Skip to main content
Log in

Evaluation of champs, a physical activity promotion program for older adults

  • Empirical Research
  • Published:
Annals of Behavioral Medicine

Abstract

We evaluated physical activity changes resulting from a six-month public health model intervention that encouraged seniors (N=89) 62–91 years of age (mean=76) living in two low-income congregate housing facilities to increase their physical activity by participating in existing community-based physical activity classes and programs of their choice. The program was offered to everyone regardless of their health problems. Enrollees were encouraged to adopt activities tailored to their preferences, physical abilities, health status, income, and transportation resources. Using a comparison-group design, the intervention group was more active for all comparison months of the intervention period (p values<.05). The intervention also was associated with improvements in self-esteem (p<.05), though not with an array of other measures of health-related quality-of-life. Those who adopted and maintained a new physical activity over the six-month intervention period experienced improvements in anxiety, depression, and overall psychological well-being relative to those who did not. The intervention was subsequently replicated through a senior center (N=22). A much larger proportion of the senior center sample adopted and maintained a new activity for six months (68%) compared to the congregate facilities sample (35%), which may have been due to differences in recruitment methods and sample characteristics in the two settings. An intervention promoting increased physical activity through the use of existing community resources may help increase physical activity in older adults.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Bortz WM: Redefining human aging.Journal of the American Geriatrics Society. 1989,37: 1092–1096.

    PubMed  Google Scholar 

  2. Bouchard C, Shephard RJ, Stephens T, (eds):Physical Activity, Health and Fitness: International Proceeding and Consensus Statement. Champaign, IL: Human Kinetics Publishers, 1994.

    Google Scholar 

  3. Stamford BA: Exercise and the elderly. InAmerican College of Sports Medicine Series: Exercise and Sport Sciences Reviews (Vol. 16). New York: MacMillan Publishing Co., 1988, 341.

    Google Scholar 

  4. Marcus BH, Rakowski W, Simkin MR, et al: Exercise behavior among older adults.Rhode Island Medicine. 1993,76: 31–34.

    PubMed  CAS  Google Scholar 

  5. Minor MA: Physical activity and management of arthritis.Annals of Behavioral Medicine. 1991,13: 117–124.

    Google Scholar 

  6. Buchner DM, Beresford SAA, Larson EB, et al: Effects of physical activity on health status in older adults II: Intervention studies.Annual Review of Public Health. 1992,13: 469–488.

    Article  PubMed  CAS  Google Scholar 

  7. Atkins CJ, Kaplan RM, Timms RM, et al: Behavioral exercise programs in the management of chronic obstructive pulmonary disease.Journal of Consulting and Clinical Psychology. 1984,52: 591–603.

    Article  PubMed  CAS  Google Scholar 

  8. Harris SS, Caspersen CJ, DeFriese GH, et al: Physical activity counseling for healthy adults as a primary preventive intervention in the clinical setting.Journal of the American Medical Association. 1989,261: 3590–3598.

    Google Scholar 

  9. Blair SN, Kohl HW, Gordon NF, et al: How much physical activity is good for health?Annual Review of Public Health. 1992,13: 99–126.

    PubMed  CAS  Google Scholar 

  10. LaCroix AZ, Guralnik JM, Berkman LF, et al: Maintaining mobility in later life II. Smoking, alcohol consumption, physical activity, and body mass index.American Journal of Epidemiology. 1993,137: 858–869.

    PubMed  CAS  Google Scholar 

  11. Mor V, Murphy J, Masterson-Allen S, et al: Risk of functional decline among well elders.Journal of Clinical Epidemiology. 1989,42: 895–904.

    Article  PubMed  CAS  Google Scholar 

  12. Caspersen CJ, Christenson GM, Pollard RA: Status of the 1990 physical fitness and exercise objectives—Evidence from NHIS 1985.Public Health Reports. 1986,101: 587–592.

    PubMed  CAS  Google Scholar 

  13. MMWR: Prevalence of sedentary lifestyle—Behavioral Risk Factor Surveillance System, United States, 1991.Morbidity and Mortality Weekly Report. 1993,42: 576–579.

    Google Scholar 

  14. Rakowski W: The status of health behavior indicators among older adults: Focusing on the “high risk” elderly.Rhode Island Medicine. 1993,76: 41–46.

    PubMed  CAS  Google Scholar 

  15. O'Brien SJ, Vertinsky PA: Unfit survivors: Exercise as a resource for aging women.Gerontologist. 1991,31: 347–357.

    Article  PubMed  Google Scholar 

  16. Kriska AM, Bayles C, Cauley JA, et al: A randomized exercise trial in older women: Increased activity over two years and the factors associated with compliance.Medicine and Science in Sports and Exercise. 1986,18: 557–562.

    PubMed  CAS  Google Scholar 

  17. McPherson B: Leisure lifestyles and physical activity in the later years of the life cycle.Recreation Research Review. 1982,9: 5–13.

    Google Scholar 

  18. King AC, Taylor CB, Haskell WL, et al: Identifying strategies for increasing employee physical activity levels: Findings from the Stanford/Lockheed exercise survey.Health Education Quarterly. 1990,17: 269–285.

    PubMed  CAS  Google Scholar 

  19. Winett RA, King AC, Altman DG:Health Psychology and Public Health: An Integrative Approach. New York: Pergamon Press, 1989.

    Google Scholar 

  20. Franks P, Lee PR, Fullarton JE: Lifetime fitness and exercise for older people (Policy paper prepared for the Administration on Aging, U.S. Department of Health and Human Services). San Francisco, CA: Aging Health Policy Center, University of California, San Francisco, 1983.

    Google Scholar 

  21. U.S. Department of Health and Human Services:Healthy People 2000: National Health Promotion and Disease Prevention Objectives. Boston, MA: Jones and Bartlett Publishers, 1992.

    Google Scholar 

  22. Campbell DT, Stanley JC:Experimental and Quasi-Experimental Design for Research. Chicago: Rand McNalley College Publishing Co., 1963.

    Google Scholar 

  23. Bandura A:Social Learning Theory. Englewood Cliffs, NJ: Prentice-Hall, 1977.

    Google Scholar 

  24. Bandura A:Social Foundations of Thought and Action. Englewood Cliffs, NJ: Prentice-Hall, 1986.

    Google Scholar 

  25. Sepsis PG, Stewart AL, McLellan B, et al: Seniors' ratings of the helpfulness of various program support mechanisms utilized in a physical activity promotion program.Journal of Aging and Physical Activity. 1995,3: 193–207.

    Google Scholar 

  26. Mills KM, Stewart AL, King AC, et al: Factors associated with enrollment of older adults into a physical activity promotion program.Journal of Aging and Health. 1996,8: 96–113.

    Article  PubMed  CAS  Google Scholar 

  27. Brooks GA, Fahey TD:Exercise Physiology: Human Bioenergetics and its Applications. New York: John Wiley, 1984.

    Google Scholar 

  28. Stewart AL, Ware Jr. JE (eds):Measuring Functioning and Well-Being: The Medical Outcomes Study Approach. Durham, NC: Duke University Press, 1992.

    Google Scholar 

  29. McHorney CA, Ware JE, Raczek AE: The MOS 36-item short form health survey (SF-36): II. Psychometric and clinical tests of validity in measuring physical and mental health constructs.Medical Care. 1993,31: 247–263.

    Article  PubMed  CAS  Google Scholar 

  30. Rosenberg M:Society and the Adolescent Self-Image. Princeton, NJ: Princeton University Press, 1965.

    Google Scholar 

  31. Pearlin LI, Menaghan EG, Lieberman MA, et al: The stress process.Journal of Health and Social Behavior. 1981,22: 337–356.

    Article  PubMed  CAS  Google Scholar 

  32. Cantril H:The Pattern of Human Concerns. New Brunswick, NJ: Rutgers University Press, 1965.

    Google Scholar 

  33. McDowell IY, Newell C:Measuring Health: A Guide to Rating Scales and Questionnaires. New York: Oxford University Press. 1987.

    Google Scholar 

  34. Hays WL:Statistics for the Social Sciences (2nd Ed.) New York: Holt, Rinehart, and Winston, 1973.

    Google Scholar 

  35. Larzelere RE, Mulaik SA: Single-sample tests for many correlations.Psychological Bulletin. 1977,84: 557–569.

    Article  Google Scholar 

  36. Pocock SJ, Geller NL, Tsiatis AA: The analysis of multiple endpoints in clinical trials.Biometrics. 1987,43: 487–498.

    Article  PubMed  CAS  Google Scholar 

  37. King AC, Haskell WL, Taylor CB, et al: Group-vs home-based exercise training in healthy older men and women: A communitybased clinical trial.Journal of the American Medical Association. 1991,266: 1535–1542.

    Article  PubMed  CAS  Google Scholar 

  38. Prochaska JO: A transtheoretical model of behavior change: Learning from mistakes with majority populations. In Becker DM, Hill DR, Jackson JS, et al (eds):Health Behavior Research in Minority Populations: Access, Design, and Implementation. Bethesda, MD: National Institutes of Health, 1992, 105.

    Google Scholar 

  39. Dishman RK: Compliance/adherence in health-related exercise.Health Psychology. 1982,1: 237–267.

    Article  Google Scholar 

  40. Dishman RK, Ickes WJ, Morgan WP: Self-motivation and adherence to habitual physical activity.Journal of Applied Social Psychology. 1980,10: 115–131.

    Article  Google Scholar 

  41. Haynes RB, Taylor DW, Sackett DL (eds):Compliance in Health Care. Baltimore, MD: Johns Hopkins University Press, 1979.

    Google Scholar 

  42. King AC, Taylor CB, Haskell WL: Effects of differing intensities and formats of 12 months of exercise training on psychological outcomes in older adults.Health Psychology. 1993,12: 292–300.

    Article  PubMed  CAS  Google Scholar 

  43. Stewart AL, King AC, Haskell WL: Endurance exercise and health-related quality of life outcomes in 50–65 year old adults.Gerontologist. 1993,33: 782–789.

    PubMed  CAS  Google Scholar 

  44. Blair SN, Kohl HW, Paffenbarger RS, et al: Physical fitness and all-cause mortality: A prospective study of healthy men and women.Journal of the American Medical Association. 1989,262: 2395–2401.

    Article  PubMed  CAS  Google Scholar 

  45. Buchner DM, deLateur BJ: The importance of skeletal muscle strength to physical function in older adults.Annals of Behavioral Medicine. 1991,13: 91–98.

    Google Scholar 

  46. Haskell WL, Montoye HJ, Orenstein DR: Physical activity and exercise to achieve health-related physical fitness components.Public Health Reports. 1985,100: 202–212.

    PubMed  CAS  Google Scholar 

  47. Marcus BH, Rossi JS, Selby VC, et al: The stages and processes of exercise adoption and maintenance in a worksite sample.Health Psychology. 1993,11: 386–395.

    Article  Google Scholar 

  48. Heath GW: Exercise programming for the older adult. In American College of Sports Medicine (ed):Resource Manual for Guidelines for Exercise Testing and Prescription (2nd Ed.). Philadelphia, PA: Lea & Febiger, 1993, 418.

    Google Scholar 

  49. Mills KM, Stewart AL, Sepsis PG, et al: Consideration of older adults' preferences for format of physical activity.Journal of Aging and Physical Activity (in press, 1997).

Download references

Author information

Authors and Affiliations

Authors

Additional information

Preparation of this manuscript was supported in part by a grant to Dr. Stewart from the National Institute on Aging (AG09931) and by the George and Katherine Dick Fund.

The authors gratefully acknowledge the assistance of many individuals throught this project including Elliott Bolter, Walter M. Bortz, M.D., Bonnie Bruce, Dr. PH, R.D., Betty Carpenter, Carl Casperson, Ph.D., Martin Connelly, M.A., Ellen Dietrich, Barbara Elspas, William L. Haskell, Ph.D., Karl Knopf, Ed.D., Delia Kling, Kerrey Saunders, and Jay Thorwaldson. We also acknowledge the programming assistance of Wayne Shoumaker, Ph.D. Special thanks are extended to the participants of the program.

About this article

Cite this article

Stewart, A.L., Mills, K.M., Sepsis, P.G. et al. Evaluation of champs, a physical activity promotion program for older adults. ann. behav. med. 19, 353–361 (1997). https://doi.org/10.1007/BF02895154

Download citation

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF02895154

Keywords

Navigation