Details:

Alternative Title:
Prev Chronic Dis
Personal Author:
Phelan, Elizabeth A ; Batik, Odette ; Walwick, Julie A ; Wang, Grace ; LoGerfo, James P
Phelan, Elizabeth A ; Batik, Odette ; Walwick, Julie A ; Wang, Grace ; LoGerfo, James P Less -
Description:
Background

Regular physical activity is an important goal for elders with chronic health conditions.

Context

This report describes Physical Activity for a Lifetime of Success (PALS), an attempt to translate a motivational support program for physical activity, Active Choices, for use by a group of diverse, low-income, community-dwelling elders with diabetes.

Methods

PALS linked physical activity assessment and brief counseling by primary care providers with a structured referral to a community-based motivational telephone support program delivered by older adult volunteers. People with diabetes aged 65 years or older who were receiving care at two community clinics were randomized to receive either immediate or delayed intervention. The main intended outcome measure was physical activity level; the secondary outcome measure was mean hemoglobin A1c.

Consequences

One-third of those offered referral to the PALS program in the clinic setting declined. Another 44% subsequently declined enrollment or were unreachable by the support center. Only 14 (21%) of those offered referral enrolled in the program. Among these 14, the percentage who were sufficiently active was higher at follow-up than at enrollment, though not significantly so. Using an intent-to-treat analysis, which included all randomized clinic patients, we found no significant change in mean hemoglobin A1c for the intervention group compared with controls.

Interpretation

A community-based referral and support program to increase physical activity among elderly, ethnically diverse, low-income people with diabetes, many of whom are not English-speaking, may be thwarted by unforeseen barriers. Those who enroll and participate in the PALS program appear to increase their level of physical activity.


Subjects:
[+]
Aged Aging Community Case Study Community Health Centers Diabetes Mellitus, Type 2 Female Health Promotion Humans Intervention Studies Life Expectancy Male Motivation Motor Activity Outcome Assessment (Health Care) Pilot Projects Preventive Health Services Program Development Program Evaluation Quality Of Life Social Support Socioeconomic Factors
Source:
Prev Chronic Dis. 2008; 5(1).
Document Type:
Journal Article
Funding:
1-U48-DP-000050/DP/NCCDPHP CDC HHS/United States
Place as Subject:
Washington
Location:
North America
Collection(s):
Preventing Chronic Disease
Main Document Checksum:
[+]
urn:sha256:8a8a6d47dfa239e50839a7affc4170861b7a16a2ad43a9de56a345b46e8320c2
Download URL:
https://stacks.cdc.gov/view/cdc/20206/cdc_20206_DS1.pdf
File Type:

Supporting Files

• 	license.txt	txt
  	PCD51A18.nxml	txt
  	PCD51A18s01.gif	gif
  	PCD51A18s01.jpg	jpeg

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