Health Promotion Workshops for Seniors: Predictors of Attendance and Behavioral Outcomes

Drew, Joseph; Wright, Bridget; Seidman, Robert L.; McGann, Mary; Boulan, Tawnya

doi:10.1080/10556699.1996.10603159

Cited by 10 publications

(4 citation statements)

References 16 publications

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“…Moreover, while the interventions focused on encouraging some preventive behavior such as exercise, the major focus was on helping the older adult make informed decisions about whether or not to participate in such activities as yearly mammography. Prior research (Petriseky, Laliberte, Allen, & Mor, 1998;Schore, & Wenick, 1998;Smith, Zhou, Weinberger, Smith, & McDonald,1999;Williams et al, 1996), however, indicates that talking with older adults about health-promotion activities can influence their participation in these activities and help them make informed decisions about whether or not they engage in specific primary and secondary health-promotion behaviors.…”

Section: Discussionmentioning

confidence: 99%

Promoting Health in Older Adults: A Four‐Year Analysis

Resnick

2001

Journal of the American Academy of Nurse Practitioners

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PURPOSE The purpose of this study was to consider the influence of selected health promotion and disease prevention interventions in elderly residents of a continuing care retirement community (CCRC) over a four‐year period by comparing actual health promotion practices of the residents. DATA SOURCES Original research using a descriptive design, face‐to‐face interviews of residents (N=176‐200), chart reviews, and administration of a minimental state exam (MMSE) and health survey administered annually. CONCLUSIONS In each year the mean age of the residents was at least 85, the majority were female, Caucasian, and unmarried. With the exception of checking stools for occult blood, there was a statistically significant change in all health promotion behaviors over the four‐year period. The most significant change was in the area of exercise behavior, which increased from 24% of the residents participating in regular exercise in year one to 61% by year four. IMPLICATIONS FOR PRACTICE The purpose of health promotion and disease prevention in older adults is to reduce the potential years of life lost in premature mortality and ensure better quality of remaining life. In addition to regularly scheduled interventions (group education, on‐site administration of pneumonia and flu vaccines, on‐site exercise room and walking group), individualized counseling regarding the pros and cons of health‐promotion activities was provided to help residents make an educated decision about engaging in these activities. These interventions can be used to help facilitate participation in health promotion activities as appropriate and desired for each older adult.

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Section: Discussionmentioning

confidence: 99%

Promoting Health in Older Adults: A Four‐Year Analysis

Resnick

2001

Journal of the American Academy of Nurse Practitioners

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“…Age 55 years was selected as the minimum age criterion for older adult in the current study because African Americans often suffer prematurely from chronic conditions (S. J. Williams et al, 1998). The sampling technique increased the likelihood of accessing participants who were cognitively intact (i.e., able to complete the survey) and socially adept enough to join in a focus group discussion (i.e., engaged in social activities).…”

Section: Sample and Settingmentioning

confidence: 99%

African American Older Adults Coping With Chronic Health Conditions

Loeb

2006

J Transcult Nurs

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This study's purpose is to identify strategies used by community-dwelling African American elders to cope with their chronic health conditions. A focus group study of 28 African American elders with multiple chronic conditions was conducted. Data collection occurred during the last 4 months of 2003. The five focus groups were audiotaped and transcribed verbatim. Content analysis was performed on the data to ascertain coping strategies employed to manage daily life with chronic conditions. Categories of coping strategies identified are (a) dealing with it, (b) engaging in life, (c) exercising, (d) seeking information, (e) relying on God, (f) changing dietary patterns, (g) medicating, (h) self-monitoring, and (i) self-advocacy. This study expands nurses' knowledge of the repertoire of coping strategies used by African American elders to ameliorate the effects of their chronic health conditions. Study findings will be valuable for planning intervention studies aimed at promoting successful coping.

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“…Creators and implementers of ineffective behavioral interventions for older adults are not considering a contextual perspective pertaining to healthy aging nor are they appropriately employing theoretical models that most effectively inform program design and implementation. Identifying the behavior change techniques that are most effective in fostering positive change is necessary to develop the most effective and engaging interventions to improve participants' health behavior [18][19][20][21]. The objectives of this manuscript are to (1) highlight the importance of considering that healthy aging is an interplay of multiple factors that operate throughout the life course, and (2) to illustrate the necessity of selecting a theory or model that lends itself to the idea that, due to these factors and others the interventionist may be aware of, communication and outreach must be sculpted for participants who reside along a spectrum of readiness.…”

Section: Purposementioning

confidence: 99%

Essentials to Improve the Effectiveness of Healthy Aging Programming: Consideration of Social Determinants and Utilization of a Theoretical Model

Friberg-Felsted

Caserta

2023

IJERPH

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Older adult health, while partially determined by genetics, is mostly determined by behavioral and lifestyle choices. Researchers and interventionists develop and administer behavioral health interventions with older adults, and interventions are advertised in any number of settings, for example, by providers in healthcare settings and by activity directors in senior centers or assisted living facilities. However, previous studies and metanalyses indicate that many interventions targeting older adults are unsuccessful in recruitment or in retention. While providers and activity directors may assume older adults are unwilling to participate in behavioral change, in reality, low participation may be caused by erroneous design and administration. The objective of this manuscript is to recommend to creators and implementers of behavioral interventions for older adults that they focus on two critical considerations: the contextual perspective pertaining to healthy aging as well as an appropriately employed theoretical model that most effectively informs program design and implementation. In this commentary, we discuss how Prochaska and DiClemente’s Transtheoretical Model of Health Behavior Change may lead to more desirable outcomes as it considers that a person may be at any one of six stages of change, from pre-contemplation to maintenance. Currently, many behavioral interventions are targeted at individuals who are poised for action or in maintenance phases, ignoring those in earlier phases, resulting in limited overall success. Regarding viewing healthy aging in a contextual manner, determinants external to the individual may remain unnoted and unconsidered when designing or recruiting for a behavioral intervention. In conclusion, the integration of an intrapersonal health behavior model such as the Transtheoretical Model of Health Behavior Change, coupled with clearer considerations of the interplay of contextual factors operating in the lives of older adults, may allow for more effective design and implementation, as well as resulting in higher participation in behavioral interventions targeted toward older adults.

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Health Promotion Workshops for Seniors: Predictors of Attendance and Behavioral Outcomes

Cited by 10 publications

References 16 publications

Promoting Health in Older Adults: A Four‐Year Analysis

Promoting Health in Older Adults: A Four‐Year Analysis

African American Older Adults Coping With Chronic Health Conditions

Essentials to Improve the Effectiveness of Healthy Aging Programming: Consideration of Social Determinants and Utilization of a Theoretical Model

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