Rejeski W Jack, Brawley Lawrence R, Ambrosius Walter T, Brubaker Peter H, Focht Brian C, Foy Capri G, Fox Lesley D
Department of Health and Exercise Science, Wake Forest University, Winston-Salem, North Carolina 27109, USA.
Health Psychol. 2003 Jul;22(4):414-23. doi: 10.1037/0278-6133.22.4.414.
In this 12-month trial standard exercise training was compared with a group-mediated cognitive-behavioral (GMCB) intervention with respect to effects on long-term adherence and change in physical function of older adults who were either at risk for or had cardiovascular disease. Participants (147 older men and women) were randomized to the 2 treatments. Outcomes included self-reportedphysical activity, fitness, and self-efficacy. The GMCB treatment produced greater improvements on all outcomes than did standard exercise therapy. Regardless of treatment assignment, men had more favorable change on the study outcomes than did women. Analysis of a self-regulatory process measure in the GMCB group revealed that change in barriers efficacy was related to change in physical activity and fitness. Results suggest that teaching older adults to integrate physical activity into their lives via GMCB leads to better long-term outcomes than standardized exercise therapy.
在这项为期12个月的试验中，将标准运动训练与团体介导的认知行为（GMCB）干预进行了比较，以研究其对有心血管疾病风险或已患心血管疾病的老年人长期依从性和身体功能变化的影响。参与者（147名老年男性和女性）被随机分配到两种治疗组。结果包括自我报告的身体活动、健康状况和自我效能感。与标准运动疗法相比，GMCB治疗在所有结果上都产生了更大的改善。无论治疗分配如何，男性在研究结果上的变化都比女性更有利。对GMCB组的自我调节过程测量分析表明，障碍效能的变化与身体活动和健康状况的变化有关。结果表明，通过GMCB教导老年人将身体活动融入他们的生活，比标准化运动疗法能带来更好的长期效果。
