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Health Promotion Practice
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Health Correlates of Exercise Behavior and Stage Change in a Community-Based Exercise Intervention for the Elderly: A Pilot Study

Claudio Nigg, PhD

Department of Public Health Sciences & Epidemiology at the University of Hawaii at Manoa

Catherine English, PhD, RD, LDN

University of Rhode Island

Norma Owens, PharmD, BCPS, FCCP

geriatric pharmacotherapy

Patricia Burbank, DNSc, RN

College of Nursing, University of Rhode Island; Rhode Island Geriatric Education Center

Annie Connolly-Belanger, BS

Department of Exercise Science at the University of Rhode Island

Robert Dufresne, PhD, BCPS, BCPP

University of Rhode Island

Nancy Fey-Yensan, PhD, RD

University of Rhode Island

Carol Ewing Garber, PhD, FACSM, RCEP

Bouve College of Health Sciences at Northeastern University in Boston

Andrea Luisi, PharmD, BCPS

University of Rhode Island

Cynthia Padula, PhD

College of Nursing at the University of Rhode Island

Sandra Saunders, RDH, MS, MPH

Dental Hygiene Program at the University of Rhode Island

Phillip Clark, ScD

Rhode Island Geriatric Education Center; Program in Gerontology, University of Rhode Island

The effects of a community-based physical activity intervention grounded in the Transtheoretical Model were investigated in a sample of older adults. The residents (n = 48, mean age = 78.24 ± 6.69, 90% female) of an independent living complex completed pre-and postintervention assessments, including physical, mental, and general health; nutrition; bodily pain; and stages of exercise behavior change. The intervention included posters with stage-based pamphlets (for inactive stages) and in-house exercise sessions (for active participants). The intervention resulted in high exercise maintenance and more progression than regression in exercise stage. More maintainers and progressers improved on the measured variables compared to relapsers. The stage model is a promising framework on which to base and evaluate interventions for this population. The overall impact of the intervention was positive, whether by providing the actual opportunity to exercise or by motivating other physical activity. These results also support the potential quality-of-life impact for this type of intervention in older adults.

Health Promotion Practice, Vol. 3, No. 3, 421-428 (2002)
DOI: 10.1177/152483990200300311


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