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Long-term changes in physical activity following a one-year home-based physical activity counseling program in older adults with multiple morbidities.

dc.contributor.author Bosworth, Hayden Barry
dc.contributor.author Cowper, Patricia A
dc.contributor.author Crowley, Gail M
dc.contributor.author Ekelund, CC
dc.contributor.author Hall, Katherine
dc.contributor.author McConnell, Eleanor S
dc.contributor.author Morey, Miriam C
dc.contributor.author Peterson, Matthew J
dc.contributor.author Pieper, Carl F
dc.contributor.author Sloane, Richard
dc.coverage.spatial United States
dc.date.accessioned 2014-04-22T16:20:09Z
dc.date.accessioned 2014-04-22T16:20:59Z
dc.date.issued 2010-12-26
dc.identifier http://www.ncbi.nlm.nih.gov/pubmed/21234104
dc.identifier.uri https://hdl.handle.net/10161/8479
dc.description.abstract This study assessed the sustained effect of a physical activity (PA) counseling intervention on PA one year after intervention, predictors of sustained PA participation, and three classes of post-intervention PA trajectories (improvers, maintainers, and decliners) in 238 older Veterans. Declines in minutes of PA from 12 to 24 months were observed for both the treatment and control arms of the study. PA at 12 months was the strongest predictor of post-intervention changes in PA. To our surprise, those who took up the intervention and increased PA levels the most, had significant declines in post-intervention PA. Analysis of the three post-intervention PA trajectories demonstrated that the maintenance group actually reflected a group of nonresponders to the intervention who had more comorbidities, lower self-efficacy, and worse physical function than the improvers or decliners. Results suggest that behavioral counseling/support must be ongoing to promote maintenance. Strategies to promote PA appropriately to subgroups of individuals are needed.
dc.language eng
dc.relation.ispartof J Aging Res
dc.relation.isversionof 10.4061/2011/308407
dc.relation.replaces http://hdl.handle.net/10161/8478
dc.relation.replaces 10161/8478
dc.title Long-term changes in physical activity following a one-year home-based physical activity counseling program in older adults with multiple morbidities.
dc.type Journal article
pubs.author-url http://www.ncbi.nlm.nih.gov/pubmed/21234104
pubs.begin-page 308407
pubs.organisational-group Basic Science Departments
pubs.organisational-group Biostatistics & Bioinformatics
pubs.organisational-group Center for the Study of Aging and Human Development
pubs.organisational-group Clinical Science Departments
pubs.organisational-group Duke
pubs.organisational-group Duke Cancer Institute
pubs.organisational-group Duke Clinical Research Institute
pubs.organisational-group Faculty
pubs.organisational-group Institutes and Centers
pubs.organisational-group Medicine
pubs.organisational-group Medicine, Cardiology
pubs.organisational-group Medicine, General Internal Medicine
pubs.organisational-group Medicine, Geriatrics
pubs.organisational-group Psychiatry & Behavioral Sciences
pubs.organisational-group School of Medicine
pubs.organisational-group School of Nursing
pubs.publication-status Published online
pubs.volume 2011
dc.identifier.eissn 2090-2212


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