Evaluation of a Computer-Tailored Healthy Ageing Intervention to Promote Physical Activity among Single Older Adults with a Chronic Disease

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Abstract

This study explores the effectiveness of the Active Plus65 intervention designed to stimulate physical activity among single older adults with a chronic physical impairment. A quasi-experimental pre-test post-test study was performed. The intervention group ( n = 411; mean age = 76.75; SD = 7.75) was assessed at baseline, three months, and six months. Data of comparable older adults who completed the original Active Plus intervention served as reference group ( n = 87; mean age = 74.36; SD = 6.26). Multilevel regression analyses were applied: outcome measures were weekly minutes of moderate to vigorous physical activity (MVPA) and days per week with at least 30 minutes of MVPA. Although Active Plus65 did not outperform the original intervention, in itself Active Plus65 effectuated a significant increase in the weekly minutes of MVPA (B = 208.26; p < 0.001; Effect Size (ES) = 0.45) and in the days per week with sufficient MVPA (B = 1.20; p < 0.001; ES = 0.61) after three months. After six months, it effectuated a significant increase in the days per week with sufficient MVPA (B = 0.67; p = 0.001; ES = 0.34) but not for the weekly minutes of MVPA ( p = 0.745). As Active Plus65 increased MVPA at three months with a higher ES than average interventions for this vulnerable target group, it potentially makes an interesting intervention. Further development should focus on long-term maintenance of effects.

Original languageEnglish
Article number346
Number of pages15
JournalInternational Journal of Environmental Research and Public Health
Volume15
Issue number2
DOIs
Publication statusPublished - 15 Feb 2018

Keywords

  • healthy ageing
  • intervention
  • computer-tailoring
  • physical activity
  • older adults
  • single
  • chronic disease
  • physical impairment
  • BEHAVIOR-CHANGE
  • SITTING TIME
  • LATER LIFE
  • QUESTIONNAIRE
  • METAANALYSIS
  • VALIDITY
  • MAINTENANCE
  • PREVENTION
  • MORTALITY
  • FRAMEWORK

Cite this

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title = "Evaluation of a Computer-Tailored Healthy Ageing Intervention to Promote Physical Activity among Single Older Adults with a Chronic Disease",
abstract = "This study explores the effectiveness of the Active Plus65 intervention designed to stimulate physical activity among single older adults with a chronic physical impairment. A quasi-experimental pre-test post-test study was performed. The intervention group ( n = 411; mean age = 76.75; SD = 7.75) was assessed at baseline, three months, and six months. Data of comparable older adults who completed the original Active Plus intervention served as reference group ( n = 87; mean age = 74.36; SD = 6.26). Multilevel regression analyses were applied: outcome measures were weekly minutes of moderate to vigorous physical activity (MVPA) and days per week with at least 30 minutes of MVPA. Although Active Plus65 did not outperform the original intervention, in itself Active Plus65 effectuated a significant increase in the weekly minutes of MVPA (B = 208.26; p < 0.001; Effect Size (ES) = 0.45) and in the days per week with sufficient MVPA (B = 1.20; p < 0.001; ES = 0.61) after three months. After six months, it effectuated a significant increase in the days per week with sufficient MVPA (B = 0.67; p = 0.001; ES = 0.34) but not for the weekly minutes of MVPA ( p = 0.745). As Active Plus65 increased MVPA at three months with a higher ES than average interventions for this vulnerable target group, it potentially makes an interesting intervention. Further development should focus on long-term maintenance of effects.",
keywords = "healthy ageing, intervention, computer-tailoring, physical activity, older adults, single, chronic disease, physical impairment, BEHAVIOR-CHANGE, SITTING TIME, LATER LIFE, QUESTIONNAIRE, METAANALYSIS, VALIDITY, MAINTENANCE, PREVENTION, MORTALITY, FRAMEWORK",
author = "Boekhout, {Janet M.} and Berendsen, {Brenda A. J.} and Peels, {Denise A.} and Bolman, {Catherine A. W.} and Lilian Lechner",
year = "2018",
month = "2",
day = "15",
doi = "10.3390/ijerph15020346",
language = "English",
volume = "15",
journal = "International Journal of Environmental Research and Public Health",
issn = "1660-4601",
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TY - JOUR

T1 - Evaluation of a Computer-Tailored Healthy Ageing Intervention to Promote Physical Activity among Single Older Adults with a Chronic Disease

AU - Boekhout, Janet M.

AU - Berendsen, Brenda A. J.

AU - Peels, Denise A.

AU - Bolman, Catherine A. W.

AU - Lechner, Lilian

PY - 2018/2/15

Y1 - 2018/2/15

N2 - This study explores the effectiveness of the Active Plus65 intervention designed to stimulate physical activity among single older adults with a chronic physical impairment. A quasi-experimental pre-test post-test study was performed. The intervention group ( n = 411; mean age = 76.75; SD = 7.75) was assessed at baseline, three months, and six months. Data of comparable older adults who completed the original Active Plus intervention served as reference group ( n = 87; mean age = 74.36; SD = 6.26). Multilevel regression analyses were applied: outcome measures were weekly minutes of moderate to vigorous physical activity (MVPA) and days per week with at least 30 minutes of MVPA. Although Active Plus65 did not outperform the original intervention, in itself Active Plus65 effectuated a significant increase in the weekly minutes of MVPA (B = 208.26; p < 0.001; Effect Size (ES) = 0.45) and in the days per week with sufficient MVPA (B = 1.20; p < 0.001; ES = 0.61) after three months. After six months, it effectuated a significant increase in the days per week with sufficient MVPA (B = 0.67; p = 0.001; ES = 0.34) but not for the weekly minutes of MVPA ( p = 0.745). As Active Plus65 increased MVPA at three months with a higher ES than average interventions for this vulnerable target group, it potentially makes an interesting intervention. Further development should focus on long-term maintenance of effects.

AB - This study explores the effectiveness of the Active Plus65 intervention designed to stimulate physical activity among single older adults with a chronic physical impairment. A quasi-experimental pre-test post-test study was performed. The intervention group ( n = 411; mean age = 76.75; SD = 7.75) was assessed at baseline, three months, and six months. Data of comparable older adults who completed the original Active Plus intervention served as reference group ( n = 87; mean age = 74.36; SD = 6.26). Multilevel regression analyses were applied: outcome measures were weekly minutes of moderate to vigorous physical activity (MVPA) and days per week with at least 30 minutes of MVPA. Although Active Plus65 did not outperform the original intervention, in itself Active Plus65 effectuated a significant increase in the weekly minutes of MVPA (B = 208.26; p < 0.001; Effect Size (ES) = 0.45) and in the days per week with sufficient MVPA (B = 1.20; p < 0.001; ES = 0.61) after three months. After six months, it effectuated a significant increase in the days per week with sufficient MVPA (B = 0.67; p = 0.001; ES = 0.34) but not for the weekly minutes of MVPA ( p = 0.745). As Active Plus65 increased MVPA at three months with a higher ES than average interventions for this vulnerable target group, it potentially makes an interesting intervention. Further development should focus on long-term maintenance of effects.

KW - healthy ageing

KW - intervention

KW - computer-tailoring

KW - physical activity

KW - older adults

KW - single

KW - chronic disease

KW - physical impairment

KW - BEHAVIOR-CHANGE

KW - SITTING TIME

KW - LATER LIFE

KW - QUESTIONNAIRE

KW - METAANALYSIS

KW - VALIDITY

KW - MAINTENANCE

KW - PREVENTION

KW - MORTALITY

KW - FRAMEWORK

U2 - 10.3390/ijerph15020346

DO - 10.3390/ijerph15020346

M3 - Article

VL - 15

JO - International Journal of Environmental Research and Public Health

JF - International Journal of Environmental Research and Public Health

SN - 1660-4601

IS - 2

M1 - 346

ER -