Skip to main content
Log in

The Health Benefits of a Physical Activity Program for Older Adults Living in Congregate Housing

  • Published:
Canadian Journal of Public Health Aims and scope Submit manuscript

Abstract

Background

In Saskatoon in 2002, as one of the key strategies for the in motion health promotion strategy, the Forever… in motion program was developed with the general goal of increasing opportunities for physical activity among older adults living in congregate housing. The three components of the program were a low-intensity exercise program, informal socialization and educational sessions. The objective of the present study was to examine whether participation in this program positively influenced participants’ physical, emotional, psychological and social well-being.

Methods

A quasi-experimental, pretest/post-test design was employed to examine the impact of the program on various aspects of participant well-being. Thirty-six program participants and a comparison group of 22 non-participants from two congregate housing facilities took part in the study. The pretest was administered to the study and comparison groups before or shortly after the 12-week session commenced, and the post-test was administered after the 12-week session had concluded. Pretest and post-test assessment consisted of self-report measures of 1) vitality, 2) self-rated health, 3) mental health, 4) social functioning, 5) role limitations due to emotional problems, 6) physical activity-related knowledge, and 7) self-efficacy for exercise. A multivariate analysis of covariance (MANCOVA) was conducted using the seven post-test scores as dependent variables and the pretest scores as covariates.

Results

After adjusting for differences in baseline characteristics, the findings revealed statistically significant improvements in self-reported health and self-efficacy for exercise in the program participant group as compared with non-participants.

Conclusion

The results of this study suggest that a relatively low-cost, low-intensity exercise program such as the Forever…in motion program may positively influence the well-being of older adults living in congregate housing. However, additional research with a larger number of participants and a more rigorous study design is needed to further elucidate the health benefits of the Forever… in motion program.

Résumé

Contexte

Le programme Forever… in motion était l’un des éléments clés de la stratégie de promotion de la santé in motion implantée en 2002 à Saskatoon. Globalement, le programme visait à accroître les possibilités d’activité physique offertes aux personnes âgées vivant dans des habitations collectives. Il comportait trois volets: un programme de conditionnement à faible impact, une socialisation informelle et des séances de sensibilisation. Nous avons voulu déterminer si la participation à ce programme a eu une influence positive sur le bien-être physique, affectif, psychologique et social des participants.

Méthode

Nous avons employé une méthode pré-test/post-test quasi expérimentale pour analyser l’incidence du programme sur divers aspects du bien-être. Trente-six participants au programme et un groupe témoin de 22 non-participants ont été recrutés dans deux habitations collectives. Le prétest a été administré au groupe des participants et au groupe témoin avant ou peu après le début de la session de 12 semaines. Le post-test a été administré après la fin des 12 semaines. L’évaluation pré- et post-test comportait des mesures autodéclarées: 1) de la vitalité, 2) de l’état de santé auto-évalué, 3) de la santé mentale, 4) des relations sociales, 5) des contraintes dues à des troubles affectifs, 6) des connaissances sur l’activité physique et 7) de l’auto-efficacité par rapport au conditionnement physique. Nous avons effectué une analyse multivariée de la covariance (mancova) en utilisant les sept scores au post-test comme variables dépendantes et les scores au pré-test comme covariables.

Résultats

Après les rajustements nécessaires pour tenir compte des écarts dans les caractéristiques de base, nous avons noté des améliorations significatives de l’état de santé auto-évalué et de l’auto-efficacité par rapport au conditionnement physique dans le groupe des participants au programme, comparés aux non-participants.

Conclusion

Un programme d’activité physique à faible intensité et relativement peu coûteux, comme Forever… in motion, pourrait positivement influencer le bien-être des personnes âgées vivant dans des habitations collectives. Pour déterminer avec précision les avantages pour la santé de Forever... in motion, il faudrait pousser la recherche en recrutant un plus grand nombre de participants et en resserrant la méthode de l’étude.

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. Katzmarzyk PT, Janssen I. The economic costs of physical inactivity and obesity in Canada: An update. Can J Appl Physiol 2004;29:90–115.

    Article  Google Scholar 

  2. Chin A, Paw MJM, de Jong N, Stevens M, Bult P, Schouten EG. Development of an exercise program for the frail elderly. J Aging Physical Activity 2001;9:452–65.

    Article  Google Scholar 

  3. Tai S, Gould M, Iliffe S. Promoting health exercise among older people in general practice: Issues in designing and evaluating therapeutic interventions. Br J Gen Pract 1997;47:119–22.

    CAS  PubMed  PubMed Central  Google Scholar 

  4. O’Brien Cousins S. Thinking out loud: What older adults say about triggers for physical activity. J Aging Physical Activity 2001;9:347–63.

    Article  Google Scholar 

  5. Stevens M, Bult P, deGreef MHG, Lemminuk KAPM, Rispens P. Groningen Active Living Model (GALM): Stimulating physical activity in sedentary older adults. Prev Med 1999;29:267–76.

    Article  CAS  PubMed  Google Scholar 

  6. Turcotte M, Schellenberg G. A portrait of seniors in Canada 2006. Statistics Canada, Catalogue no. 89 519-XIE; 2007.

    Google Scholar 

  7. Stewart A, Mills KM, Sepsis PG, King AC, McLellan BY, Roitz K, Ritter P. Evaluation of CHAMPS, a physical activity promotion program for older adults. Ann Behav Med 1997;19(4):353–61.

    Article  CAS  PubMed  Google Scholar 

  8. Kocken PL, Voorham AJJ. Effects of a peer-led senior health education program. Patient Education Counseling 1998;34:15–23.

    Article  CAS  PubMed  Google Scholar 

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

    Google Scholar 

  10. Grembowski D, Patrick D, Diehr P, Durham M, Beresford S, Kay E, et al. Self-efficacy and health behavior among older adults. J Health Soc Behav 1993;4:89–104.

    Article  Google Scholar 

  11. Canadian Red Cross. Active Living Guide Leader Manual. Mosbey Lifeline, 1997;51–72.

    Google Scholar 

  12. Posavac EJ, Carey RG. Program Evaluation: Methods and Case Studies. Englewood Cliffs, NJ: Prentice Hall Incorporated, 1992.

    Google Scholar 

  13. Ware JE, Kosinski M, Keller S. A 12-item short-form health survey. Medical Care 1996;34:220–33.

    Article  PubMed  Google Scholar 

  14. Andresen EM, Bowley N, Rothenberg BM, Panzer R, Katz P. Test-retest performance of a mailed version of the Medical Outcomes Study 36-Item Short Form Health Survey among older adults. Medical Care 1996;34:1165–70.

    Article  CAS  PubMed  Google Scholar 

  15. Hurst NP, Ruta DA, Kind P. Comparison of the MOS Short Form-12 (SF 12) Health Status Questionnaire with the SF 36 in patients with Rheumatoid Arthritis. Br J Rheumatol 1998;37:862–69.

    Article  CAS  PubMed  Google Scholar 

  16. Marcus BH, Selby VC, Niaura RS, Rossi JS. Self-efficacy and the stages of change of exercise behavior change. Res Q Exerc Sport 1992;63(1):60–66.

    Article  CAS  PubMed  Google Scholar 

  17. Morrow JR, Hui SSC. Level of participation and knowledge and physical activity in Hong Kong Chinese adults and their association with age. J Aging Physical Activity 2001;9:372–85.

    Article  Google Scholar 

  18. Tabachnick BG, Fidell LS. Using Multivariate Statistics, 5th ed. Boston, MA: Pearson Education Inc., 2007.

    Google Scholar 

  19. Worm CH, Vad E, Puggaard L, Stovring H, Lauritsen J, Kragstrup J. Effects of a multicom-ponent exercise program on physical function in community-dwelling, frail elderly 75+ years old. J Aging Physical Activity 2001;9:414–24.

    Article  Google Scholar 

  20. Fiatarone MA, Marks EC, Ryan ND, Meridith ND, Lipsitz LA, Evans WJ. High-intensity strength training in nonagenarians. JAMA 1990;263:3029–34.

    Article  CAS  PubMed  Google Scholar 

  21. Pinto BM, Lynn H, Marcus BH, DePue J, Goldstein M. Physician-based activity counseling: Intervention of effects on mediators of motivational readiness for physical activity. Ann Behav Med 2001;23(1):2–10.

    Article  CAS  PubMed  Google Scholar 

  22. Maibach E, Murphy DA. Self-efficacy in health promotion research and practice: Conceptualization and measurement. Health Educ Res 1995;10:37–50.

    Article  Google Scholar 

  23. McAuley E, Blissmer B, Kutula J, Duncan TE, Mihalo SL. Physical activity, self esteem, and self-efficacy relationships in older adults: A randomized control study. Ann Behav Med 2000;22:131–39.

    Article  CAS  PubMed  Google Scholar 

  24. Dawson K, Brawley L. How social support and self-confidence influence the physical activity patterns of seniors. Excellence in Long Term Care 2003 February to April; 4–7.

  25. Idler EL, Benyamini Y. Self-rated health and mortality: A review of twenty-seven community studies. J Health Soc Behav 1997;38:213–34.

    Article  Google Scholar 

  26. Goldberg P, Gueguen A, Schmaus A, Nakache JP, Goldberg M. Longitudinal study of associations between perceived health status and self-reported diseases in the French Gazel cohort. J Epidemiol Community Health 2001;55:233–38.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  27. Heistaro S, Jousilahti P, Lahelma E, Vartiainen E, Puska P. Self-rated health and mortality: A long term prospective study in eastern Finland. J Epidemiol Community Health 2001;55:227–32.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  28. Millunpalo S, Vuori I, Oja P, Pasanen M, Urponen H. Self-rated health status as a health measure: The predictive value of self-reported health status on the use of physician services and on mortality in the working-age population. J Clin Epidemiol 1997;50(5):517–28.

    Article  Google Scholar 

  29. Shadish WR, Cook TD, Campbell DT. Experimental and Quasiexperimental Designs for Generalized Causal Inference. Boston: Houghton Mifflin, 2002.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Bonnie L. Janzen PhD.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Temple, B., Janzen, B.L., Chad, K. et al. The Health Benefits of a Physical Activity Program for Older Adults Living in Congregate Housing. Can J Public Health 99, 36–40 (2008). https://doi.org/10.1007/BF03403738

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF03403738

Keywords

Motsclés

Navigation