+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Translating a community-based motivational support program to increase physical activity among older adults with diabetes at community clinics: a pilot study of Physical Activity for a Lifetime of Success (PALS)

Translating a community-based motivational support program to increase physical activity among older adults with diabetes at community clinics: a pilot study of Physical Activity for a Lifetime of Success (PALS)

Preventing Chronic Disease 5(1): A18

Regular physical activity is an important goal for elders with chronic health conditions. This report describes Physical Activity for a Lifetime of Success (PALS), an attempt to translate a motivational support program for physical activity, Active Choices, for use by a group of diverse, low-income, community-dwelling elders with diabetes. PALS linked physical activity assessment and brief counseling by primary care providers with a structured referral to a community-based motivational telephone support program delivered by older adult volunteers. People with diabetes aged 65 years or older who were receiving care at two community clinics were randomized to receive either immediate or delayed intervention. The main intended outcome measure was physical activity level; the secondary outcome measure was mean hemoglobin A1c. One-third of those offered referral to the PALS program in the clinic setting declined. Another 44% subsequently declined enrollment or were unreachable by the support center. Only 14 (21%) of those offered referral enrolled in the program. Among these 14, the percentage who were sufficiently active was higher at follow-up than at enrollment, though not significantly so. Using an intent-to-treat analysis, which included all randomized clinic patients, we found no significant change in mean hemoglobin A1c for the intervention group compared with controls. A community-based referral and support program to increase physical activity among elderly, ethnically diverse, low-income people with diabetes, many of whom are not English-speaking, may be thwarted by unforeseen barriers. Those who enroll and participate in the PALS program appear to increase their level of physical activity.

Please choose payment method:

(PDF emailed within 1 workday: $29.90)

Accession: 056650279

Download citation: RISBibTeXText

PMID: 18082007

Related references

A Community-Based Physical Activity Program May Increase Sustained Physical Activity at 2 Years and Reduce the Risk of Adverse Cardiovascular Events in Older Adults. Explore 14(3): 238-240, 2018

Measuring physical activity in older adults: use of the Community Health Activities Model Program for Seniors Physical Activity Questionnaire and the Yale Physical Activity Survey in three behavior change consortium studies. Western Journal of Nursing Research 30(6): 673-689, 2008

The California active aging community grant program: translating science into practice to promote physical activity in older adults. Annals of Behavioral Medicine 29(3): 155-165, 2005

A pilot study of a web-based physical activity motivational program for adults with physical disabilities. Disability and Rehabilitation 27(23): 1435-1442, 2005

Combining Motivational and Physical Intervention Components to Promote Fall-Reducing Physical Activity Among Community-Dwelling Older Adults: A Feasibility Study. American Journal of Health Promotion 30(8): 638-644, 2016

The Impact of a Videogame-Based Pilot Physical Activity Program in Older Adults with Schizophrenia on Subjectively and Objectively Measured Physical Activity. Frontiers in Psychiatry 6: 180, 2015

Eat better & move more: a community-based program designed to improve diets and increase physical activity among older Americans. American Journal of Public Health 97(4): 710-717, 2007

Impact of a community-based falls prevention program on maintenance of physical activity among older adults. Journal of Aging and Health 21(3): 480-500, 2009

Community-based exergaming program increases physical activity and perceived wellness in older adults. Journal of Aging and Physical Activity 22(3): 364-371, 2014

Physical activity and physical function improved following a community-based intervention in older adults in Georgia senior centers. Journal of Nutrition for the Elderly 27(1-2): 135-154, 2008

Improved physical function and physical activity in older adults following a community-based intervention: Relationships with a history of depression. Maturitas 70(3): 290-294, 2011

Move More Diabetes: using Lay Health Educators to support physical activity in a community-based chronic disease self-management program. Diabetes Educator 33(Suppl. 6): 179s-184s, 2007

A Hospital-Based Fall Prevention Program in the Community: Opportunities for Frail Older Adults to Participate in Ongoing Physical Activity. Healthcare Quarterly 21(3): 64-70, 2018

Promoting Stair Climbing as an Exercise Routine among Healthy Older Adults Attending a Community-Based Physical Activity Program. Sports 7(1):, 2019

Physical activity and associated medical cost savings among at-risk older adults participating a community-based health & wellness program. Plos one 13(6): E0198239, 2018