Document Detail

Midlife women's adherence to home-based walking during maintenance.
MedLine Citation:
PMID:  15695937     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Despite the many known benefits of physical activity, some women (27%) report no leisure-time physical activity in the prior month. Of those women who began an exercise program, the dropout rate was as high as 50% in the first 3-6 months. The challenge for researchers and clinicians is to identify those factors that influence not only adoption, but also maintenance, of physical activity. OBJECTIVE: The purpose of this study was (a) to describe midlife women's maintenance of walking following the intervention phase of a 24-week, home-based walking program, and (b) to identify the effects of background characteristics, self-efficacy for overcoming barriers to exercise, and adherence to walking during the intervention phase on retention and adherence to walking. METHODS: There were Black and White women participants (N = 90) aged 40-65 years who completed a 24-week, home-based walking program. Self-efficacy for overcoming barriers to exercise, maximal aerobic fitness, and percentage of body fat were measured at baseline, 24 weeks, and 48 weeks. Adherence was measured with heart-rate monitors and an exercise log. RESULTS: Retention was 80% during maintenance. On average, the women who reported walking during maintenance adhered to 64% of the expected walks during that phase. Examination of the total number of walks and the number and sequence of weeks without a walk revealed dynamic patterns. The multiple regression model explained 40% of the variance in adherence during the maintenance phase. DISCUSSION: These results suggest that both self-efficacy for overcoming barriers and adherence during the intervention phase play a role in women's walking adherence. The findings reflect dynamic patterns of adopting and maintaining new behavior.
Joellen Wilbur; Annemarie Vassalo; Peggy Chandler; Judith McDevitt; Arlene Michaels Miller
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Nursing research     Volume:  54     ISSN:  0029-6562     ISO Abbreviation:  Nurs Res     Publication Date:    2005 Jan-Feb
Date Detail:
Created Date:  2005-02-07     Completed Date:  2005-03-15     Revised Date:  2007-11-14    
Medline Journal Info:
Nlm Unique ID:  0376404     Medline TA:  Nurs Res     Country:  United States    
Other Details:
Languages:  eng     Pagination:  33-40     Citation Subset:  AIM; IM; N    
Department of Public Health, Mental Health and Administrative Nursing, College of Nursing, University of Illinois at Chicago Annemarie Vassalo, MS, USA.
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MeSH Terms
African Americans / psychology
European Continental Ancestry Group / psychology
Exercise / physiology*,  psychology
Health Behavior* / ethnology
Health Promotion*
Middle Aged
Patient Compliance* / ethnology
Patient Dropouts
Time Factors
Walking / physiology*
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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