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

在健康的老年人中， 患有特定慢性疾病的成年人，如关节炎、高血压和 心脏病然而，运动健康促进与老年人， 日期集中在单一的特定慢性疾病，并已审查 相对短期的结果和依从性。因此，长期 坚持和运动行为的影响，在较长的时间内， 老年人多项慢性功能障碍的功能保护 对疾病了解较少。该项目将研究长期 有规律的运动对老年人的健康影响 条件和是否坚持定期锻炼，如果受到 健康教育，重点是运动对功能状态的作用， 残疾。本研究将1）制定、实施和评估一项长期的 旨在增强老年人功能的锻炼计划 患有多种慢性疾病的成年人; 2）制定、实施和 评估纳入演习的健康教育内容 计划，以促进自我效能的锻炼和链接 适当的结果预期与锻炼，以及教育 参与者关于运动对症状管理的作用， 残疾。从社区诊所招募的老年患者将被 被随机分配到三组中的一组;一个对照组，非运动组 （n=75）和两个运动组。运动小组将参加 旨在促进健康和身体健康的长期锻炼计划 在成年人中发挥作用。一个运动组（n=75）将接受 运动组（n= 75）仅进行运动，另一组（n=75）还将 接受健康教育计划，旨在促进遵守 定期锻炼，提高锻炼自我效能感， 适当的功效期望。每隔一段时间， 三年中有六个月的时间用于健康指标，疗效预期， 运动自我效能感、功能状态与运动 坚持。两个运动组将与对照组进行比较 以确定运动对功能状态随时间的影响。的 两个运动组将进行比较，以确定健康的影响， 教育干预对运动坚持性的影响。我们将使用通用 估计方程（GEE），用于检验重复试验的组间差异 功能状态和依从性随时间的变化和多变量 审查遵守临时业绩的影响的模型， 成果。

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.