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Walker TJ, Heredia NI, Reininger BM. Examining the Validity, Reliability, and Measurement Invariance of the Social Support for Exercise Scale among Spanish- and English- language Hispanics. HISPANIC JOURNAL OF BEHAVIORAL SCIENCES 2019; 41:427-443. [PMID: 32536744 PMCID: PMC7291866 DOI: 10.1177/0739986319854144] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The Social Support for Exercise Subscales are commonly used among Hispanic populations. The aims of this study were to test the validity and reliability of the Spanish-language version of the Social Support for Exercise Subscales, and test the invariance of the Spanish- and English-language versions. Data were from a subsample of Hispanic adults in the Cameron County Hispanic Cohort (n=1,447). A series of confirmatory factor analysis (CFA) models were used to assess the validity and reliability of the Spanish-language version of the subscales. A multi group CFA approach was used to test measurement invariance. Results indicated the Spanish-language versions of family and friend support subscales had good validity and reliability (RMSEA<.07, CFI>0.95, TLI>0.94, and SRMR<0.05). There was also evidence of measurement invariance between the Spanish- and English-language versions. These findings indicate the Spanish-language family and friend support subscales are valid and can be compared between Spanish- and English-language Hispanic respondents.
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Affiliation(s)
- Timothy J Walker
- The University of Texas Health Science Center at Houston, School of Public Health, Department of Health Promotion & Behavioral Sciences, Center for Health Promotion and Prevention Research
| | - Natalia I Heredia
- The University of Texas MD Anderson Cancer Center, Department of Health Disparities Research, Houston TX
| | - Belinda M Reininger
- The University of Texas Health Science Center at Houston, School of Public Health, Brownsville Regional Campus, Department of Health Promotion and Behavioral Sciences, Brownsville TX
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Kooijmans H, Post MWM, Stam HJ, van der Woude LHV, Spijkerman DCM, Snoek GJ, Bongers-Janssen HMH, van Koppenhagen CF, Twisk JW, Bussmann JBJ. Effectiveness of a Self-Management Intervention to Promote an Active Lifestyle in Persons With Long-Term Spinal Cord Injury: The HABITS Randomized Clinical Trial. Neurorehabil Neural Repair 2018; 31:991-1004. [PMID: 29256337 DOI: 10.1177/1545968317736819] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
BACKGROUND Most people with long-term spinal cord injury (SCI) have a very inactive lifestyle. Higher activity levels have been associated with health benefits and enhanced quality of life. Consequently, encouraging an active lifestyle is important and behavioral interventions are needed to establish durable lifestyle changes. OBJECTIVE The Healthy Active Behavioral Intervention in SCI (HABITS) study was aimed to evaluate the effectiveness of a structured self-management intervention to promote an active lifestyle in inactive persons with long-term SCI. METHODS This assessor-blinded randomized controlled trial was conducted at 4 specialized SCI units in the Netherlands. Sixty-four individuals with long-term SCI (>10 years), wheelchair-user and physically inactive, were included. Participants were randomized to either a 16-week self-management intervention consisting of group meetings and individual counseling and a book, or to a control group that only received information about active lifestyle by one group meeting and a book. Measurements were performed at baseline, 16 weeks, and 42 weeks. Primary outcome measures were self-reported physical activity and minutes per day spent in wheelchair driving. Secondary outcomes included perceived behavioral control (exercise self-efficacy, proactive coping), stages of change concerning exercise, and attitude toward exercise. RESULTS Mixed models analyses adjusted for age, sex, level of SCI, time since injury, baseline body mass index, and location did not show significant differences between the intervention and control groups on the primary and secondary outcomes ( P ≥ .05). CONCLUSIONS A structured 16-week self-management intervention was not effective to change behavior toward a more active lifestyle and to improve perceived behavioral control, stages of change, and attitude.
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Affiliation(s)
- Hedwig Kooijmans
- 1 Erasmus MC University Medical Center Rotterdam, Rotterdam, Netherlands
| | - Marcel W M Post
- 2 University Medical Center Utrecht and De Hoogstraat, Utrecht, Netherlands.,3 University of Groningen, University Medical Center Groningen, Groningen, Netherlands
| | - Henk J Stam
- 1 Erasmus MC University Medical Center Rotterdam, Rotterdam, Netherlands
| | | | | | - Govert J Snoek
- 5 Roessingh Rehabilitation Center, Enschede, Netherlands
| | | | | | - Jos W Twisk
- 8 VU University Medical Center, Amsterdam, Netherlands
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Alingh RA, Hoekstra F, van der Schans CP, Hettinga FJ, Dekker R, van der Woude LHV. Protocol of a longitudinal cohort study on physical activity behaviour in physically disabled patients participating in a rehabilitation counselling programme: ReSpAct. BMJ Open 2015; 5:e007591. [PMID: 25633288 PMCID: PMC4316554 DOI: 10.1136/bmjopen-2015-007591] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
INTRODUCTION Stimulating physical activity behaviour in persons with a physical disability is important, especially after discharge from rehabilitation. A tailored counselling programme covering both the period of the rehabilitation treatment and the first months at home seems on the average effective. However, a considerable variation in response is observed in the sense that some patients show a relevant beneficial response while others show no or only a small response on physical activity behaviour. The Rehabilitation, Sports and Active lifestyle (ReSpAct) study aims to estimate the associations of patient and programme characteristics with patients' physical activity behaviour after their participation in a tailored counselling programme. METHODS AND ANALYSIS A questionnaire-based nationwide longitudinal prospective cohort study is conducted. Participants are recruited from 18 rehabilitation centres and hospitals in The Netherlands. 2000 participants with a physical disability or chronic disease will be followed during and after their participation in a tailored counselling programme. Programme outcomes on physical activity behaviour and patient as well as programme characteristics that may be associated with differences in physical activity behaviour after programme completion are being assessed. Data collection takes place at baseline and 14, 33 and 52 weeks after discharge from rehabilitation. ETHICS AND DISSEMINATION The study protocol has been approved by the Medical Ethics Committee of the University Medical Centre Groningen and at individual participating institutions. All participants give written informed consent. The study results will provide new insights into factors that may help explain the differences in physical activity behaviour of patients with a physical disability after they have participated in the same physical activity and sports stimulation programme. Thereby, it will support healthcare professionals to tailor their guidance and care to individual patients in order to stimulate physical activity after discharge in a more efficient and effective way. TRIAL REGISTRATION NUMBER NTR3961.
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Affiliation(s)
- Rolinde A Alingh
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, TheNetherlands
- Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Femke Hoekstra
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, TheNetherlands
- Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Cees P van der Schans
- Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
- Research and Innovation Group in Health Care and Nursing, Hanze University of Applied Sciences, Groningen, The Netherlands
| | - Florentina J Hettinga
- Centre of Sport and Exercise Science, School of Biological Sciences, University of Essex, Colchester, UK
| | - Rienk Dekker
- Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
- Center for Sports Medicine, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
| | - Lucas H V van der Woude
- Center for Human Movement Sciences, University Medical Center Groningen, University of Groningen, Groningen, TheNetherlands
- Department of Rehabilitation Medicine, Center for Rehabilitation, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
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Parental mental health moderates the efficacy of exercise training on health-related quality of life in adolescents with congenital heart disease. Pediatr Cardiol 2015; 36:33-40. [PMID: 25077662 DOI: 10.1007/s00246-014-0961-z] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/22/2013] [Accepted: 07/02/2014] [Indexed: 01/23/2023]
Abstract
To evaluate the moderating influence of parental variables on changes in health-related quality of life (HRQoL) in adolescents with Tetralogy of Fallot (ToF) or a Fontan circulation after participation in standardized exercise training. A multicenter randomized controlled trail in which 56 patients, aged 10-15, were randomly allocated (stratified by age, gender, and congenital heart disease) to a 12-week period with either: (a) 3 times per week standardized exercise training or (b) care-as-usual (randomization ratio 2:1). Adolescents and their parents filled in online questionnaires at baseline and at 12-week follow-up. In this randomized controlled trail, primary analyses involved influence of parental mental health and parental social support for exercise on changes in the TNO/AZL Child Quality of Life Questionnaire Child Form at follow-up. Secondary analyses concerned comparing levels of parental characteristics with normative data. Compared with controls, adolescents in the exercise group reported a decrease in social functioning when their parents had more anxiety/insomnia or severe depression themselves. Adolescents also reported a decrease in social functioning when their parents showed poorer overall mental health themselves. Parents reported comparable or even better mental health compared with normative data. The effect of a standardized exercise program on HRQoL changes in adolescents with ToF or a Fontan circulation is moderated by parental mental health, more specifically by parental anxiety/insomnia and severe depression. The trial registration number of this article is NTR2731 ( www.trialregister.nl ).
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Slaman J, van den Berg-Emons HJG, van Meeteren J, Twisk J, van Markus F, Stam HJ, van der Slot WM, Roebroeck ME. A lifestyle intervention improves fatigue, mental health and social support among adolescents and young adults with cerebral palsy: focus on mediating effects. Clin Rehabil 2014; 29:717-27. [DOI: 10.1177/0269215514555136] [Citation(s) in RCA: 27] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2014] [Accepted: 09/20/2014] [Indexed: 11/15/2022]
Abstract
Objective: To evaluate the effect of a lifestyle intervention on fatigue, participation, quality of life, gross motor functioning, motivation, self-efficacy and social support, and to explore mediating effects of physical behavior and physical fitness. Design: A randomized controlled trial with intention to treat analysis. Setting: Rehabilitation centers in university hospitals in the Netherlands. Subjects: Adolescents and young adults with spastic cerebral palsy. Interventions: A six-month lifestyle intervention that consisted of physical fitness training combined with counseling sessions focused on physical behavior and sports participation. Main measures: Fatigue, social participation, quality of life and gross motor functioning. Results: The lifestyle intervention was effective in decreasing fatigue severity during the intervention (difference = –6.72, p = 0.02) and in increasing health-related quality of life with respect to bodily pain (difference = 15.14, p = 0.01) and mental health (difference = 8.80, p = 0.03) during follow-up. Furthermore, the domain participation and involvement of the social support increased during both the intervention (difference = 5.38, p = 0.04) and follow-up (difference = 4.52, p = 0.03) period. Physical behavior or physical fitness explained the observed effects for 22.6%, 9.7% and 28.1% of improvements on fatigue, bodily pain and mental health, but had little effect on social support (2.6%). Interpretation: Fatigue, bodily pain, mental health and social support can be improved using a lifestyle intervention among adolescents and young adults with cerebral palsy. Furthermore, substantial mediating effects were found for physical behavior and physical fitness on fatigue, bodily pain and mental health.
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Affiliation(s)
- J Slaman
- Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
- Rijndam Rehabilitation Center, Rotterdam, The Netherlands
| | - HJG van den Berg-Emons
- Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - J van Meeteren
- Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | - J Twisk
- Department of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam, The Netherlands
| | - F van Markus
- Sophia Rehabilitation, The Hague, The Netherlands
| | - HJ Stam
- Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
| | | | - ME Roebroeck
- Department of Rehabilitation Medicine, Erasmus University Medical Center, Rotterdam, The Netherlands
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Hartman JE, Boezen HM, de Greef MH, Ten Hacken NH. Physical and psychosocial factors associated with physical activity in patients with chronic obstructive pulmonary disease. Arch Phys Med Rehabil 2013; 94:2396-2402.e7. [PMID: 23872081 DOI: 10.1016/j.apmr.2013.06.029] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/16/2013] [Revised: 06/25/2013] [Accepted: 06/26/2013] [Indexed: 11/19/2022]
Abstract
OBJECTIVES To assess physical activity and sitting time in patients with chronic obstructive pulmonary disease (COPD) and to investigate which physical and psychosocial factors are associated with physical activity and sitting time. DESIGN Cross-sectional study. SETTING Patients were recruited at outpatient clinics of general hospitals and from general practitioners. PARTICIPANTS Patients (N=113) with mild to very severe COPD. INTERVENTIONS Not applicable. MAIN OUTCOME MEASURES Physical activity and sitting time were measured with a triaxial accelerometer (24h/d). RESULTS Mean locomotion time per 24 hours was 6.8% (range, 0.7%-20.4%). Elevated physical activity was independently associated with higher self-efficacy, higher functional exercise capacity, and lower lung hyperinflation. Decreased physical activity was strongest in more severe stages of COPD, in which the patients were mainly limited by physical disease-specific factors (higher lung hyperinflation, worse dyspnea severity, worse leg muscle function, and oxygen use). In less severe patients, physical activity was independently associated with more generic factors (higher self-efficacy and the spring/summer season). Sitting time did not differ between severity stages, and longer sitting time in the total group was independently associated with more positive perception of treatment control, less autonomous motivation to exercise, not using sleep medication, and oxygen use. CONCLUSIONS Both physical and psychosocial factors were associated with physical activity in patients with COPD. The factors associated with physical activity differed between disease severity stages, raising the question of whether physical activity enhancement programs should differ as well. Sitting time should be investigated further.
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Affiliation(s)
- Jorine E Hartman
- Department of Pulmonary Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Groningen Research Institute for Asthma and COPD, Groningen, The Netherlands
| | - H Marike Boezen
- University of Groningen, University Medical Center Groningen, Groningen Research Institute for Asthma and COPD, Groningen, The Netherlands; Department of Epidemiology, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Mathieu H de Greef
- Department of Human Movement Sciences, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Nick H Ten Hacken
- Department of Pulmonary Diseases, University of Groningen, University Medical Center Groningen, Groningen, The Netherlands; University of Groningen, University Medical Center Groningen, Groningen Research Institute for Asthma and COPD, Groningen, The Netherlands.
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Kooijmans H, Post MWM, van der Woude LHV, de Groot S, Stam HJ, Bussmann JBJ. Randomized controlled trial of a self-management intervention in persons with spinal cord injury: design of the HABITS (Healthy Active Behavioural Intervention in SCI) study. Disabil Rehabil 2012; 35:1111-8. [PMID: 23033846 DOI: 10.3109/09638288.2012.718406] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/09/2023]
Abstract
PURPOSE To evaluate the effectiveness of a 16-week self-management intervention on physical activity level and self-management skills (self-efficacy, proactive coping and problem solving skills) in persons with chronic SCI. METHOD AND DESIGN Multicenter randomized controlled trial (RCT). Eighty persons with a SCI for at least 10 years and aged 18 to 65 will randomly be assigned to the intervention (self-management) or the control group (information provision). During the 16-week self-management intervention (one home-visit, five group and five individual sessions) active lifestyle will be stimulated and self-management skills will be taught. Data will be collected at baseline (T0), 16 (T1) and 42 (T2) weeks after baseline. Primary outcome measure is level of daily physical activity (self-report/objectively measured). Secondary outcome measures are self-managements skills, stage of behaviour change and attitude. CONCLUSION This is the first RCT on self-management in people with chronic spinal cord injury. This trial will provide knowledge on the effects of a self-management intervention on physical active lifestyle in persons with a long-term SCI.
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Affiliation(s)
- H Kooijmans
- Department of Rehabilitation Medicine and Physical Therapy, Erasmus MC University Medical Center, Rotterdam, The Netherlands.
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Slaman J, Roebroeck ME, van Meeteren J, van der Slot WM, Reinders-Messelink HA, Lindeman E, Stam HJ, van den Berg-Emons RJ. Learn 2 Move 16-24: effectiveness of an intervention to stimulate physical activity and improve physical fitness of adolescents and young adults with spastic cerebral palsy; a randomized controlled trial. BMC Pediatr 2010; 10:79. [PMID: 21054829 PMCID: PMC2992500 DOI: 10.1186/1471-2431-10-79] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/06/2010] [Accepted: 11/05/2010] [Indexed: 11/21/2022] Open
Abstract
Background Persons with cerebral palsy (CP) are at risk for developing an inactive lifestyle and often have poor fitness levels, which may lead to secondary health complications and diminished participation and quality of life. However, persons with CP also tend not to receive structural treatment to improve physical activity and fitness in adolescence, which is precisely the period when adult physical activity patterns are established. Methods We aim to include 60 adolescents and young adults (16-24 years) with spastic CP. Participants will be randomly assigned to an intervention group or a control group (no treatment; current policy). The intervention will last 6 months and consist of three parts; 1) counselling on daily physical activity; 2) physical fitness training; and 3) sports advice. To evaluate the effectiveness of the intervention, all participants will be measured before, during, directly after, and at 6 months following the intervention period. Primary outcome measures will be: 1) physical activity level, which will be measured objectively with an accelerometry-based activity monitor during 72 h and subjectively with the Physical Activity Scale for Individuals with Physical Disabilities; 2) aerobic fitness, which will be measured with a maximal ramp test on a bicycle or armcrank ergometer and a 6-minute walking or wheelchair test; 3) neuromuscular fitness, which will be measured with handheld dynamometry; and 4 body composition, which will be determined by measuring body mass, height, waist circumference, fat mass and lipid profile. Conclusions This paper outlines the design, methodology and intervention of a multicenter randomized controlled trial (LEARN 2 MOVE 16-24) aimed at examining the effectiveness of an intervention that is intended to permanently increase physical activity levels and improve fitness levels of adolescents and young adults with CP by achieving a behavioral change toward a more active lifestyle. Trial registration Dutch Trial Register; NTR1785
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Affiliation(s)
- Jorrit Slaman
- Department of Rehabilitation Medicine and Physical Therapy, Erasmus MC, University Medical Center, Rotterdam, The Netherlands.
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van den Akker-Scheek I, Stevens M, Spriensma A, van Horn JR. Groningen Orthopaedic Social Support Scale: validity and reliability. J Adv Nurs 2004; 47:57-63. [PMID: 15186468 DOI: 10.1111/j.1365-2648.2004.03065.x] [Citation(s) in RCA: 16] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
BACKGROUND Social support is an important factor in the rehabilitation process, as it has a positive influence on patients' health, functioning and recovery. In particular, perceived social support and instrumental support are important after total hip or knee arthroplasty. However, nursing staff often appear to estimate the amount of support available to patients by number of visitors. Until now, no suitable Dutch-language scale was available to measure social support in orthopaedic patients. AIM The aim of this paper is to describe the development and initial validity and reliability testing of the Groningen Orthopaedic Social Support Scale, a self-report questionnaire to measure social support in patients after total hip or knee arthroplasty. METHODS A total of 119 people who had had arthroplasty completed the Groningen Orthopaedic Social Support Scale and a control scale. The reliability and validity of the questionnaire were analysed. RESULTS Reliability of the Groningen Orthopaedic Social Support Scale can be considered satisfactory, with a Cronbach's alpha of 0.89. Analysis of construct validity by means of factor analysis yielded two factors: perceived social support and instrumental support. A Pearson's correlation between these subscales was moderate (r = 0.61 and statistically significant). Concurrent validity can be considered satisfactory, with a Pearson correlation of 0.72 (P < 0.001) between the Groningen Orthopaedic Social Support Scale and the control list. CONCLUSIONS The Groningen Orthopaedic Social Support Scale can be considered suitable for measuring social support. It can be used to help nursing staff determine if a patient's need for social support is fulfilled, and to advise family and friends on the basis of the results. The questionnaire can also be used to establish the role of social support as a factor in supportive interventions during and after hospital stay.
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Stevens M, Lemmink KA, de Greef MH, Rispens P. Groningen active living model (GALM): stimulating physical activity in sedentary older adults; first results. Prev Med 2000; 31:547-53. [PMID: 11071835 DOI: 10.1006/pmed.2000.0739] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
BACKGROUND A significant proportion of older adults in The Netherlands does not regularly participate in leisure-time physical activity. The Groningen Active Living Model (GALM) was developed to change this situation for the better. In this article the first results with respect to the validation of the model are presented. METHODS We obtained cross-sectional data from a sample of 392 potential participants. Scores on the potentially causal variables (self-efficacy, social support, perceived fitness, and enjoyment) and the stages of change give a first indication of the potential validity of the GALM behavioral change model. RESULTS Seventeen percent of the subjects could be categorized as in the precontemplation stage, 42% in the contemplation/preparation stage, and 39% in the action/maintenance stage. Data with respect to stages of change were missing for 2% of the subjects. Scores on all potentially causal variables rose significantly from the precontemplation to the action/maintenance stage. Discriminant analysis resulted in a canonical correlation of 0.58 between the precontemplation and the contemplation/preparation stages and 0.59 between the contemplation/preparation and action/maintenance stages; respectively, 82.6 and 78.3% of the subjects had been classified correctly. CONCLUSIONS The results found in this study support our hypothesis, as described in the conceptual theory of the GALM behavioral change model. For a more comprehensive validation of the model's action theory and conceptual theory, follow-up measurements are required.
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Affiliation(s)
- M Stevens
- Institute of Human Movement Sciences, University of Groningen, 9700 AD Groningen, The Netherlands.
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