Examining Potential Psychosocial Mediators in a Physical Activity Intervention for Older Adults

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Abstract

The purpose of this study was to examine psychosocial constructs targeted as potential mediators in a prior physical activity (PA) intervention study. This secondary analysis used data from 102 older adults randomized to one of four conditions—within a 2 (Interpersonal Strategies: yes, no) x 2 (Intrapersonal Strategies: yes, no) factorial design. We tested intervention effects on social support, self-efficacy, self-regulation, and goal attainment, and whether these constructs mediated intervention effects on PA. Participants who received interventions with interpersonal strategies, compared to those who did not, increased their readiness (post-intervention), the self-regulation subscale of self-assessment, and goal attainment (post-intervention, 6-months). Participants who received interventions with intrapersonal strategies, compared to those who did not, increased their social support from family (post-intervention). There was no statistically significant mediation. To understand mechanisms through which interventions increase older adults’ PA and to improve intervention effectiveness, researchers should continue to examine potential psychosocial mediators. Clinical Trial Registry: NCT02433249.

Original languageEnglish (US)
JournalWestern journal of nursing research
DOIs
StateAccepted/In press - Jan 1 2019

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Social Support
Self Efficacy
Registries
Research Personnel
Clinical Trials
Self-Control
Self-Assessment

Keywords

  • older adults
  • physical activity
  • psychosocial mediators

PubMed: MeSH publication types

  • Journal Article

Cite this

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title = "Examining Potential Psychosocial Mediators in a Physical Activity Intervention for Older Adults",
abstract = "The purpose of this study was to examine psychosocial constructs targeted as potential mediators in a prior physical activity (PA) intervention study. This secondary analysis used data from 102 older adults randomized to one of four conditions—within a 2 (Interpersonal Strategies: yes, no) x 2 (Intrapersonal Strategies: yes, no) factorial design. We tested intervention effects on social support, self-efficacy, self-regulation, and goal attainment, and whether these constructs mediated intervention effects on PA. Participants who received interventions with interpersonal strategies, compared to those who did not, increased their readiness (post-intervention), the self-regulation subscale of self-assessment, and goal attainment (post-intervention, 6-months). Participants who received interventions with intrapersonal strategies, compared to those who did not, increased their social support from family (post-intervention). There was no statistically significant mediation. To understand mechanisms through which interventions increase older adults’ PA and to improve intervention effectiveness, researchers should continue to examine potential psychosocial mediators. Clinical Trial Registry: NCT02433249.",
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author = "McMahon, {Siobhan K} and Lewis, {Beth A} and Michael Oakes and Wyman, {Jean F} and Weihua Guan and Rothman, {Alexander J}",
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journal = "Western Journal of Nursing Research",
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AU - Lewis, Beth A

AU - Oakes, Michael

AU - Wyman, Jean F

AU - Guan, Weihua

AU - Rothman, Alexander J

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N2 - The purpose of this study was to examine psychosocial constructs targeted as potential mediators in a prior physical activity (PA) intervention study. This secondary analysis used data from 102 older adults randomized to one of four conditions—within a 2 (Interpersonal Strategies: yes, no) x 2 (Intrapersonal Strategies: yes, no) factorial design. We tested intervention effects on social support, self-efficacy, self-regulation, and goal attainment, and whether these constructs mediated intervention effects on PA. Participants who received interventions with interpersonal strategies, compared to those who did not, increased their readiness (post-intervention), the self-regulation subscale of self-assessment, and goal attainment (post-intervention, 6-months). Participants who received interventions with intrapersonal strategies, compared to those who did not, increased their social support from family (post-intervention). There was no statistically significant mediation. To understand mechanisms through which interventions increase older adults’ PA and to improve intervention effectiveness, researchers should continue to examine potential psychosocial mediators. Clinical Trial Registry: NCT02433249.

AB - The purpose of this study was to examine psychosocial constructs targeted as potential mediators in a prior physical activity (PA) intervention study. This secondary analysis used data from 102 older adults randomized to one of four conditions—within a 2 (Interpersonal Strategies: yes, no) x 2 (Intrapersonal Strategies: yes, no) factorial design. We tested intervention effects on social support, self-efficacy, self-regulation, and goal attainment, and whether these constructs mediated intervention effects on PA. Participants who received interventions with interpersonal strategies, compared to those who did not, increased their readiness (post-intervention), the self-regulation subscale of self-assessment, and goal attainment (post-intervention, 6-months). Participants who received interventions with intrapersonal strategies, compared to those who did not, increased their social support from family (post-intervention). There was no statistically significant mediation. To understand mechanisms through which interventions increase older adults’ PA and to improve intervention effectiveness, researchers should continue to examine potential psychosocial mediators. Clinical Trial Registry: NCT02433249.

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