Effect of Telephone Counseling on Physical Activity for Low‐Active Older People in Primary Care: A Randomized, Controlled Trial

Kolt, Gregory S.; Schofield, Grant; Kerse, Ngaire; Garrett, Nick; Oliver, Melody

doi:10.1111/j.1532-5415.2007.01203.x

Cited by 138 publications

(132 citation statements)

References 32 publications

(67 reference statements)

Supporting

Mentioning

123

Contrasting

Unclassified

Order By: Relevance

“…To our knowledge, only one other study assessed the sustained effects of a print tailored PA intervention among older adults [44], but could not find significant effects on self-reported PA behavior. Yet, our results are consistent with the findings of studies analyzing the long-term efficacy of (tailored) PA telephone counseling among older adults to increase minutes of PA per week [45,46]. The environmentally tailored intervention was found to be more effective in changing total PA behavior, cycling, and sports than the basic tailored intervention.…”

Section: Discussionsupporting

confidence: 89%

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

et al. 2010

View full text Add to dashboard Cite

Background Important health benefits can be derived when low-cost (e.g., computer-tailored) physical activity interventions for older adults demonstrate sustained effects. Purpose The purpose of the study was to conduct in-depth analysis on the long-term efficacy of two tailored physical activity interventions for older adults. Methods A randomized controlled trial (n=1,971) with two computer-tailored interventions and a no-intervention control group was conducted. The two tailored interventions consisted of three tailored letters, delivered during 4 months. The basic tailored intervention targeted psychosocial determinants alone, while the environmentally tailored intervention additionally targeted environmental determinants, by providing tailored environmental information. Selfreported behaviors (i.e., total physical activity, transport walking and cycling, leisure walking and cycling, and sports) were measured at baseline and 12 months. Additionally, potential personal, health-related, and psychosocial moderators of the intervention effects were examined. Results The environmentally tailored intervention was effective in changing total physical activity, leisure cycling, and sports compared with the basic intervention and control group. No intervention effects were found for the basic intervention. Moderation analysis revealed that participants with a higher age, lower body mass index, and higher intention were unresponsive to the interventions. Conclusions Providing environmental information is an effective intervention strategy for increasing physical activity behaviors among older adults, especially among certain "at-risk" subgroups such as lower educated, overweight, or insufficiently active participants. Moderation analysis was perceived as a promising method for identifying meaningful subgroups that are unaffected by an intervention, which should receive special attention in future interventions.

show abstract

Section: Discussionsupporting

confidence: 89%

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

et al. 2010

View full text Add to dashboard Cite

show abstract

“…Sixteen of these studies were SHBC interventions, and two were MHBC interventions in the older adult population. The majority of the included interventions was also adoption interventions (16), while only two were cessation interventions. The most frequently studied was physical activity or exercise behavior (14 studies).…”

Section: Resultsmentioning

confidence: 99%

A systematic review of single health behavior change interventions vs. multiple health behavior change interventions among older adults

Nigg

Long

2012

Behav. Med. Pract. Policy Res.

View full text Add to dashboard Cite

Multiple behavior change is widely used to reduce targeted health behaviors; however, its effect on behaviors such as physical activity, nutrition, and alcohol and tobacco use among older adults remains inconclusive. The primary purpose of this systematic review was to evaluate the effects of single health behavior change (SHBC) interventions vs. multiple health behavior change (MHBC) interventions among older age individuals. PubMed was searched for publications on health behavior interventions from 2006 to 2011. Twenty-one randomized clinical trials assessed the effects of health behavior change in older individuals. Results were reviewed by a number of health behaviors and effectiveness. Results revealed that within SHBC interventions, physical activity or exercise behavior revealed that interventions were the most common and showed the most promise in influencing positive outcomes in physical activity behavior among community-dwelling older adults. There were too few MHBC studies identified to allow confident comparison to SHBC interventions. The MHBC field is still at an early stage within the older adult literature, and more attention is recommended to investigate if the benefits of MHBC apply to this age group. KEYWORDSHealth behavior change, Older adults, Physical activity, Nutrition, Tobacco, Alcohol According to the Center for Disease Control, National Center for Health Statistics (CDC), 80 % of older adults have one chronic condition, and 50 % have at least two [4]. In 2007, the top four major causes of death among older adults were heart disease (28.2 %), cancer (22.2 %), stroke (6.6 %), and chronic lower respiratory disease (6.2 %). This demonstrates the need for more focused public health research that identifies effective chronic disease prevention efforts.Additionally, CDC projects that by 2030, the number of U.S. adults aged 65 or older will more than double to about 71 million adults [4]. These estimates have led the CDC to make several recommendations for efforts that target to improve the mental and physical health of all Americans in their later years [4]. The National Report Card for the State of Aging and Health in America depicts data on 15 key indicators related to the health of adults aged 65 years and older for the United States. Key indicators for health risk behaviors for older adults include lack of activity, eating less than five fruits and vegetables per day, obesity, and current smoking. In 2009, data for persons 65 and older revealed that 32.7 % of older adults engaged in no leisure time activity, 72.5 % were eating less than five fruits and vegetables daily, 23.8 % were obese, and 8.3 % were currently smoking [5]. The United States met five of the ten healthy people 2010 targets for older adults ahead of schedule. The targets included oral health/complete tooth loss, people currently smoking, mammograms within the past 2 years, colorectal cancer screenings, and cholesterol checked within the past 5 years; however, only one target (people currently smoking) was from the ...

show abstract

“…Second, the response rate (57%) should be considered in relation to the fi ndings, although such a rate is consistent with our experience in primary care physical activity trials. 3,27 Third, despite the sample size calculations, the sample may have been insuffi cient to detect smaller, but still clinically important, improvements in outcomes. Finally, use of self-reported physical activity could be seen as a limitation in this study; however, the AHSPAQ is valid using pedometer data as the comparator.…”

Section: Discussionmentioning

confidence: 99%

Healthy Steps Trial: Pedometer-Based Advice and Physical Activity for Low-Active Older Adults

Kolt¹,

Schofield²,

Kerse³

et al. 2012

The Annals of Family Medicine

View full text Add to dashboard Cite

PURPOSE We compared the effectiveness of 2 physical activity prescriptions delivered in primary care-the standard time-based Green Prescription and a pedometer step-based Green Prescription-on physical activity, body mass index (BMI), blood pressure, and quality of life in low-active older adults. METHODSWe undertook a randomized controlled trial involving 330 low-active older adults (aged ≥65 years) recruited through their primary care physicians' patient databases. Participants were randomized to either the pedometer stepbased Green Prescription group (n = 165) or the standard Green Prescription group (n = 165). Both groups had a visit with the primary care practitioner and 3 telephone counseling sessions over 12 weeks aimed at increasing physical activity. Outcomes were the changes in physical activity (assessed with the Auckland Heart Study Physical Activity Questionnaire), blood pressure, BMI, quality of life (assessed with the 36-Item Short Form Health Survey), physical function status (assessed with the Short Physical Performance Battery), and falls over a 12-month period. RESULTSOf the patients invited to participate, 57% responded. At 12 months, leisure walking increased by 49.6 min/wk for the pedometer Green Prescription compared with 28.1 min/wk for the standard Green Prescription (P = .03). For both groups, there were signifi cant increases across all physical activity domains at 3 months (end of intervention) that were largely maintained after 12 months of follow-up. BMI did not change in either group. Signifi cant improvements in blood pressure were observed for both groups without any differences between them.CONCLUSIONS Pedometer use resulted in a greater increase in leisure walking without any impact on overall activity level. All participants increased physical activity, and on average, their blood pressure decreased over 12 months, although the clinical relevance is unknown.

show abstract

Effect of Telephone Counseling on Physical Activity for Low‐Active Older People in Primary Care: A Randomized, Controlled Trial

Abstract: Telephone-based physical activity counseling is effective at increasing physical activity over 12 months in previously low-active older adults.

Cited by 138 publications

References 32 publications

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

A systematic review of single health behavior change interventions vs. multiple health behavior change interventions among older adults

Healthy Steps Trial: Pedometer-Based Advice and Physical Activity for Low-Active Older Adults

Contact Info

Product

Resources

About