Midlife women's adherence to home-based walking during maintenance

Details

• Personal Author:
  Chandler P ; McDevitt J ; Michaels Miller A ; Vassalo A ; Wilbur J
• Description:
  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. [Description provided by NIOSH]
• Subjects:
  Aging Behavior Mental Health Occupational Health Safety Women
• Keywords:
  Age-groups Behavior-patterns Health-care Humans Physical-exercise Physical-fitness Physiological-effects Physiological-factors Physiological-function Psychological-factors
• ISSN:
  0029-6562
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  33-40
• Volume:
  54
• Issue:
  1
• NIOSHTIC Number:
  nn:20039601
• Citation:
  Nurs Res 2005 Jan-Feb; 54(1):33-40
• Email:
  JWilbur@uic.edu
• Federal Fiscal Year:
  2005
• Performing Organization:
  University of Illinois at Chicago
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  Nursing Research
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:c7c6fe384860c8bcc6ea900ee92c43c1938d2b4c3d31824207e1cb2c37085a914ae0b59d42b07d10e2b0eba65cb7e4675619352f7c615b08edd0a9fad0ed43e8
• Download URL:
  https://stacks.cdc.gov/view/cdc/192791/cdc_192791_DS1.pdf
• File Type:
  [PDF - 126.71 KB ]