COMPLIANCE TO AN EXERCISE PROGRAM--OLDER ADULTS WITH MULTIPLE CHRONIC ILLNESS

遵守锻炼计划——患有多种慢性病的老年人

• 批准号: 6217062
• 负责人: THOMAS R. PROHASKA
• 金额: $ 9.02万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 1999
• 资助国家: 美国
• 起止时间: 1999-09-20 至 2000-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6217062
• 关键词: behavior therapy; behavioral /social science research tag; chronic disease /disorder; clinical research; community health services; comorbidity; exercise; functional ability; health behavior; human subject; self help; social model; therapy compliance

Positive health benefits of exercise have been observed in healthy older adults with specific chronic illnesses such as arthritis, hypertension and heart disease. However, exercise health promotion with older adults to date has focused on single specific chronic illnesses and has examined relatively short term outcomes and adherence. Consequently long-term adherence and impact of exercise behaviors over extended periods of preservation of functional ability in older adults with multiple chronic illnesses is less well understood. The project will examine long-term health effects of regular exercise for older adults with multiple chronic conditions and whether adherence to regular exercise if influenced by health education focusing on the role of exercise on functional status and disability. This study will 1) develop, implement and evaluate a long-term exercise program designed to enhance functional capabilities in older adults with multiple chronic illnesses and 2) develop, implement and evaluate a health education component incorporated into the exercise program in order to facilitate self-efficacy for exercise and to link appropriate outcome expectations with exercise as well as to educate participants regarding the role of exercise on management of symptoms and disability. Older patients recruited from a community clinic will be randomly assigned to one of three groups; a control, non-exercise group (n=75), and two exercise groups. The exercise groups will participate in a long-term exercise program designed to promote health and physical function in adult adults. One exercise group (n=75) will receive the exercise program only while the other exercise group (n=75) will also receive a health education program designed to facilitate adherence to regular exercise by increasing perceptions of exercise self-efficacy and appropriate efficacy expectations. Repeated measures will be taken every six months over three years on measures of health, efficacy expectations, perceptions of self efficacy for exercise, functional status and exercise adherence. The two exercise groups will be compared to the control group to determine the effect of exercise on functional status over time. The two exercise groups will be compared to determine the effect of health eduction manipulation on exercise adherence. We will use General Estimation Equations (GEE) to test for group differences on repeated measures of functional status and adherence over time and multi-variate models to examine the impact of adherence of interim performance and outcomes.

在健康的老年人中观察到运动对健康有积极的益处 患有关节炎、高血压等特定慢性疾病的成年人 心脏病。然而，与老年人一起进行健康促进运动 日期专注于单一特定的慢性疾病并检查了 相对短期的结果和坚持。因此长期 长期锻炼行为的坚持和影响 患有多种慢性病的老年人保持功能能力 对疾病的了解还不太清楚。该项目将研究长期 定期锻炼对患有多种慢性病的老年人的健康影响 条件以及是否坚持定期锻炼（如果受到影响） 健康教育侧重于运动对功能状态的作用和 残疾。这项研究将 1) 制定、实施和评估长期 旨在增强老年人功能能力的锻炼计划 患有多种慢性疾病的成年人，以及 2) 制定、实施和 评估演习中纳入的健康教育内容 计划，以促进锻炼的自我效能并联系 通过锻炼和教育获得适当的结果期望 参与者了解运动对控制症状的作用以及 残疾。从社区诊所招募的老年患者将 随机分配到三组之一；对照组，非运动组 (n=75)，以及两个运动组。各运动小组将参加 旨在促进健康和身体素质的长期锻炼计划 在成人中发挥作用。一个锻炼组 (n=75) 将收到 仅锻炼计划，而其他锻炼组（n = 75）也将 接受旨在促进遵守的健康教育计划 通过提高运动自我效能感来定期锻炼 适当的功效预期。每隔一段时间就会采取重复措施 三年内六个月的健康指标、功效预期、 对运动自我效能、功能状态和运动的看法 坚持。将两个运动组与对照组进行比较 确定运动对功能状态随时间的影响。这 将比较两个运动组以确定对健康的影响 对运动依从性的教育操纵。我们将使用通用 估计方程 (GEE) 用于测试重复的组差异 功能状态和依从性随时间和多变量的测量 模型来检查遵守中期绩效的影响和 结果。