Use of the stages of change in exercise adherence model among older adults with a cardiac diagnosis.
Use of the stages of change in exercise adherence model among older adults with a cardiac diagnosis.
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DOI：
10.1097/00008483-199705000-00001
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发表时间：
1997-05-01
期刊：
影响因子：
--
通讯作者：
Hellman, E A
中科院分区：
文献类型：
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作者：
Hellman, E A
目得：研究人员建议使用运动坚持性变化阶段（STAGES），一种以过程为导向的模型，以更好地了解运动坚持行为。本研究旨在通过评估运动坚持性的预测因素和STAGES模型在老年人（N = 349）中的有效性来进一步了解这一过程，这些老年人在从心脏康复住院计划出院后被诊断为心脏病。最近出院的住院患者，年龄≥ 65岁，可走动，回答了一个计算机辅助电话采访他们的运动行为和运动态度（平均响应时间= 32.3分钟）。在五个阶段的坚持锻炼的55和80名参与者进行了采访。人口概况和其他信息从心脏康复住院records.RESULTS的图表审查：自我效能感，运动的好处，运动的人际支持，和运动的障碍是显着的预测运动坚持使用直接进入判别分析。这些预测因素解释了运动坚持阶段的50%的方差。支持STAGES模型的理论排序（P < .0001）。运动时间显着增加，每个后续阶段的运动坚持从prementioned阶段到maintenance stage.CONCLUSIONS：本研究评估了一个样本中的老年心脏康复参与者的阶段模型的有效性。STAGES模型可以应用于老年人运动行为的研究。
PURPOSE: Researchers have recommended use of the Stages of Change in Exercise Adherence (STAGES), a process-oriented model, to better understand exercise adherence behavior. This study aimed to further understand the process by evaluating the predictors of exercise adherence and the validity of the STAGES model among older adults (N = 349) with a cardiac diagnosis after discharge from a cardiac rehabilitation inpatient program.METHODS: Recently discharged inpatient participants, aged 65 years or older and ambulatory, responded to a computer-assisted telephone interview regarding their exercise behaviors and attitudes toward exercise (mean response time = 32.3 minutes). Between 55 and 80 participants in each of five stages of exercise adherence were interviewed. Demographic profiles and other information were obtained from a chart review of cardiac rehabilitation inpatient records.RESULTS: Perceived self-efficacy, perceived benefits of exercise, interpersonal support for exercise, and perceived barriers to exercise were significant predictors of exercise adherence using direct entry discriminant analysis. These predictors accounted for 50% of the variance in stage of exercise adherence. The theoretical ordering of the STAGES model was supported (P < .0001). Exercise time significantly increased with each subsequent stage of exercise adherence from the precontemplation stage to the maintenance stage.CONCLUSIONS: This study evaluated the validity of the STAGES model in a sample of older cardiac rehabilitation participants. The STAGES model can be applied to the study of exercise behavior among this group of older adults.