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11-07-2015

Impact of a brief intervention on self-regulation, self-efficacy and physical activity in older adults with type 2 diabetes

Auteurs: Erin A. Olson, Edward McAuley

Gepubliceerd in: Journal of Behavioral Medicine | Uitgave 6/2015

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Abstract

Despite evidence of the benefits of physical activity, most individuals with type 2 diabetes do not meet physical activity recommendations. The purpose of this study was to test the efficacy of a brief intervention targeting self-efficacy and self-regulation to increase physical activity in older adults with type 2 diabetes. Older adults (Mage = 61.8 ± 6.4) with type 2 diabetes or metabolic syndrome were randomized into a titrated physical activity intervention (n = 58) or an online health education course (n = 58). The intervention included walking exercise and theory-based group workshops. Self-efficacy, self-regulation and physical activity were assessed at baseline, post-intervention, and a follow-up. Results indicated a group by time effect for self-regulation [F(2,88) = 14.021, p < .001, η 2 = .24] and self-efficacy [F(12,77) = 2.322, p < .05, η 2 = .266] with increases in the intervention group. The intervention resulted in short-term increases in physical activity (d = .76, p < .01), which were partially maintained at the 6-month follow-up (d = .35, p < .01). The intervention increased short-term physical activity but was not successful at maintaining increases in physical activity. Similar intervention effects were observed in self-efficacy and self-regulation. Future research warrants adjusting intervention strategies to increase long-term change.
Literatuur
go back to reference Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. New Jersey: Prentice Hall. Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. New Jersey: Prentice Hall.
go back to reference Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman. Bandura, A. (1997). Self-efficacy: The exercise of control. New York: Freeman.
go back to reference Bandura, A. (2005). The primacy of self-regulation in health promotion. Applied Psychology, 54(2), 245–254.CrossRef Bandura, A. (2005). The primacy of self-regulation in health promotion. Applied Psychology, 54(2), 245–254.CrossRef
go back to reference Brawley, L. R., Rejeski, W. J., & King, A. C. (2003). Promoting physical activity for older adults: The challenges for changing behavior. American Journal of Preventive Medicine, 25(3Sii), 172–183.CrossRefPubMed Brawley, L. R., Rejeski, W. J., & King, A. C. (2003). Promoting physical activity for older adults: The challenges for changing behavior. American Journal of Preventive Medicine, 25(3Sii), 172–183.CrossRefPubMed
go back to reference Copeland, J. L. (2009). Accelerometer assessment of physical activity in active, healthy older adults. Journal of Aging and Physical Activity, 17, 17–30.PubMed Copeland, J. L. (2009). Accelerometer assessment of physical activity in active, healthy older adults. Journal of Aging and Physical Activity, 17, 17–30.PubMed
go back to reference de Jager, C. A., Budge, M. M., & Clarke, R. (2003). Utility of TICS-M for the assessment of cognitive function in older adults. International Journal of Geriatric Psychiatry, 18, 318–324.CrossRefPubMed de Jager, C. A., Budge, M. M., & Clarke, R. (2003). Utility of TICS-M for the assessment of cognitive function in older adults. International Journal of Geriatric Psychiatry, 18, 318–324.CrossRefPubMed
go back to reference Diabetes Prevention Program Research Group. (2002). Reduction of the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346(6), 393–403.PubMedCentralCrossRef Diabetes Prevention Program Research Group. (2002). Reduction of the incidence of type 2 diabetes with lifestyle intervention or metformin. New England Journal of Medicine, 346(6), 393–403.PubMedCentralCrossRef
go back to reference Dishman, R. K. (1982). Compliance/adherence in health-related exercise. Health Psychology, 1, 237–267.CrossRef Dishman, R. K. (1982). Compliance/adherence in health-related exercise. Health Psychology, 1, 237–267.CrossRef
go back to reference Dishman, R. K., Motl, R. W., Sallis, J. F., Dunn, A. L., Birnbaum, A. S., Welk, G. J., et al. (2005). Self-management strategies mediate self-efficacy and physical activity. American Journal of Preventive Medicine, 29(1), 10–18.PubMedCentralCrossRefPubMed Dishman, R. K., Motl, R. W., Sallis, J. F., Dunn, A. L., Birnbaum, A. S., Welk, G. J., et al. (2005). Self-management strategies mediate self-efficacy and physical activity. American Journal of Preventive Medicine, 29(1), 10–18.PubMedCentralCrossRefPubMed
go back to reference Duncan, G. E., Perri, M. G., Theriaque, D. W., Hutson, A. D., Eckel, R. H., & Stacpoole, P. W. (2003). Exercise training, without weight loss, increases insulin sensitivity and postherparin plasma lipase activity in previously sedentary adults. Diabetes Care, 26, 557–562. doi:10.2337/diacare.26.3.557 CrossRefPubMed Duncan, G. E., Perri, M. G., Theriaque, D. W., Hutson, A. D., Eckel, R. H., & Stacpoole, P. W. (2003). Exercise training, without weight loss, increases insulin sensitivity and postherparin plasma lipase activity in previously sedentary adults. Diabetes Care, 26, 557–562. doi:10.​2337/​diacare.​26.​3.​557 CrossRefPubMed
go back to reference Freedson, P. S., Melanson, E., & Sirand, J. (1998). Calibration of the computer science and applications, inc. accelerometer. Medicine and Science in Sports and Exercise, 30, 777–781.CrossRefPubMed Freedson, P. S., Melanson, E., & Sirand, J. (1998). Calibration of the computer science and applications, inc. accelerometer. Medicine and Science in Sports and Exercise, 30, 777–781.CrossRefPubMed
go back to reference Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., et al. (2005). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation, 112, 2735–2752.CrossRefPubMed Grundy, S. M., Cleeman, J. I., Daniels, S. R., Donato, K. A., Eckel, R. H., Franklin, B. A., et al. (2005). Diagnosis and management of the metabolic syndrome: An American Heart Association/National Heart, Lung, and Blood Institute scientific statement. Circulation, 112, 2735–2752.CrossRefPubMed
go back to reference Jeon, C. Y., Looken, R. P., Hu, F. B., & van Dam, R. M. (2007). Physical activity of moderate intensity and risk of type 2 diabetes: A systematic review. Diabetes Care, 30, 744–752.CrossRefPubMed Jeon, C. Y., Looken, R. P., Hu, F. B., & van Dam, R. M. (2007). Physical activity of moderate intensity and risk of type 2 diabetes: A systematic review. Diabetes Care, 30, 744–752.CrossRefPubMed
go back to reference Lally, P., Van Jaarsveld, C. H. M., Potts, H. W. W., & Wardle, J. (2010). How are habits formed: Modeling habit formation in the real world. European Journal of Social Psychology, 40, 998–1009.CrossRef Lally, P., Van Jaarsveld, C. H. M., Potts, H. W. W., & Wardle, J. (2010). How are habits formed: Modeling habit formation in the real world. European Journal of Social Psychology, 40, 998–1009.CrossRef
go back to reference Lerman, I. (2005). Adherence to treatment: The key for avoiding long-term complications of diabetes. Archives of Medical Research, 36, 300–306.CrossRefPubMed Lerman, I. (2005). Adherence to treatment: The key for avoiding long-term complications of diabetes. Archives of Medical Research, 36, 300–306.CrossRefPubMed
go back to reference Luciano, E., Carneiro, E. M., Carvalho, C. R., Carvalheira, J. B., Peres, S. B., Reis, M. A., et al. (2002). Endurance training improves responsiveness to insulin and modulates insulin signaling transduction through the phosphatidylinositol 3-kinase/Akt-1 pathway. European Journal of Endocrinology, 147, 149–157. doi:10.1530/eje.0.1470149 CrossRefPubMed Luciano, E., Carneiro, E. M., Carvalho, C. R., Carvalheira, J. B., Peres, S. B., Reis, M. A., et al. (2002). Endurance training improves responsiveness to insulin and modulates insulin signaling transduction through the phosphatidylinositol 3-kinase/Akt-1 pathway. European Journal of Endocrinology, 147, 149–157. doi:10.​1530/​eje.​0.​1470149 CrossRefPubMed
go back to reference Maes, S., & Karoly, P. (2005). Self-regulation assessment and intervention in physical health and illness: A review. Applied Psychology, 54(2), 267–299.CrossRef Maes, S., & Karoly, P. (2005). Self-regulation assessment and intervention in physical health and illness: A review. Applied Psychology, 54(2), 267–299.CrossRef
go back to reference Mailey, E. L., Gothe, N. P., Wójcicki, T. R., Szabo, A. N., Olson, E. A., Mullen, S. P., et al. (2014). Influence of allowable interruption period on estimates of accelerometer wear time and sedentary time in older adults. Journal of Aging and Physical Activity, 22(2), 255–260. doi:10.1123/japa.2013-0021 PubMedCentralCrossRefPubMed Mailey, E. L., Gothe, N. P., Wójcicki, T. R., Szabo, A. N., Olson, E. A., Mullen, S. P., et al. (2014). Influence of allowable interruption period on estimates of accelerometer wear time and sedentary time in older adults. Journal of Aging and Physical Activity, 22(2), 255–260. doi:10.​1123/​japa.​2013-0021 PubMedCentralCrossRefPubMed
go back to reference Masse, L., Fummeler, B., Anderson, C., Mathews, C., Trost, S., Catellier, D., et al. (2005). Accelerometer data reduction: A comparison of four reduction algorithms on select outcome variables. Medicine and Science in Sports and Exercise, 37(11), S544–S554.CrossRefPubMed Masse, L., Fummeler, B., Anderson, C., Mathews, C., Trost, S., Catellier, D., et al. (2005). Accelerometer data reduction: A comparison of four reduction algorithms on select outcome variables. Medicine and Science in Sports and Exercise, 37(11), S544–S554.CrossRefPubMed
go back to reference Matos, A., Ropelle, E. R., Pauli, J. R., Frederico, M. J. S., de Pinho, R. A., Velloso, L. A., & De Souza, C. T. (2010). Acute exercise reverses TRB3 expression in the skeletal muscle and ameliorates whole body insulin sensitivity in diabetic mice. Acta Physiologica, 198, 61–69. doi:10.1111/j.1748-1716.2009.02031.x CrossRefPubMed Matos, A., Ropelle, E. R., Pauli, J. R., Frederico, M. J. S., de Pinho, R. A., Velloso, L. A., & De Souza, C. T. (2010). Acute exercise reverses TRB3 expression in the skeletal muscle and ameliorates whole body insulin sensitivity in diabetic mice. Acta Physiologica, 198, 61–69. doi:10.​1111/​j.​1748-1716.​2009.​02031.​x CrossRefPubMed
go back to reference McAuley, E. (1992). The role of efficacy cognitions in the prediction of exercise behavior in middle-aged adults. Journal of Behavorial Medicine, 15(1), 65–88.CrossRef McAuley, E. (1992). The role of efficacy cognitions in the prediction of exercise behavior in middle-aged adults. Journal of Behavorial Medicine, 15(1), 65–88.CrossRef
go back to reference McAuley, E., & Blissmer, B. (2000). Self-efficacy determinants and consequences of physical activity. Exercise and Sport Science Reviews, 28(2), 85–88. McAuley, E., & Blissmer, B. (2000). Self-efficacy determinants and consequences of physical activity. Exercise and Sport Science Reviews, 28(2), 85–88.
go back to reference McAuley, E., Blissmer, B., Katula, J., Duncan, T. E., & Mihalko, S. L. (2000). Physical activity, self-esteem, and self-efficacy relationships in older adults: A randomized controlled trial. Annals of Behavioral Medicine, 22, 131–139.CrossRefPubMed McAuley, E., Blissmer, B., Katula, J., Duncan, T. E., & Mihalko, S. L. (2000). Physical activity, self-esteem, and self-efficacy relationships in older adults: A randomized controlled trial. Annals of Behavioral Medicine, 22, 131–139.CrossRefPubMed
go back to reference McAuley, E., Hall, K. S., Motl, R. W., White, S. M., Wójcicki, T. R., Hu, L., & Doerksen, S. E. (2009). Trajectory of declines in physical activity in community-dwelling older women: Social cognitive influences. Journals of Gerontology, Series B: Psychological Sciences, 64B(5), 543–550. doi:10.1093/geronb/gbp049 CrossRef McAuley, E., Hall, K. S., Motl, R. W., White, S. M., Wójcicki, T. R., Hu, L., & Doerksen, S. E. (2009). Trajectory of declines in physical activity in community-dwelling older women: Social cognitive influences. Journals of Gerontology, Series B: Psychological Sciences, 64B(5), 543–550. doi:10.​1093/​geronb/​gbp049 CrossRef
go back to reference McAuley, E., Lox, C., & Duncan, T. E. (1993). Long-term maintenance of exercise, self-efficacy, and physiologic change in older adults. Journals of Gerontology, Series B: Psychological Sciences, 48(4), 218–224. McAuley, E., Lox, C., & Duncan, T. E. (1993). Long-term maintenance of exercise, self-efficacy, and physiologic change in older adults. Journals of Gerontology, Series B: Psychological Sciences, 48(4), 218–224.
go back to reference McAuley, E., Mailey, E. L., Mullen, S. P., Szabo, A. N., Wójckicki, T. R., White, S. M., et al. (2011). Growth trajectories of exercise self-efficacy in older adults: Influence of measures and initial status. Health Psychology, 30(1), 75–83. doi:10.1037/a0021567 PubMedCentralCrossRefPubMed McAuley, E., Mailey, E. L., Mullen, S. P., Szabo, A. N., Wójckicki, T. R., White, S. M., et al. (2011). Growth trajectories of exercise self-efficacy in older adults: Influence of measures and initial status. Health Psychology, 30(1), 75–83. doi:10.​1037/​a0021567 PubMedCentralCrossRefPubMed
go back to reference McAuley, E., & Mihalko, S. L. (1998). Measuring exercise-related self-efficacy. In J. L. Duda (Ed.), Advances in sport and exercise psychology measurement. Fitness Information Technology: West Virginia. McAuley, E., & Mihalko, S. L. (1998). Measuring exercise-related self-efficacy. In J. L. Duda (Ed.), Advances in sport and exercise psychology measurement. Fitness Information Technology: West Virginia.
go back to reference McBean, A. M., Gilbertson, D. T., Li, S., & Collins, A. J. (2004). Differences in diabetes prevalence, incidence, and mortality among the elderly of four racial/ethnic groups: White, Blacks, Hispanics, and Asians. Diabetes Care, 27, 2317–2324.CrossRefPubMed McBean, A. M., Gilbertson, D. T., Li, S., & Collins, A. J. (2004). Differences in diabetes prevalence, incidence, and mortality among the elderly of four racial/ethnic groups: White, Blacks, Hispanics, and Asians. Diabetes Care, 27, 2317–2324.CrossRefPubMed
go back to reference Moore, S. M., Charvat, J. M., Gordon, N. H., Pashkow, F., Ribisl, P., Roberts, B. L., & Rocco, M. (2006). Effects of a CHANGE intervention to increase exercise maintenance following cardiac events. Annals of Behavioral Medicine, 31, 53–62. doi:10.1207/s15324796abm3101_9 CrossRefPubMed Moore, S. M., Charvat, J. M., Gordon, N. H., Pashkow, F., Ribisl, P., Roberts, B. L., & Rocco, M. (2006). Effects of a CHANGE intervention to increase exercise maintenance following cardiac events. Annals of Behavioral Medicine, 31, 53–62. doi:10.​1207/​s15324796abm3101​_​9 CrossRefPubMed
go back to reference Morrato, E. H., Hill, J. O., Wyatt, H. R., Ghushchyan, V., & Sullivan, P. W. (2007). Physical activity in the U.S. adults with diabetes and at risk for developing diabetes, 2003. Diabetes Care, 30(2), 203–209.CrossRefPubMed Morrato, E. H., Hill, J. O., Wyatt, H. R., Ghushchyan, V., & Sullivan, P. W. (2007). Physical activity in the U.S. adults with diabetes and at risk for developing diabetes, 2003. Diabetes Care, 30(2), 203–209.CrossRefPubMed
go back to reference Nwasuruba, C. K., Khan, M., & Egede, L. E. (2007). Racial/ethnic differences in multiples self-care behaviors in adults with diabetes. Journal of General Internal Medicine, 22, 115–120.PubMedCentralCrossRefPubMed Nwasuruba, C. K., Khan, M., & Egede, L. E. (2007). Racial/ethnic differences in multiples self-care behaviors in adults with diabetes. Journal of General Internal Medicine, 22, 115–120.PubMedCentralCrossRefPubMed
go back to reference Rejeski, W. J., Marsh, A. P., Chmelo, E., Prescott, A. J., Dobrosielski, M., Walkup, M. P., et al. (2009). The lifestyle interventions and independence for elders pilot (LIFE-P): 2-year follow-up. Journals of Gerontology, Series A: Biological Sciences, 64A(4), 462–467.CrossRef Rejeski, W. J., Marsh, A. P., Chmelo, E., Prescott, A. J., Dobrosielski, M., Walkup, M. P., et al. (2009). The lifestyle interventions and independence for elders pilot (LIFE-P): 2-year follow-up. Journals of Gerontology, Series A: Biological Sciences, 64A(4), 462–467.CrossRef
go back to reference Resnick, H., Harris, M., Brock, D., & Harris, T. (2000). American Diabetes Association diabetes diagnostic criteria, advancing age and cardiovascular disease risk profiles. Diabetes Care, 23, 176–180.CrossRefPubMed Resnick, H., Harris, M., Brock, D., & Harris, T. (2000). American Diabetes Association diabetes diagnostic criteria, advancing age and cardiovascular disease risk profiles. Diabetes Care, 23, 176–180.CrossRefPubMed
go back to reference Rogers, L. Q., Hopkins-Price, P., Vicari, S., Markwell, S., Pamenter, R., Courneya, K. S., et al. (2009a). Physical activity and health outcomes three months after completing a physical activity behavior change intervention: Persistent and delayed effects. Cancer Epidemiology, Biomarkers and Prevention, 18, 1410–1418.CrossRefPubMed Rogers, L. Q., Hopkins-Price, P., Vicari, S., Markwell, S., Pamenter, R., Courneya, K. S., et al. (2009a). Physical activity and health outcomes three months after completing a physical activity behavior change intervention: Persistent and delayed effects. Cancer Epidemiology, Biomarkers and Prevention, 18, 1410–1418.CrossRefPubMed
go back to reference Rogers, L. Q., Hopkins-Price, P., Vicari, S., Pamenter, R., Courneya, K. S., Markwell, S., et al. (2009b). A randomized trial to increase physical activity in breast cancer survivors. Medicine and Science in Sports and Exercise, 41(4), 935–936. doi:10.1249/MSS.0b013e31818e0e1b CrossRefPubMed Rogers, L. Q., Hopkins-Price, P., Vicari, S., Pamenter, R., Courneya, K. S., Markwell, S., et al. (2009b). A randomized trial to increase physical activity in breast cancer survivors. Medicine and Science in Sports and Exercise, 41(4), 935–936. doi:10.​1249/​MSS.​0b013e31818e0e1b​ CrossRefPubMed
go back to reference Sigal, R. J., Kenny, G. P., Wasserman, D. H., Castaneda-Sceppa, C., & White, R. D. (2006). Physical activity/exercise and type 2 diabetes: A consensus statement from the American Diabetes Association. Diabetes Care, 29(6), 1433–1438.CrossRefPubMed Sigal, R. J., Kenny, G. P., Wasserman, D. H., Castaneda-Sceppa, C., & White, R. D. (2006). Physical activity/exercise and type 2 diabetes: A consensus statement from the American Diabetes Association. Diabetes Care, 29(6), 1433–1438.CrossRefPubMed
go back to reference The LIFE Study Investigators. (2006). Effects of a physical activity intervention on measures of physical performance: Results of the lifestyle interventions and independence for elders pilot (LIFE-P) study. Journals of Gerontology, Series A: Biological Sciences, 61A(11), 1157–1165.CrossRef The LIFE Study Investigators. (2006). Effects of a physical activity intervention on measures of physical performance: Results of the lifestyle interventions and independence for elders pilot (LIFE-P) study. Journals of Gerontology, Series A: Biological Sciences, 61A(11), 1157–1165.CrossRef
go back to reference Umstattd, M. R., Motl, R. W., Wilcox, S., Saunders, R., & Watford, M. (2009). Measuring physical activity self-regulation strategies in older adults. Journal of Physical Activity and Health, 6, S105–S112.PubMed Umstattd, M. R., Motl, R. W., Wilcox, S., Saunders, R., & Watford, M. (2009). Measuring physical activity self-regulation strategies in older adults. Journal of Physical Activity and Health, 6, S105–S112.PubMed
go back to reference Wing, R. R., Goldstein, M. G., Acton, K. J., Birch, L. L., Jakicic, J. M., Sallis, J. F., et al. (2001). Behavioral science research in diabetes: Lifestyle changes related to obesity, eating behavior, and physical activity. Diabetes Care, 24, 117–123.CrossRefPubMed Wing, R. R., Goldstein, M. G., Acton, K. J., Birch, L. L., Jakicic, J. M., Sallis, J. F., et al. (2001). Behavioral science research in diabetes: Lifestyle changes related to obesity, eating behavior, and physical activity. Diabetes Care, 24, 117–123.CrossRefPubMed
Metagegevens
Titel
Impact of a brief intervention on self-regulation, self-efficacy and physical activity in older adults with type 2 diabetes
Auteurs
Erin A. Olson
Edward McAuley
Publicatiedatum
11-07-2015
Uitgeverij
Springer US
Gepubliceerd in
Journal of Behavioral Medicine / Uitgave 6/2015
Print ISSN: 0160-7715
Elektronisch ISSN: 1573-3521
DOI
https://doi.org/10.1007/s10865-015-9660-3