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: 6589950
• 负责人: THOMAS R. PROHASKA
• 金额: $ 21.7万
• 依托单位: UNIVERSITY OF ILLINOIS AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-05-15 至 2002-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6589950
• 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，运动对健康有积极的好处 患有特定慢性病的成年人，如关节炎、高血压和 心脏病。然而，与老年人一起锻炼健康促进 Date专注于单一的特定慢性病，并检查了 相对短期的结果和坚持。因此，长期的 长期运动行为的依从性及其影响 老年多发性慢性阻塞性肺疾病患者功能能力的保存 人们对疾病的了解较少。该项目将研究长期的 规律运动对老年多发性慢性病患者健康的影响 条件以及是否坚持定期锻炼，如果受到 重视运动对功能状态的影响及健康教育 残疾。这项研究将1)制定、实施和评估一个长期的 旨在增强老年人功能的锻炼计划 患有多种慢性病的成年人和2)发展、实施和 评估包含在练习中的健康教育内容 计划，以促进自我效能感的锻炼和联系 适当的结果预期，包括锻炼和教育 与会者关于运动在管理症状和治疗中的作用 残疾。从社区诊所招募的老年患者将被 随机分配到三组中的一组；对照组，非运动组 (n=75)，两个运动组。健身组将参加 一项旨在促进健康和身体健康的长期锻炼计划 在成人身上起作用。一个锻炼组(n=75)将接受 只进行锻炼，另一组(n=75)也 接受健康教育计划，旨在促进遵守 通过增加运动自我效能感和运动自我效能感来定期运动 适当的疗效预期。每隔一年就会采取反复的措施 在三年的时间里用六个月的时间衡量健康，疗效预期， 运动自我效能感、功能状态与运动 坚持不懈。将这两个运动组与对照组进行比较 以确定随着时间的推移，运动对功能状态的影响。这个 两个运动组将进行比较，以确定对健康的影响 教育操作对运动坚持的影响。我们将使用General 重复检验群体差异的估计方程(GEE) 随时间和多变量对功能状态和依从性的测量 检验中期业绩遵守的影响的模型和 结果。