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Impact of telephone reinforcement on...

Desai, Pankaja.

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Impact of telephone reinforcement on exercise maintenance predictors among older adults with arthritis.

Record Type:	Language materials, printed : Monograph/item
Title/Author:	Impact of telephone reinforcement on exercise maintenance predictors among older adults with arthritis./
Author:	Desai, Pankaja.
Description:	289 p.
Notes:	Source: Dissertation Abstracts International, Volume: 71-12, Section: B, page: .
Contained By:	Dissertation Abstracts International71-12B.
Subject:	Gerontology. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3431353
ISBN:	9781124308920

Impact of telephone reinforcement on exercise maintenance predictors among older adults with arthritis.
Desai, Pankaja.

Impact of telephone reinforcement on exercise maintenance predictors among older adults with arthritis. - 289 p.

Source: Dissertation Abstracts International, Volume: 71-12, Section: B, page: .

Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2010.

Osteoarthritis (OA) affects 2.4 million adults 65 and older in the U.S., and its prevalence is expected to rise with the growing older adult population (Bijlsma & Knahr, 2007; Lawrence et al., 2008). Regular participation in physical activity can help to reduce risk, manage disease, and improve functioning. Yet, many older adults are underactive or sedentary (Centers for Disease Control and Prevention [CDC], 2009). To date, the literature on physical activity maintenance among older adults is scant despite the fact that maintenance is critical to reducing obesity and improving the health and functioning of older adults. This study examined factors related to physical activity maintenance among older adults with OA by testing the impact of a telephone reinforcement intervention as a follow-up maintenance intervention to the evidence-based Fit and Strong! program. The impact of telephone reinforcement was tested on four predictors of physical activity maintenance: decisional balance, outcome expectations, stage of change, and physical activity barriers. Participants (N = 486) were followed up to 18 months. Total sample and group differences were examined.

ISBN: 9781124308920Subjects--Topical Terms:

533633
Gerontology.

Impact of telephone reinforcement on exercise maintenance predictors among older adults with arthritis.
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100 1 $a Desai, Pankaja. $3 1669940
245 1 0 $a Impact of telephone reinforcement on exercise maintenance predictors among older adults with arthritis.
300 $a 289 p.
500 $a Source: Dissertation Abstracts International, Volume: 71-12, Section: B, page: .
500 $a Adviser: Susan Hughes.
502 $a Thesis (Ph.D.)--University of Illinois at Chicago, Health Sciences Center, 2010.
520 $a Osteoarthritis (OA) affects 2.4 million adults 65 and older in the U.S., and its prevalence is expected to rise with the growing older adult population (Bijlsma & Knahr, 2007; Lawrence et al., 2008). Regular participation in physical activity can help to reduce risk, manage disease, and improve functioning. Yet, many older adults are underactive or sedentary (Centers for Disease Control and Prevention [CDC], 2009). To date, the literature on physical activity maintenance among older adults is scant despite the fact that maintenance is critical to reducing obesity and improving the health and functioning of older adults. This study examined factors related to physical activity maintenance among older adults with OA by testing the impact of a telephone reinforcement intervention as a follow-up maintenance intervention to the evidence-based Fit and Strong! program. The impact of telephone reinforcement was tested on four predictors of physical activity maintenance: decisional balance, outcome expectations, stage of change, and physical activity barriers. Participants (N = 486) were followed up to 18 months. Total sample and group differences were examined.
520 $a Random effects models found that telephone reinforcement positively impacts predictors of physical activity maintenance, including decisional balance, stage of change, and barriers. Education, body mass index (BMI), and diabetes also impacted more than one measure. Education and diabetes showed a statistically significant effect for decisional balance. Body mass index showed a statistically significant effect for stage of change; and education, BMI, and diabetes showed a statistically significant effect for physical activity barriers. This study is the first, to my knowledge, to examine the impact of telephone reinforcement for physical activity maintenance to older adults with OA. Study findings will contribute to the development of specific telephone reinforcement strategies for targeting physical activity maintenance among diverse older adults with OA.
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