MODIFYING INTERPRETATIONS OF EXERCISE IN OLDER ADULTS

改变老年人对运动的理解

• 批准号: 6639274
• 负责人: JOANNE KRAENZLE SCHNEIDER
• 金额: $ 29.97万
• 依托单位: SAINT LOUIS UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-08-01 至 2005-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6639274
• 关键词: attitude; behavioral /social science research tag; clinical research; cognitive behavior therapy; exercise; functional ability; health behavior; human old age (65+); human subject; human therapy evaluation; nursing intervention

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.

这项研究的目的是检验一种假设，即认知 行为疗法(CBT)将改善运动行为和身体结果。 CBT将被用来修改对练习的解释。解释是 定义为对感觉的觉知，与之相关的思想和感觉 运动，以及运动所赋予的意义。一般释义 包括抽象信息，如对锻炼的态度和信念。 特定于剧集的解释是即时的，发生在 锻炼的插曲。训练年长的人改变他们的负面看法 对更积极的解读，既有针对特定剧集的，也有一般性的 通过认知行为疗法(CBT)干预可能会增加运动 行为/维护。因此，本项目的具体目标是：1) 比较6、9和12个月后自我报告的锻炼行为 在三组老年人中开始锻炼：CBT组， 注意-控制组和对照组；2)比较生理 三组在运动开始后6、9和12个月的结果 老年人：CBT组、注意力控制组和控制组。 次要目标是：3)比较6个月、9个月和12个月后的健康状况 在三组老年人中开始锻炼：CBT组， 注意控制组和控制组；以及4)比较特定情节 以及对退出锻炼的个人的一般解释 保持定期锻炼的个人。343 参与者将被随机分配到CBT、注意力控制或 对照组。运动训练将在所有三组中保持不变； 试验组还将接受CBT和注意控制组 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。锻炼行为，身体锻炼 结果和健康状况将在6个月、9个月和12个月后进行比较 运动启蒙。与老年人一起工作的医疗保健专业人员 可以利用这项研究的结果来制定干预措施，以修改 对运动的理解，从而提高运动行为。