Reducing attrition in physical activity programs for older adults

Reducing attrition in physical activity programs for older adults
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DOI:
10.1123/japa.15.2.152
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发表时间:
2007-04-01
影响因子:
1.5
通讯作者:
Shilton, Trevor
Shilton, Trevor
中科院分区:
医学4区
文献类型:
--
作者:
Jancey, Jonine;Lee, Andy;Shilton, Trevor

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这项研究调查了对老年人进行为期6个月的体力活动干预的损耗情况。该项目以社会认知理论为基础,纳入了自我效能感因素。从澳大利亚联邦选举人名单中招募了248名不够活跃的65岁至74岁的人。这项干预包括步行、力量和柔韧性练习,在参与者居住的30个当地社区进行。比较86例(35%)和162例(65%)程序完成者的特征。Logistic回归分析显示,磨耗失败者来自社会经济地位较低的地区,超重,体力活动较少,步行自我效能感得分较低,孤独感得分较高。结果表明,应该对这些特征进行早期评估,以识别有自然流失风险的个人,改善保留,并避免潜在的偏见。
This study investigated attrition in a 6-month physical activity intervention for older adults. The program was based on the social-cognitive theory incorporating self-efficacy factors. Two hundred forty-eight insufficiently active 65- to 74-year-olds were recruited from the Australian federal electoral roll. The intervention comprised walking and strength and flexibility exercises and was conducted in 30 local neighborhoods where the participants resided. Characteristics of individuals lost to attrition (n = 86, 35%) were compared with those of program completers (n = 162, 65%). Logistic-regression analysis showed that those lost to attrition came from areas of lower socioeconomic status, were overweight and less physically active, and had lower walking self-efficacy scores and higher loneliness scores. The results suggest that early assessment of these characteristics should be undertaken to identify individuals at risk of attrition, to improve retention, and to avoid potential bias.