STAGE BASED HEALTH PROMOTION WITH THE ELDERLY

描述（改编自研究者摘要）：本研究项目的广泛，长期目标是开发新的和更有效的干预方法，以改善老年人的健康和福祉。 具体目标是确定健康行为改变的跨理论模型在改善老年人的体力活动和营养行为方面的有效性;确定基于阶段的体力活动和营养干预措施对功能能力和一般健康结果的影响;研究老年人如何改变他们的健康行为。 研究表明，大多数健康促进计划只招募那些准备采取新行为的人，通常只有大约20%的总人口。 高水平的流失率和复发率导致大约1- 5%的“影响率”。 该项目有可能开发更有效的方法来促进老年人的总体健康。 该研究将采用2x2设计，包括4个治疗组：单独营养干预、单独体力活动干预、联合干预和对照。 教育材料，包括手册，通讯，专家反馈报告，和辅导电话，所有基于健康行为改变的跨理论模型，将被开发。 使用的措施将包括一般健康和功能评估;客观和主观的身体活动和营养评估;以及变化的阶段和过程、决策平衡和自我效能措施。 为期12个月的干预将包括专家系统生成的报告，基于阶段的手册和通讯以及电话辅导。

DESCRIPTION (adapted from investigator's abstract): The broad, long-term objectives of this research project are to develop new and more effective intervention methods to improve the health and well-being of older adults. The specific aims are to determine the effectiveness of the Transtheoretical Model of Health Behavior Change in improving the physical activity and nutritional behavior singly and in combination in an older population; determine the effects on functional ability and general health outcomes of stage-based physical activity and nutrition interventions singly and in combination; and, study how older adults change their health behaviors. Research indicates that most health promotion programs recruit only those persons who are ready to adopt the new behavior, usually only approximately 20 percent of the general population. High levels of attrition and relapse rates result in an "impact rate" of approximately 1-5 percent. This project holds the potential for developing more effective methods to promote general health of older adults. The research will utilize a 2x2 design with 4 treatment groups: nutrition intervention alone, physical activity intervention alone, combined intervention, and control. Educational materials, including a manual, newsletters, expert feedback reports, and coaching phone calls, all based on the Transtheoretical Model of Health Behavior Change, will be developed. Measures used will include general health and functional assessments; objective and subjective physical activity and nutrition assessments; and stage and process of change, decisional balance, and self- efficacy measures. The 12-month intervention will include expert system generated reports, stage- based manual and newsletters and phone coaching.