Testing the effectiveness of the exercise plus program in older women post-hip fracture
Aged, 80 and over
Motivation
Time Factors
Hip Fractures
Middle Aged
03 medical and health sciences
Treatment Outcome
0302 clinical medicine
Humans
Patient Compliance
Female
Exercise
Aged
DOI:
10.1007/bf02879922
Publication Date:
2008-04-04T13:59:32Z
AUTHORS (10)
ABSTRACT
Exercise is an important strategy with potential to improve recovery in older adults following a hip fracture.The purpose of this study was to test the impact of a self-efficacy based intervention, the Exercise Plus Program, and the different components of the intervention, on self-efficacy, outcome expectations, and exercise behavior among older women post-hip fracture.Participants were randomized to one of four groups: exercise plus, exercise only, plus only (i.e., motivation), or routine care. Data collection was done at baseline (within 22 days of fracture), 2, 6, and 12 months post-hip fracture.A total of 209 women were recruited with an average age of 81.0 years (SD=6.9). The majority was White (97.1%), was widowed (57.2%), and had a high school education (66.7%). Generalized Estimating Equations were used to perform repeated measures analyses. No differences in trajectories of recovery were observed for self-efficacy or outcome expectations. A statistically significant difference in the overall trajectory of time in exercise was seen (p<.001), with more time spent exercising in all three treatment groups.The study demonstrated that it was possible to engage these women in a home-based exercise program and that the plus only, exercise only, and the exercise plus groups all increased exercise.
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