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Impact of Telephone Reinforcement and Negotiated Contracts on Behavioral Predictors of Exercise Maintenance in Older Adults with Osteoarthritis

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Objectives: To examine the impact of telephone reinforcement (TR) on pre- dictors of physical activity (PA) mainte- nance in older adults with osteoarthritis. Methods: Mixed effects modeling was conducted of data from a randomized PA trial that used negotiated maintenance contracts, supplemented by TR, to test impact of TR on barriers, decisional balance, and stage of change at multiple points in time. Results: Participants who were referred to a PA program and received TR improved the most in barriers and decisional balance. Participants who negotiated a tailored maintenance contract but did not receive TR improved the most in stage. Conclusions: TR appears to positively affect perceptions around engagement, whereas negotiation positively impacts PA behavior. Further research should examine the effectiveness of specific PA maintenance strategies.
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Keywords: OLDER ADULTS; PHYSICAL ACTIVITY; STAGES OF CHANGE; TRANSTHEORETICAL MODEL

Document Type: Research Article

Publication date: May 1, 2014

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  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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