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老年人的体育活动干预:参与的伴侣会产生影响吗?

Physical activity intervention in older adults: does a participating partner make a difference?

作者信息

Gellert Paul, Ziegelmann Jochen P, Warner Lisa M, Schwarzer Ralf

机构信息

Freie Universität Berlin, Health Psychology, Habelschwerdter Allee 45, 14195 Berlin, Germany.

German Centre of Gerontology, Berlin, Germany.

出版信息

Eur J Ageing. 2011 Jul 7;8(3):211. doi: 10.1007/s10433-011-0193-5. eCollection 2011 Sep.

Abstract

Social integration and social support are expected to facilitate the adoption and maintenance of physical activity. In the context of a physical activity intervention, we distinguished three partner status groups, serving as an indicator of social integration. It was hypothesized that individuals whose partner also participated in the intervention, as opposed to individuals whose partners did not participate, or individuals without an intimate partner, would benefit more in terms of their physical activity. In a second step, a differential prediction pattern of social support on physical activity for each of the three partner status groups was investigated. The study involved 302 men and women (aged 60-95 years) and included two measurement points in time: A baseline assessment with a leaflet intervention to foster physical activity, and a 4-week follow-up assessment. In participants whose partners took part in the intervention, physical activity increased substantially over time, whereas it did not change in those individuals whose partners were not involved in the intervention, and it did not change in singles. Social support was positively related to physical activity when couples participated together in the intervention, but it was negatively related in singles or when partners did not participate. Social support appeared to be beneficial for physical activity in older adults when both partners participate in the intervention, which might reflect joint exercise or reciprocal exercise support. Singles or those with nonparticipating partners are not only less active, they might also be impeded by misguided support that could be perceived as social control.

摘要

社会融合和社会支持有望促进身体活动的采用和维持。在一项身体活动干预的背景下,我们区分了三个伴侣状态组,作为社会融合的一个指标。据推测,与伴侣未参与干预的个体或没有亲密伴侣的个体相比,伴侣也参与干预的个体在身体活动方面会受益更多。第二步,研究了三个伴侣状态组中每一组社会支持对身体活动的差异预测模式。该研究涉及302名男性和女性(年龄在60 - 95岁之间),包括两个时间测量点:一个是通过发放宣传册干预来促进身体活动的基线评估,另一个是4周后的随访评估。在伴侣参与干预的参与者中,身体活动随时间大幅增加,而在伴侣未参与干预的个体中身体活动没有变化,单身者也是如此。当夫妻双方一起参与干预时,社会支持与身体活动呈正相关,但在单身者中或伴侣未参与时,社会支持与身体活动呈负相关。当双方伴侣都参与干预时,社会支持似乎对老年人的身体活动有益,这可能反映了共同锻炼或相互的锻炼支持。单身者或伴侣未参与的人不仅活动较少,他们可能还会受到被视为社会控制的误导性支持的阻碍。

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