Factors Related to Long-Term Adherence to Regular Exercise in Older Women Post Hip Fracture

2.50
Hdl Handle:
http://hdl.handle.net/10755/155109
Type:
Presentation
Title:
Factors Related to Long-Term Adherence to Regular Exercise in Older Women Post Hip Fracture
Abstract:
Factors Related to Long-Term Adherence to Regular Exercise in Older Women Post Hip Fracture
Conference Sponsor:Sigma Theta Tau International
Conference Year:2008
Author:Inguito, Pia L., RN
P.I. Institution Name:University of Delaware
Title:Instructor
[Research Paper or Poster Presentation] Background Older women are most likely to sustain hip fractures and least likely to exercise. Understanding factors related to exercise behavior will guide the development of relevant nursing interventions to increase long-term adherence to regular exercise which may improve their recovery. Purpose The purpose of this study was to test a hypothesized model of exercise behavior in older women post hip fracture who participated in the Exercise Plus Program. Methods A descriptive, correlational study was conducted on a convenience sample of 101 older women age 65 and older who was 1 to 4 years post-hip fracture and consented to a one time telephone follow-up interview. Results Majority was white, mean age of 80(7.6), widowed, and had high school education. Path analysis revealed 8 of 32 paths were statistically significant and 32% of the variance in exercise behavior was explained by variables in hypothesized model. Self-efficacy, pain, and social support had direct effects on exercise behavior. Education, fear of falling, and resilience had indirect effects on exercise behavior and stage of change through self-efficacy. All 8 paths remained statistically significant and 26% of the variance in exercise behavior was explained by variables in trimmed model. Model comparison showed no improvement in model fit. Chi-square/df ratio for the hypothesized model was 1.4 and for the trimmed model, 1.2. Both models indicated good fit with X2 diff of 1.6, CFI >.9 and RMSEA Conclusions This study supports the growing evidence that self-efficacy expectations exert an influence on older adults' exercise behavior. Limitations of the study were it was descriptive, used a convenience sample, and obtained self-report measures. Further research focusing on interventions that increase self-efficacy expectations, resilience, and social support; decrease pain and fear of falling; and provide pertinent education related to exercise after hip fracture needs to be developed.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleFactors Related to Long-Term Adherence to Regular Exercise in Older Women Post Hip Fractureen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155109-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Factors Related to Long-Term Adherence to Regular Exercise in Older Women Post Hip Fracture</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Inguito, Pia L., RN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">University of Delaware</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Instructor</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">pia@udel.edu</td></tr><tr><td colspan="2" class="item-abstract">[Research Paper or Poster Presentation] Background Older women are most likely to sustain hip fractures and least likely to exercise. Understanding factors related to exercise behavior will guide the development of relevant nursing interventions to increase long-term adherence to regular exercise which may improve their recovery. Purpose The purpose of this study was to test a hypothesized model of exercise behavior in older women post hip fracture who participated in the Exercise Plus Program. Methods A descriptive, correlational study was conducted on a convenience sample of 101 older women age 65 and older who was 1 to 4 years post-hip fracture and consented to a one time telephone follow-up interview. Results Majority was white, mean age of 80(7.6), widowed, and had high school education. Path analysis revealed 8 of 32 paths were statistically significant and 32% of the variance in exercise behavior was explained by variables in hypothesized model. Self-efficacy, pain, and social support had direct effects on exercise behavior. Education, fear of falling, and resilience had indirect effects on exercise behavior and stage of change through self-efficacy. All 8 paths remained statistically significant and 26% of the variance in exercise behavior was explained by variables in trimmed model. Model comparison showed no improvement in model fit. Chi-square/df ratio for the hypothesized model was 1.4 and for the trimmed model, 1.2. Both models indicated good fit with X2 diff of 1.6, CFI &gt;.9 and RMSEA Conclusions This study supports the growing evidence that self-efficacy expectations exert an influence on older adults' exercise behavior. Limitations of the study were it was descriptive, used a convenience sample, and obtained self-report measures. Further research focusing on interventions that increase self-efficacy expectations, resilience, and social support; decrease pain and fear of falling; and provide pertinent education related to exercise after hip fracture needs to be developed.</td></tr></table>en_GB
dc.date.available2011-10-26T13:32:51Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:32:51Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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