MOTIVATIONAL INTERVENTION FOR INCREASING PHYSICAL ACTIVITY IN OLDER KOREAN AMERICANS

2.50
Hdl Handle:
http://hdl.handle.net/10755/157401
Type:
Presentation
Title:
MOTIVATIONAL INTERVENTION FOR INCREASING PHYSICAL ACTIVITY IN OLDER KOREAN AMERICANS
Abstract:
MOTIVATIONAL INTERVENTION FOR INCREASING PHYSICAL ACTIVITY IN OLDER KOREAN AMERICANS
Conference Sponsor:Western Institute of Nursing
Conference Year:2010
Author:Yeom, Hye-A, PhD, RN, APRN-BC
P.I. Institution Name:Arizona State University
Title:Claire M. Fagin Postdoctoral Fellow
Contact Address:500 N. 3rd Street, Phoenix, AZ, 85004, USA
Co-Authors:Julie Fleury; Colleen Keller; Michael Belyea
Culturally Tailored Motivational Strategies for Increasing Regular Physical Activity in Older Korean Americans: Challenges and Recommendations
PURPOSE: To describe the development and implementation of a theory-based, culturally-tailored motivational strategy to enhance the initiation of regular physical activity (PA) in older Korean Americans. Specific challenges and recommendations for designing a community-based, culturally-relevant physical activity program for this growing ethnic subgroup will be discussed.
RATIONALE/BACKGROUND: With the increasing racial diversity among geriatric populations, the need for culturally-relevant health promotion interventions has been emphasized as a key public health goal. Older Korean Americans are known to engage in less regular PA than the general US elder population and Korean seniors living in mainland Korea. However, there has been limited PA intervention research on the older Korean Americans and discussion on the strategies to provide them culturally-relevant PA interventions.
METHODS: The study was guided by Wellness Motivation Theory. A total of 64 convenient sample of sedentary older Korean Americans were assigned into a 12-week group physical activity intervention group (n=33) or to a control group (n=31). Intervention was composed of culturally-tailored motivational strategies including moderate intensity walking, social support, empowering education focusing on the creation of social and contextual resources, and motivational support for enhancing skills and resources to initiate and sustain regular physical activity. Outcome measures include the level of physical activity measured using ACSM criteria and level of physical performance measured using Short Physical Performance Battery. Mediating variables include social support, social contextual resources, self-readiness, and self-regulation as well as self-efficacy for exercise.
RESULTS: There was a significant effect of the motivational intervention in increasing the level of physical activity (F = 79.596; p = .000), walking endurance (F = 16.369; p = .000), and flexibility in OKA (F = 15.455; p = .000). However, there was no significant effect of the motivational intervention on balance and walking speed. Adherence rate for the 12-week intervention program was 80% in intervention group and 97% in control group. Reasons for attrition included physical illness, group pressure, interpersonal conflict, and frequent travel/social events. Challenges for implementing the community-based ethnic PA program included participants' difficulty with understanding the concept of research, contamination between intervention and control groups, increased attrition over time, participants' individual differences in knowledge and attitude toward regular PA. Recommendations for future cross-cultural research include consideration of transportation issue in implementing the intervention, a sound community-partnership, the need for focusing on frail older old groups with development of individually tailored motivational strategies, consideration of multi-center trials for minimizing contamination, and making inter-disciplinary approach as well.
IMPLICATIONS/CONCLUSIONS: This study addresses intervention feasibility, acceptability, and the effectiveness of culturally-relevant motivational strategies designed to promote PA in sedentary OKA. Implementing the intervention clarified the challenges as well as useful strategies for designing further community-based ethnic PA intervention research by providing understanding of culturally relevant approaches to enhance regular PA in older Korean Americans.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleMOTIVATIONAL INTERVENTION FOR INCREASING PHYSICAL ACTIVITY IN OLDER KOREAN AMERICANSen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157401-
dc.description.abstract<table><tr><td colspan="2" class="item-title">MOTIVATIONAL INTERVENTION FOR INCREASING PHYSICAL ACTIVITY IN OLDER KOREAN AMERICANS</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Yeom, Hye-A, PhD, RN, APRN-BC</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Arizona State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Claire M. Fagin Postdoctoral Fellow</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">500 N. 3rd Street, Phoenix, AZ, 85004, USA</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">hye.yeom@asu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Julie Fleury; Colleen Keller; Michael Belyea</td></tr><tr><td colspan="2" class="item-abstract">Culturally Tailored Motivational Strategies for Increasing Regular Physical Activity in Older Korean Americans: Challenges and Recommendations <br/>PURPOSE: To describe the development and implementation of a theory-based, culturally-tailored motivational strategy to enhance the initiation of regular physical activity (PA) in older Korean Americans. Specific challenges and recommendations for designing a community-based, culturally-relevant physical activity program for this growing ethnic subgroup will be discussed. <br/>RATIONALE/BACKGROUND: With the increasing racial diversity among geriatric populations, the need for culturally-relevant health promotion interventions has been emphasized as a key public health goal. Older Korean Americans are known to engage in less regular PA than the general US elder population and Korean seniors living in mainland Korea. However, there has been limited PA intervention research on the older Korean Americans and discussion on the strategies to provide them culturally-relevant PA interventions. <br/>METHODS: The study was guided by Wellness Motivation Theory. A total of 64 convenient sample of sedentary older Korean Americans were assigned into a 12-week group physical activity intervention group (n=33) or to a control group (n=31). Intervention was composed of culturally-tailored motivational strategies including moderate intensity walking, social support, empowering education focusing on the creation of social and contextual resources, and motivational support for enhancing skills and resources to initiate and sustain regular physical activity. Outcome measures include the level of physical activity measured using ACSM criteria and level of physical performance measured using Short Physical Performance Battery. Mediating variables include social support, social contextual resources, self-readiness, and self-regulation as well as self-efficacy for exercise. <br/>RESULTS: There was a significant effect of the motivational intervention in increasing the level of physical activity (F = 79.596; p = .000), walking endurance (F = 16.369; p = .000), and flexibility in OKA (F = 15.455; p = .000). However, there was no significant effect of the motivational intervention on balance and walking speed. Adherence rate for the 12-week intervention program was 80% in intervention group and 97% in control group. Reasons for attrition included physical illness, group pressure, interpersonal conflict, and frequent travel/social events. Challenges for implementing the community-based ethnic PA program included participants' difficulty with understanding the concept of research, contamination between intervention and control groups, increased attrition over time, participants' individual differences in knowledge and attitude toward regular PA. Recommendations for future cross-cultural research include consideration of transportation issue in implementing the intervention, a sound community-partnership, the need for focusing on frail older old groups with development of individually tailored motivational strategies, consideration of multi-center trials for minimizing contamination, and making inter-disciplinary approach as well. <br/>IMPLICATIONS/CONCLUSIONS: This study addresses intervention feasibility, acceptability, and the effectiveness of culturally-relevant motivational strategies designed to promote PA in sedentary OKA. Implementing the intervention clarified the challenges as well as useful strategies for designing further community-based ethnic PA intervention research by providing understanding of culturally relevant approaches to enhance regular PA in older Korean Americans.<br/></td></tr></table>en_GB
dc.date.available2011-10-26T19:50:23Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T19:50:23Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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