TY - JOUR
T1 - Combining Motivational and Physical Intervention Components to Promote Fall-Reducing Physical Activity Among Community-Dwelling Older Adults
T2 - A Feasibility Study
AU - McMahon, Siobhan Kathleen
AU - Wyman, Jean F.
AU - Belyea, Michael J.
AU - Shearer, Nelma
AU - Hekler, Eric B.
AU - Fleury, Julie
N1 - Funding Information:
This project was supported by the John A. Hartford Foundation, the Building Academic Geriatric Nursing Capacity Pre-Doctoral Scholarship Program, and the National Institutes of Health/National Institute of Nursing Research Grant #F31NR01235.
Publisher Copyright:
© 2016 by American Journal of Health Promotion, Inc.
PY - 2016/11
Y1 - 2016/11
N2 - Purpose. To assess the feasibility of a new intervention, Ready~Steady, in terms of demand, acceptability, implementation, and limited efficacy. Design. Randomized controlled trial; repeated measures. Setting. Two rural communities in Itasca County, Minnesota. Subjects. Thirty participants were randomized to an intervention (n ¼ 16) or attention-control (n ¼ 14) group. Intervention. Ready~Steady combined two components: (1) motivational (motivational support, social network support, empowering education), and (2) fall-reducing physical activities (PAs; guidance to practice leg-strengthening, balance, and flexibility activities and walking). Measures. Acceptability questionnaire and Indices of Procedural Consistency (investigator developed), Community Health Activity Model Program for Seniors Questionnaire (confirmed with accelerometry), Short Physical Performance Battery, Perceived Environmental Support Scale, Social Support for Exercise Questionnaire, Goal Attainment Scale, Index of Readiness, and Index of Self-Regulation. Analysis. Descriptive statistics and a marginal approach to repeated-measures analysis of variance, using mixed-model procedures. Results. Attrition was 7% and mean attendance was 7.2 of 8 sessions, participants evaluated Ready~Steady as acceptable, and implementation fidelity was good. The intervention group improved significantly more than the attention-control group in PA behavior, F1,27 ¼ 11.92, p ¼.002; fall risk (functional balance and strength), F1,27 ¼ 14.89, p ¼.001; support for exercise from friends, F1,27 ¼ 11.44, p ¼.002; and self-regulation, F1,26 ¼ 38.82, p,.005. Conclusion. The Ready~Steady intervention was feasible as evidenced by low attrition and good attendance and implementation, as well as positive effects on targeted outcomes and theoretical mechanisms of change.
AB - Purpose. To assess the feasibility of a new intervention, Ready~Steady, in terms of demand, acceptability, implementation, and limited efficacy. Design. Randomized controlled trial; repeated measures. Setting. Two rural communities in Itasca County, Minnesota. Subjects. Thirty participants were randomized to an intervention (n ¼ 16) or attention-control (n ¼ 14) group. Intervention. Ready~Steady combined two components: (1) motivational (motivational support, social network support, empowering education), and (2) fall-reducing physical activities (PAs; guidance to practice leg-strengthening, balance, and flexibility activities and walking). Measures. Acceptability questionnaire and Indices of Procedural Consistency (investigator developed), Community Health Activity Model Program for Seniors Questionnaire (confirmed with accelerometry), Short Physical Performance Battery, Perceived Environmental Support Scale, Social Support for Exercise Questionnaire, Goal Attainment Scale, Index of Readiness, and Index of Self-Regulation. Analysis. Descriptive statistics and a marginal approach to repeated-measures analysis of variance, using mixed-model procedures. Results. Attrition was 7% and mean attendance was 7.2 of 8 sessions, participants evaluated Ready~Steady as acceptable, and implementation fidelity was good. The intervention group improved significantly more than the attention-control group in PA behavior, F1,27 ¼ 11.92, p ¼.002; fall risk (functional balance and strength), F1,27 ¼ 14.89, p ¼.001; support for exercise from friends, F1,27 ¼ 11.44, p ¼.002; and self-regulation, F1,26 ¼ 38.82, p,.005. Conclusion. The Ready~Steady intervention was feasible as evidenced by low attrition and good attendance and implementation, as well as positive effects on targeted outcomes and theoretical mechanisms of change.
KW - Accidental Falls, Physical Activity, Motivation, Wellness Programs, Intervention Studies, Prevention Research. Manuscript format: research, quantitative evaluation
KW - Health focus: physical activity, fall prevention
KW - Outcome measure: physical activity behavior
KW - Research purpose: feasibility study
KW - Setting: rural communities
KW - Strategy: skill building/behavioral change
KW - Study design: randomized controlled trial
KW - Target population age: seniors
KW - Target population circumstances: community-dwelling
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U2 - 10.4278/AJHP.130522-ARB-265
DO - 10.4278/AJHP.130522-ARB-265
M3 - Article
C2 - 26389979
AN - SCOPUS:85015470629
SN - 0890-1171
VL - 30
SP - 638
EP - 644
JO - American Journal of Health Promotion
JF - American Journal of Health Promotion
IS - 8
ER -