Older adults with chronic disease: Benefits of group-mediated counseling in the promotion of physically active lifestyles
Older adults with chronic disease: Benefits of group-mediated counseling in the promotion of physically active lifestyles
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DOI：
10.1037/0278-6133.22.4.414
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发表时间：
2003-07-01
影响因子：
4.2
通讯作者：
Fox, LD
中科院分区：
文献类型：
--
作者：
Rejeski, WJ;Ambrosius, WT;Fox, LD
在这项为期12个月的试验中，将标准运动训练与群体介导的认知行为（GMCB）干预进行了比较，比较了对有心血管疾病风险或患有心血管疾病的老年人的长期依从性和身体功能变化的影响。参与者（147名老年男性和女性）被随机分配到两种治疗组。结果包括自我报告的身体活动，健身和自我效能。GMCB治疗比标准运动疗法对所有结局产生更大的改善。无论治疗分配如何，男性比女性在研究结果上有更有利的变化。在GMCB组的自我调节过程的措施的分析表明，障碍的效力的变化与身体活动和健身的变化。结果表明，通过GMCB教导老年人将身体活动融入他们的生活，比标准化运动疗法带来更好的长期结果。
In this 12-month trial standard exercise training was compared with a group-mediated cognitive-behavioral (GMCB) intervention with respect to effects on long-term adherence and change in physical function of older adults who were either at risk for or had cardiovascular disease. Participants (147 older men and women) were randomized to the 2 treatments. Outcomes included self-reported physical activity, fitness, and self-efficacy. The GMCB treatment produced greater improvements on all outcomes than did standard exercise therapy. Regardless of treatment assignment, men had more favorable change on the study outcomes than did women. Analysis of a self-regulatory process measure in the GMCB group revealed that change in barriers efficacy was related to change in physical activity and fitness. Results suggest that teaching older adults to integrate physical activity into their lives via GMCB leads to better long-term outcomes than standardized exercise therapy.