Document Detail


Determinants of high and low attendance to diet and exercise interventions among overweight and obese older adults. Results from the arthritis, diet, and activity promotion trial.
MedLine Citation:
PMID:  16387555     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND: Determinants of adherence to lifestyle regimens are ill understood. Attendance to intervention sessions is crucial for patients to acquire knowledge and skills regarding the core elements of an intervention. Therefore, we explored demographic, health-related, and social determinants of high and low attendance to diet and exercise sessions among overweight and obese patients with knee osteoarthritis (> or = 60 years; N = 206). METHODS: The Arthritis, Diet, and Activity Promotion Trial was an 18-month randomized controlled trial on the effectiveness of dietary weight loss and exercise interventions. We conducted chi-square and t-tests, and logistic regression analyses on categories of short- and long-term attendance to intervention sessions. RESULTS: Over the 18-month duration of the study, 60.7% (+/- 28.5) of diet sessions, and 53.2% (+/- 29.0) of exercise sessions were attended. Not being married, low social participation, and single intervention randomization predicted high attendance to diet sessions during months 1-4. Exercising at home, and single intervention randomization predicted high attendance to exercise sessions during months 5-18. High attendance to sessions early in the intervention was a significant determinant of high session attendance thereafter. CONCLUSIONS: Offering people a choice where to exercise, and stimulating early intervention session attendance can be effective in improving long-term attendance to both interventions. Several determinants we found may be amenable to change to enhance intervention adherence of future randomized controlled trials involving dietary weight loss and/or physical exercise.
Authors:
Coen H van Gool; Brenda W J H Penninx; Gertrudis I J M Kempen; Gary D Miller; Jacques Th M van Eijk; Marco Pahor; Stephen P Messier
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2006-01-04
Journal Detail:
Title:  Contemporary clinical trials     Volume:  27     ISSN:  1551-7144     ISO Abbreviation:  -     Publication Date:  2006 Jun 
Date Detail:
Created Date:  2006-05-08     Completed Date:  2006-10-26     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  101242342     Medline TA:  Contemp Clin Trials     Country:  United States    
Other Details:
Languages:  eng     Pagination:  227-37     Citation Subset:  IM    
Affiliation:
Department of Health Care Studies, Section of Medical Sociology, Universiteit Maastricht, Maastricht, The Netherlands. Coen.vanGool@zw.unimaas.nl
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MeSH Terms
Descriptor/Qualifier:
Aged
Demography
Diet*
Exercise*
Female
Humans
Male
Middle Aged
Obesity / epidemiology,  therapy*
Osteoarthritis, Knee / epidemiology,  therapy*
Overweight*
Patient Compliance / statistics & numerical data*
Randomized Controlled Trials as Topic
Treatment Outcome
Grant Support
ID/Acronym/Agency:
5P60-AG-10484-07/AG/NIA NIH HHS; M01-RR00211/RR/NCRR NIH HHS

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