Randomized Controlled Trial of Physical Activity Counseling for Older Primary Care Patients

Pinto, Bernardine M.; Goldstein, Michael G.; Ashba, Jacqueline; Sciamanna, Christopher N.; Jette, Alan M.

doi:10.1016/j.amepre.2005.06.016

Cited by 125 publications

(128 citation statements)

References 42 publications

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“…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

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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.

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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

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“…[37][38][39] A few recent, randomized controlled trials have indicated that PA recommendations and follow-up counseling from primary care physicians and health educators may impact older patients' PA levels. [41][42][43] The effects observed in these studies are often small, and it is unknown whether the effects are long-lasting. Still, the fact that most of our participants, regardless of whether they enjoyed PA or not, recognized that PA plays an important role in both physical and mental health demonstrates an important opportunity for trained health professionals to offer concrete support and guidance.…”

Section: Discussionmentioning

confidence: 99%

Barriers to and Facilitators of Physical Activity Program Use Among Older Adults

Bethancourt

Rosenberg

Beatty

et al. 2014

Clinical Medicine & Research

268

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Objective: Regular physical activity (PA) is important for maintaining long-term physical, cognitive, and emotional health. However, few older adults engage in routine PA, and even fewer take advantage of programs designed to enhance PA participation. Though most managed Medicare members have free access to the Silver Sneakers and EnhanceFitness PA programs, the vast majority of eligible seniors do not utilize these programs. The goal of this qualitative study was to better understand the barriers to and facilitators of PA and participation in PA programs among older adults.Design: This was a qualitative study using focus group interviews.Setting: Focus groups took place at three Group Health clinics in King County, Washington.Participants: Fifty-two randomly selected Group Health Medicare members between the ages of 66 to 78 participated. Methods:We conducted four focus groups with 13 participants each. Focus group discussions were audio-recorded, transcribed, and analyzed using an inductive thematic approach and a social-ecological framework.Results: Men and women were nearly equally represented among the participants, and the sample was largely white (77%), well-educated (69% college graduates), and relatively physically active. Prominent barriers to PA and PA program participation were physical limitations due to health conditions or aging, lack of professional guidance, and inadequate distribution of information on available and appropriate PA options and programs. Facilitators included the motivation to maintain physical and mental health and access to affordable, convenient, and stimulating PA options. Conclusion:Older adult populations may benefit from greater support and information from their providers and health care systems on how to safely and successfully improve or maintain PA levels through later adulthood. Efforts among health care systems to boost PA among older adults may need to consider patient-centered adjustments to current PA programs, as well as alternative methods for promoting overall active lifestyle choices.

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“…Twelve of these studies assessed CRF as a primary or secondary outcome and employed a randomized, controlled clinical trial experimental design. The current article restricts discussion of studies involving exercise interventions to these 12 randomized controlled clinical trials (Table 1) [74,81,89,[104][105][106][107]117,124,128,131,132].…”

Section: Exercise Interventionsmentioning

confidence: 99%

Integrative Nonpharmacologic Behavioral Interventions for the Management of Cancer-Related Fatigue

et al. 2007

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Randomized Controlled Trial of Physical Activity Counseling for Older Primary Care Patients

Cited by 125 publications

References 42 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

Barriers to and Facilitators of Physical Activity Program Use Among Older Adults

Integrative Nonpharmacologic Behavioral Interventions for the Management of Cancer-Related Fatigue

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