MODIFYING INTERPRETATIONS OF EXERCISE IN OLDER ADULTS

本研究的目的是检验认知的假设 行为疗法（CBT）将改善运动行为和身体结果。 CBT将用于修改对运动的解释。解释是 被定义为感觉的意识，相关的思想和感觉 与锻炼，以及赋予锻炼的意义。一般解释 包括抽象信息，如对锻炼态度和信念。 特定于情节的解释是即时的，发生在一个事件发生期间和之后。 锻炼的插曲。训练老年人改变他们的消极态度 解释，无论是具体的和一般的，以更积极的 通过认知行为疗法（CBT）干预， 行为/维护。因此，该项目的具体目标是：1） 比较自我报告的运动行为后6，9和12个月， 在三组老年人中开始锻炼：CBT组， 注意力控制组和对照组; 2）比较物理 三组开始运动后6、9和12个月的结果 老年人：CBT组，注意力控制组和对照组。 次要目的是：3）比较术后6、9和12个月的健康状况 在三组老年人中开始锻炼：CBT组， 注意力控制组和对照组;以及4）比较特定情节 和一般解释的个人谁辍学的运动与 保持定期锻炼的人。三百四十三 参与者将被随机分配到CBT，注意力控制或 对照组所有三个组的运动训练将保持不变; 实验组接受认知行为疗法，注意力控制组接受认知行为疗法 将接受健康促进教育。运动训练与干预 将在3个月内完成，届时所有参与者将 鼓励他们继续自己锻炼。运动行为，身体 结果和健康状况将在术后6个月、9个月和12个月进行比较。 练习开始。与老年人一起工作的卫生保健专业人员 可以利用这项研究的结果来制定干预措施， 运动的解释，从而提高锻炼行为。

The purpose of this study is to test the hypothesis that cognitive behavioral therapy (CBT) will improve exercise behavior and physical outcomes. CBT will be used to modify interpretations of exercise. Interpretation is defined as the awareness of sensations, the thoughts and feelings associated with exercise, and the meaning assigned to exercise. General interpretations include abstract information, such as attitudes and beliefs about exercise. Episode-specific interpretations are immediate and occur during and after an episode of exercise. Training older individuals to modify their negative interpretations, both episode-specific and general, to more positive ones through a cognitive behavioral therapy (CBT) intervention may increase exercise behavior/maintenance. Accordingly, the specific aims of this project are to: 1) compare the self-reported exercise behavior 6, 9, and 12 months after initiation of exercise across three groups of older adults: a CBT group, an attention-control group, and a control group; and 2) compare the physical outcomes 6, 9, and 12 months after initiation of exercise across three groups of older adults: a CBT group, an attention-control group, and a control group. Secondary aims are to: 3) compare the health status 6, 9, and 12 months after initiation of exercise across three groups of older adults: a CBT group, an attention-control group, and a control group; and 4) compare episode-specific and general interpretations for individuals who dropout of exercise with individuals who maintain regular exercise. Three hundred forty-three participants will be randomly assigned to a CBT, an attention-control, or a control group. Exercise training will be held constant across all three groups; the experimental group also will receive CBT and the attention-control group will receive health promotion education. Exercise training and the intervention will be completed with 3 months at which time all participants will be encouraged to continue exercising on their own. Exercise behavior, physical outcomes, and health status will be compared at 6, 9, and 12 months after exercise initiation. Health care professionals working with older individuals can use the findings of this study to develop interventions to modify interpretations of exercise thereby enhancing exercise behavior.