Arkkukangas Marina, Söderlund Anne, Eriksson Staffan, Johansson Ann-Christin
J Aging Phys Act. 2018 Jul 1;26(3):390-395. doi: 10.1123/japa.2017-0009. Epub 2018 Jun 9.
This study investigated if behavioral factors, treatment with behavioral support, readiness to change, fall self-efficacy, and activity habits could predict long-term adherence to an exercise program. Included in this study were 114 community-dwelling older adults who had participated in one of two home-based exercise interventions. Behavioral factors associated with adherence to the exercise program over 52 weeks were analyzed. The behavioral factors, specifically activity habits at baseline, significantly predicted adherence to the exercise program, with an odds ratio = 3.39, 95% confidence interval [1.38, 8.32], for exercise and an odds ratio = 6.11, 95% confidence interval [2.34, 15.94], for walks. Being allocated to a specific treatment including motivational interviewing was also significantly predictive: odds ratio = 2.47, 95% confidence interval [1.11, 5.49] for exercise adherence. In conclusion, activity habits and exercise in combination with motivational interviewing had a significant association with adherence to the exercise program at a 1-year follow-up.
本研究调查了行为因素、行为支持治疗、改变意愿、跌倒自我效能以及活动习惯是否能够预测对一项锻炼计划的长期坚持情况。本研究纳入了114名参与了两种居家锻炼干预措施之一的社区居住老年人。分析了与52周内坚持锻炼计划相关的行为因素。行为因素，特别是基线时的活动习惯，显著预测了对锻炼计划的坚持情况，锻炼的比值比为3.39，95%置信区间为[1.38, 8.32]，散步的比值比为6.11，95%置信区间为[2.34, 15.94]。被分配到包括动机性访谈在内的特定治疗组也具有显著的预测性：锻炼坚持的比值比为2.47，95%置信区间为[1.11, 5.49]。总之，活动习惯和锻炼与动机性访谈相结合，在1年随访时与坚持锻炼计划存在显著关联。
