Document Detail

A longitudinal analysis of efficacy expectations and exercise in older adults.
MedLine Citation:
PMID:  15776754     Owner:  NLM     Status:  MEDLINE    
The purpose of this study was to consider the longitudinal changes in self-efficacy and outcome expectations for exercise and the impact of these variables on maintaining regular exercise over a 4-year period in a group of older adults living in a continuing care retirement community. There were 78 individuals who completed all four surveys. The participants had at least a high school education, and the majority were Caucasian (99%), female (83%) and either widowed or never married (80%). The mean age of the participants was 84.4+/-5.1 years. Based on repeated measure analysis of covariance, controlling for mental and physical health, there was not a statistically significant difference in self-efficacy expectations (F = 2.0, p > .05) or outcome expectations (F = 2.2, p > .05) over time. There was a statistically significant decrease in exercise over time (F = 9.9, p < .05). Using path analysis it was demonstrated that self-efficacy expectations, outcome expectations, and physical health directly and indirectly influenced maintenance of regular exercise. Age, gender, and mental health had a limited and inconsistent influence on maintenance of exercise. Future research and clinical work should focus on developing and testing interventions that strengthen both self-efficacy and positive outcome expectations in older adults to facilitate maintenance of exercise behavior over time.
Barbara Resnick
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Research and theory for nursing practice     Volume:  18     ISSN:  1541-6577     ISO Abbreviation:  Res Theory Nurs Pract     Publication Date:  2004  
Date Detail:
Created Date:  2005-03-21     Completed Date:  2005-04-22     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  101146940     Medline TA:  Res Theory Nurs Pract     Country:  United States    
Other Details:
Languages:  eng     Pagination:  331-44     Citation Subset:  IM; N    
University of Maryland, Baltimore, 21201, USA.
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MeSH Terms
Aged / psychology*
Aged, 80 and over
Analysis of Variance
Exercise / psychology*
Health Status
Longitudinal Studies
Self Efficacy*
United States

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

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