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Exercise, physical activity, and phy...

Harnirattisai, Teeranut.

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Exercise, physical activity, and physical performance in Thai elders after knee replacement surgery: A behavioral change intervention study.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Exercise, physical activity, and physical performance in Thai elders after knee replacement surgery: A behavioral change intervention study./
Author:	Harnirattisai, Teeranut.
Description:	255 p.
Notes:	Source: Dissertation Abstracts International, Volume: 64-12, Section: A, page: 4580.
Contained By:	Dissertation Abstracts International64-12A.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3115553

Exercise, physical activity, and physical performance in Thai elders after knee replacement surgery: A behavioral change intervention study.
Harnirattisai, Teeranut.

Exercise, physical activity, and physical performance in Thai elders after knee replacement surgery: A behavioral change intervention study. - 255 p.

Source: Dissertation Abstracts International, Volume: 64-12, Section: A, page: 4580.

Thesis (Ph.D.)--University of Missouri - Columbia, 2003.

Exercise and physical activity subsequent to knee replacement surgery play a major role in returning patients to functional independence. The purpose of this study was to examine the effects of a Behavioral Change Intervention (BCI) on self-efficacy, outcome expectations, physical activity participation, and physical performance of older adults after knee replacement surgery. It used a longitudinal quasi-experimental design with a pre-posttest control group and a qualitative component, A total of 63 Thai older adults receiving knee replacement surgery who met the inclusion criteria were studied. The experimental and control conditions were randomly introduced by week. The experimental group received a BCI in addition to usual care given by hospital nursing staff. The control group received only usual care given by hospital nursing staff. The BCI, designed based on the Social Cognitive Theory consisted of nurse-patient interaction and discussion, the patients recording their exercise and physical activity, goal setting, information prompts, and family support of exercise and physical activity. This research was undertaken in two large hospitals in Thailand from July, 2002 to March, 2003. The Wilcoxon Rank Sum Test was employed to test mean differences between groups. The experimental group had significantly greater improvements in self-efficacy for exercise, outcome expectations for exercise and functional activity, significantly more participation in exercise and walking, and significantly greater improvement in physical performance than did the control group at postoperative weeks 2 and 6. There was no statistically significant difference in self-efficacy for functional activity. Qualitative data demonstrated that self-regulation seemed to be the most important mechanism commonly used for maintaining exercise and physical activity. The findings suggest that the most critical time for intervention is in the first 2 weeks after surgery. Nurses can inform, support and encourage older adults' exercise and physical activity to maximize physical performance and function recovery.Subjects--Topical Terms:

533633
Gerontology.

Exercise, physical activity, and physical performance in Thai elders after knee replacement surgery: A behavioral change intervention study.
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245 1 0 $a Exercise, physical activity, and physical performance in Thai elders after knee replacement surgery: A behavioral change intervention study.
300 $a 255 p.
500 $a Source: Dissertation Abstracts International, Volume: 64-12, Section: A, page: 4580.
500 $a Supervisor: Rebecca A. Johnson.
502 $a Thesis (Ph.D.)--University of Missouri - Columbia, 2003.
520 $a Exercise and physical activity subsequent to knee replacement surgery play a major role in returning patients to functional independence. The purpose of this study was to examine the effects of a Behavioral Change Intervention (BCI) on self-efficacy, outcome expectations, physical activity participation, and physical performance of older adults after knee replacement surgery. It used a longitudinal quasi-experimental design with a pre-posttest control group and a qualitative component, A total of 63 Thai older adults receiving knee replacement surgery who met the inclusion criteria were studied. The experimental and control conditions were randomly introduced by week. The experimental group received a BCI in addition to usual care given by hospital nursing staff. The control group received only usual care given by hospital nursing staff. The BCI, designed based on the Social Cognitive Theory consisted of nurse-patient interaction and discussion, the patients recording their exercise and physical activity, goal setting, information prompts, and family support of exercise and physical activity. This research was undertaken in two large hospitals in Thailand from July, 2002 to March, 2003. The Wilcoxon Rank Sum Test was employed to test mean differences between groups. The experimental group had significantly greater improvements in self-efficacy for exercise, outcome expectations for exercise and functional activity, significantly more participation in exercise and walking, and significantly greater improvement in physical performance than did the control group at postoperative weeks 2 and 6. There was no statistically significant difference in self-efficacy for functional activity. Qualitative data demonstrated that self-regulation seemed to be the most important mechanism commonly used for maintaining exercise and physical activity. The findings suggest that the most critical time for intervention is in the first 2 weeks after surgery. Nurses can inform, support and encourage older adults' exercise and physical activity to maximize physical performance and function recovery.
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650 4 $a Education, Health. $3 1017668
650 4 $a Health Sciences, Rehabilitation and Therapy. $3 1017926
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