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The contributions of self-efficacy, trait anxiety, and fear of falling to physical activity behavior among residents of continuing care retirement communities

机译:持续护理退休社区居民自我效能感,特质焦虑和对身体活动行为的恐惧的贡献

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Self-efficacy for exercise has been shown to be an independent predictor of physical activity (PA) in community dwelling older adults. There is relatively little known, however, regarding the strength and independence of the relationship between self-efficacy and objectively measured PA among residents of continuing care retirement communities (CCRCs). We examined the independent contribution of self-efficacy on PA behavior and assessed whether the explanation of variance in PA behavior was incrementally improved by considering trait anxiety and fear of falling as theoretical impediments to PA. Fifty-two men and women (83.5±5 yrs) residing in one of four CCRCs in metro Milwaukee wore an accelerometer on their ankle for 7 days to measure number of steps per day, the percentage of time spent active and inactive, and moderate and high intensity PA. Self-efficacy for exercise, self-efficacy for overcoming barriers to exercise, trait anxiety, and fear of falling were assessed. Multiple linear regression was utilized to examine the independently explained variance in PA. Exercise self-efficacy significantly and independently explained 13.4% of the variance in number of steps/day (P<0.05). The explanation of variance in moderate intensity activity was incrementally improved when trait anxiety was factored into the model. Overcoming barriers self-efficacy was significantly related to time spent in high intensity activity (r=0.30, P<0.05), but did not significantly and independently explain variance in high intensity PA behavior. Trait anxiety and fear of falling were not identified as significant impediments to PA in CCRC residents. Furthermore, trait anxiety was shown to facilitate, not impede, moderate intensity PA. Self-efficacy for physical activity may serve as a representative target for interventions aimed at increasing physical activity in CCRC residents.
机译:在社区居住的老年人中,运动的自我效能已被证明是身体活动(PA)的独立预测因子。然而,关于持续护理退休社区(CCRC)居民自我效能与客观测量的PA之间关系的强度和独立性的了解相对较少。我们检查了自我效能对PA行为的独立贡献,并通过考虑特质焦虑和对跌倒的恐惧作为对PA的理论障碍,评估了PA行为方差的解释是否得到了逐步改善。居住在密尔沃基大都会的四个CCRC之一中的52名男性和女性(83.5±5岁)在脚踝上佩戴了一个加速度计,持续7天,以测量每天的步数,活动和不活动时间的百分比,适中和高强度PA。评估了锻炼的自我效能,克服锻炼的自我效能,特质焦虑和对跌倒的恐惧。多元线性回归用于检查PA的独立解释的方差。运动自我效能感显着且独立地解释了步数/天差异的13.4%(P <0.05)。当将特质性焦虑纳入模型时,中等强度活动方差的解释会逐渐得到改善。克服障碍的自我效能感与高强度活动所花费的时间显着相关(r = 0.30,P <0.05),但没有显着独立地解释高强度PA行为的差异。特质焦虑和跌倒恐惧并没有被认为是CRCC居民PA的重要障碍。此外,特质焦虑被证明可以促进而不是阻碍中等强度的PA。从事体育活动的自我效能感可以作为旨在提高CRCC居民体育活动的干预措施的代表指标。

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