Long-Term Effects of a Stage-Based Intervention for Changing Exercise Intentions and Behavior in Older Adults

Greaney, Mary L.; Riebe, Deborah; Ewing Garber, Carol; Rossi, Joseph S.; Lees, Faith D.; Burbank, Patricia A.; Nigg, Claudio R.; Ferrone, Christine L.; Clark, Phillip G. (2008). Long-Term Effects of a Stage-Based Intervention for Changing Exercise Intentions and Behavior in Older Adults. Gerontologist, 48(3), pp. 358-367. Oxford University Press 10.1093/geront/48.3.358

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Purpose: We examined the efficacy of an intervention tailored to the individual's stage of change for exercise adoption on exercise stage of change, physical activity, and physical function in community-dwelling older adults.

Design and methods: We randomized participants to a print and telephone intervention or a contact comparison group. Through the use of longitudinal analyses we examined the intervention's effectiveness in promoting stage progression, altering decisional balance and the processes of change, increasing self-efficacy and physical activity, and improving physical function among older adults who completed the 24-month study (N = 966). We conducted similar analyses that excluded individuals who were in maintenance at baseline and 24 months.

Results: At the end of the study, there were no differences in stage progression, self-efficacy, decisional balance, the processes of change, physical activity, or physical function by intervention assignment. When the analyses excluded those participants (n = 358) who were in the maintenance stage for exercise throughout the intervention, we found that, compared with the comparison group, a greater proportion of individuals who received the exercise intervention progressed in stage by 24 months. Conversely, more individuals in the comparison group remained stable or regressed in stage compared with the intervention group.

Implications: Results indicate that a tailored intervention is effective in increasing motivational readiness for exercise in individuals who were in stages of change other than maintenance.

Item Type:

Journal Article (Original Article)

Division/Institute:

07 Faculty of Human Sciences > Institute of Sport Science (ISPW)

UniBE Contributor:

Nigg, Claudio Renato

Subjects:

700 Arts > 790 Sports, games & entertainment

ISSN:

0016-9013

Publisher:

Oxford University Press

Language:

English

Submitter:

Claudio Renato Nigg

Date Deposited:

21 Jun 2024 15:35

Last Modified:

01 Jul 2024 16:16

Publisher DOI:

10.1093/geront/48.3.358

PubMed ID:

18591361

URI:

https://boris.unibe.ch/id/eprint/193376

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