Sage Journals: Discover world-class research

Abstract

Purpose:

To estimate changes in self-reported health and psychosocial factors associated with a 12-week sedentary behavior intervention for older adults.

Design:

Exploratory secondary analysis of pilot randomized controlled trial.

Setting:

Kaiser Permanente Washington

Subjects:

Sixty adults aged 60 to 89 with body mass index ≥30 kg/m².

Intervention:

Participants were randomized to the I-STAND intervention or control group. I-STAND involved 6 coaching sessions, a study workbook, Jawbone UP activity tracker to prompt breaks from sitting, and activPAL feedback on objective sitting time.

Measures:

At baseline and 12-week follow-up, participants completed a survey with validated measures of self-reported health outcomes (depression, stress, memory/concentration, sleep, pain, ability to do daily activities, energy, and quality of life) and modified scales measuring psychosocial factors (perceived benefits/barriers, social support, self-efficacy, and sedentary habit strength) regarding sedentary behavior.

Analysis:

Generalized linear models assessed associations between group assignment and change in each self-reported health and psychosocial score, adjusting for baseline scores.

Results:

I-STAND participants demonstrated improvements in self-efficacy (β = 0.35, 95% confidence interval [CI]: 0.10 to 0.60) and reduced habit strength (β= −0.23, 95% CI: −0.42 to −0.04) compared to control participants. There were no significant differences in self-reported health outcomes, although power was limited in this exploratory analysis.

Conclusion:

A sedentary behavior reduction intervention for older adults resulted in improvements for some psychosocial factors. Health outcomes may require longer than 12 weeks to observe improvements.

Keywords

sedentary behavior sitting older adults seniors elderly psychosocial self-efficacy habit habit formation wearables inclinometer

Get full access to this article

View all access options for this article.

References

Matthews

Chen

Freedson

et al. Amount of time spent in sedentary behaviors in the United States, 2003-2004. Am J Epidemiol. 2008;167(7):875–881.

Yates

Wilmot

Davies

et al.

Sedentary behavior: what’s in a definition?

Am J Prev Med. 2011;40(6):e33–e34; author reply e34.

Biswas

Faulkner

et al. Sedentary time and its association with risk for disease incidence, mortality, and hospitalization in adults: a systematic review and meta-analysis. Ann Intern Med. 2015;162(2):123–132.

Chang

Fritschi

Kim

. Sedentary behavior, physical activity, and psychological health of Korean older adults with hypertension: effect of an empowerment intervention. Res Gerontol Nurs. 2013;6(2):81–88.

Fitzsimons

Kirk

Baker

Michie

Kane

Mutrie

. Using an individualised consultation and activPAL feedback to reduce sedentary time in older Scottish adults: results of a feasibility and pilot study. Prev Med. 2013;57(5):718–720.

Gardiner

Eakin

Healy

Owen

. Feasibility of reducing older adults’ sedentary time. Am J Prev Med. 2011;41(2):174–177.

Kerr

Takemoto

Bolling

et al. Two-arm randomized pilot intervention trial to decrease sitting time and increase sit-to-stand transitions in working and non-working older adults. PLoS One. 2016;11(1):e0145427.

Lewis

Rowlands

Gardiner

Standage

English

Olds

. Small steps: preliminary effectiveness and feasibility of an incremental goal-setting intervention to reduce sitting time in older adults. Maturitas. 2016;85:64–70.

Maher

Sliwinski

Conroy

. Feasibility and preliminary efficacy of an intervention to reduce older adults’ sedentary behavior. Transl Behav Med. 2017;7(1):52–61.

10.

Rosenberg

Gell

Jones

et al. The feasibility of reducing sitting time in overweight and obese older adults. Health Educ Behav. 2015;42(5):669–676.

11.

Dogra

Stathokostas

. Sedentary behavior and physical activity are independent predictors of successful aging in middle-aged and older adults. J Aging Res. 2012;2012:190654.

12.

de Rezende

Rey-Lopez

Matsudo

do Carmo Luiz

. Sedentary behavior and health outcomes among older adults: a systematic review. BMC Public Health. 2014;14:333.

13.

Copeland

Ashe

Biddle

et al. Sedentary time in older adults: a critical review of measurement, associations with health, and interventions. Br J Sports Med. 2017;51(21):1539–1539.

14.

French

Olander

Chisholm

Mc Sharry

. Which behaviour change techniques are most effective at increasing older adults’ self-efficacy and physical activity behaviour? A systematic review. Ann Behav Med. 2014;48(2):225–234.

15.

Rosenberg

Lee

Anderson

et al. Reducing sedentary time for obese older adults: protocol for a randomized controlled trial. JMIR Res Protoc. 2018;7(2):e23.

16.

Bandura

. Social Foundations of thought and Action: A Social Cognitive Theory. Englewood Cliffs, NJ: Prentice-Hall; 1986.

17.

Sallis

Owen

Fisher

. Ecological models of health behavior. In: Glanz

Rimmer

Vinswanath

, eds. Health Behavior and Health Education. 4th ed. San Francisco, CA: Jossey-Bass; 2008:465–485.

18.

Lally

Wardle

Gardner

. Experiences of habit formation: a qualitative study. Psychol Health Med. 2011;16(4):484–489.

19.

Kroenke

Strine

Spitzer

Williams

Berry

Mokdad

. The PHQ-8 as a measure of current depression in the general population. J Affect Disord. 2009;114(1-3):163–173.

20.

Ezzati

Jiang

Katz

Sliwinski

Zimmerman

Lipton

. Validation of the perceived stress scale in a community sample of older adults. Int J Geriatr Psychiatry. 2014;29(6):645–652.

21.

Broadbent

Cooper

FitzGerald

Parkes

. The Cognitive Failures Questionnaire (CFQ) and its correlates. Br J Clin Psychol. 1982;21(Pt 1):1–16.

22.

Buysse

Germain

et al. Development of short forms from the PROMIS™ sleep disturbance and sleep-related impairment item banks. Behav Sleep Med. 2012;10(1):6–24.

23.

Amtmann

Cook

Jensen

et al. Development of a PROMIS item bank to measure pain interference. Pain. 2010;150(1):173–182.

24.

Haley

Jette

Coster

et al. Late life function and disability instrument: II. Development and evaluation of the function component. J Gerontol A Biol Sci Med Sci. 2002;57(4): M217–222.

25.

Ware

Jr Sherbourne

. The MOS 36-item short-form health survey (SF-36). I. Conceptual framework and item selection. Med Care. 1992;30(6):473–483.

26.

Hays

Bjorner

Revicki

Spritzer

Cella

. Development of physical and mental health summary scores from the patient-reported outcomes measurement information system (PROMIS) global items. Qual Life Res. 2009;18(7):873–880.

27.

Sechrist

Walker

Pender

. Development and psychometric evaluation of the exercise benefits/barriers scale. Res Nurs Health. 1987;10(6):357–365.

28.

Sallis

Grossman

Pinski

Patterson

Nader

. The development of scales to measure social support for diet and exercise behaviors. Prev Med. 1987;16(6):825–836.

29.

Sallis

Pinski

Grossman

Patterson

Nader

. The development of self-efficacy scales for healthrelated diet and exercise behaviors. Health Educ Res. 1988;3(3):283–292.

30.

Verplanken

Orbell

. Reflections on past behavior: a self-report index of habit strength. J Appl Soc Psychol. 2003;33(6):1313–1330.

31.

Gliem

. Calculating, interpreting, and reporting Cronbach’s alpha reliability coefficient for Likert-type scales. In: Proceedings of the Midwest Research to Practice Conference in Adult, Continuing and Community Education, pp. 82–88. Columbus, Ohio, USA: Ohio State University, 2003.

32.

Cohen

. Statistical Power Analysis for the Behavioral Sciences. 2nd ed. Hillsdale, NJ: Erlbaum; 1988.

33.

StataCorp. Stata Statistical Software: Release 15. College Station, TX: StataCorp LLC; 2017.

Supplementary Material

Please find the following supplemental material available below.

For Open Access articles published under a Creative Commons License, all supplemental material carries the same license as the article it is associated with.

For non-Open Access articles published, all supplemental material carries a non-exclusive license, and permission requests for re-use of supplemental material or any part of supplemental material shall be sent directly to the copyright owner as specified in the copyright notice associated with the article.

0.00 MB

0.12 MB

0.07 MB

Changes in Self-Reported Health and Psychosocial Outcomes in Older Adults Enrolled in Sedentary Behavior Intervention Study

Abstract

Purpose:

Design:

Setting:

Subjects:

Intervention:

Measures:

Analysis:

Results:

Conclusion:

Keywords

Get full access to this article

References

Supplementary Material