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Testing the effectiveness of the exercise plus program in older women post-hip fracture

  • Published:
Annals of Behavioral Medicine

Abstract

Background: Exercise is an important strategy with potential to improve recovery in older adults following a hip fracture.Purpose: The purpose of this study was to test the impact of a self-efficacy based intervention, the Exercise Plus Program, and the different components of the intervention, on self-efficacy, outcome expectations, and exercise behavior among older women post-hip fracture.Methods: Participants were randomized to one of four groups: exercise plus, exercise only, plus only (i.e., motivation), or routine care. Data collection was done at baseline (within 22 days of fracture), 2, 6, and 12 months post-hip fracture.Results: A total of 209 women were recruited with an average age of 81.0 years (SD=6.9). The majority was White (97.1%), was widowed (57.2%), and had a high school education (66.7%). Generalized Estimating Equations were used to perform repeated measures analyses. No differences in trajectories of recovery were observed for self-efficacy or outcome expectations. A statistically significant difference in the overall trajectory of time in exercise was seen (p<.001), with more time spent exercising in all three treatment groups.Conclusions: The study demonstrated that it was possible to engage these women in a home-based exercise program and that the plus only, exercise only, and the exercise plus groups all increased exercise.

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Author information

Authors and Affiliations

  1. University of Maryland School of Nursing, 655 West Lombard Street, 21201, Baltimore, MD

    Barbara Resnick Ph.D., CRNP

  2. University of Maryland School of Medicine, USA

    Denise Orwig Ph.D., William Hawkes Ph.D., Michelle Shardell Ph.D., J. Richard Hebel Ph.D., Justine Golden M.S., Michele Werner B.S. & Jay Magaziner Ph.D.

  3. Union Memorial Hospital, Baltimore, Maryland

    Janet Yu-Yahiro

  4. University of North Carolina Chapel Hill, USA

    Sheryl Zimmerman Ph.D.

Authors
  1. Barbara Resnick Ph.D., CRNP
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  2. Denise Orwig Ph.D.
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  3. Janet Yu-Yahiro
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  4. William Hawkes Ph.D.
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  5. Michelle Shardell Ph.D.
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  6. J. Richard Hebel Ph.D.
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  7. Sheryl Zimmerman Ph.D.
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  8. Justine Golden M.S.
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  9. Michele Werner B.S.
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  10. Jay Magaziner Ph.D.
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Corresponding author

Correspondence to Barbara Resnick Ph.D., CRNP.

Additional information

Support for this project was provided by National Institute on Aging grants R37 AG09901, R01-AG18668, R01 AG17082, and the Claude D. Pepper Older Americans Independence Center P60-AG12583.

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Resnick, B., Orwig, D., Yu-Yahiro, J. et al. Testing the effectiveness of the exercise plus program in older women post-hip fracture. ann. behav. med. 34, 67–76 (2007). https://doi.org/10.1007/BF02879922

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  • DOI: https://doi.org/10.1007/BF02879922

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