physical, social, and self-evaluative outcome expectations, with a 12-item model providing the best fit. Theorized bivariate associations between outcome expectations and physical activity, self-efficacy, and functional performance were all supported.Conclusions:The 12-item version of the MOEES appears to be a reliable and valid measure of outcome expectations for exercise in this sample of older adults with physical and functional comorbidities. Further examination of the factor structure and the longitudinal properties of this measure in older adults is warranted.

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