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)
BackgroundRegular physical activity is an important goal for elders with chronic health conditions.ContextThis 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 dive...
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| Format: | Article |
| Language: | English |
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Centers for Disease Control and Prevention
2008-01-01
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| Series: | Preventing Chronic Disease |
| Subjects: | |
| Online Access: | http://www.cdc.gov/pcd/issues/2008/jan/07_0142.htm |
| _version_ | 1797668749689487360 |
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| author | Odette Batik, MD, MPH Elizabeth A. Phelan, MD, MS Julie A. Walwick, MSW Grace Wang, MD, MPH James P. LoGerfo, MD, MPH |
| author_facet | Odette Batik, MD, MPH Elizabeth A. Phelan, MD, MS Julie A. Walwick, MSW Grace Wang, MD, MPH James P. LoGerfo, MD, MPH |
| author_sort | Odette Batik, MD, MPH |
| collection | DOAJ |
| description | BackgroundRegular physical activity is an important goal for elders with chronic health conditions.ContextThis 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.MethodsPALS 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.ConsequencesOne-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.Interpretation 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. |
| first_indexed | 2024-03-11T20:33:59Z |
| format | Article |
| id | doaj.art-0d61918446564865bdf4e248a39e9eca |
| institution | Directory Open Access Journal |
| issn | 1545-1151 |
| language | English |
| last_indexed | 2024-03-11T20:33:59Z |
| publishDate | 2008-01-01 |
| publisher | Centers for Disease Control and Prevention |
| record_format | Article |
| series | Preventing Chronic Disease |
| spelling | doaj.art-0d61918446564865bdf4e248a39e9eca2023-10-02T07:24:36ZengCenters for Disease Control and PreventionPreventing Chronic Disease1545-11512008-01-0151Translating 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)Odette Batik, MD, MPHElizabeth A. Phelan, MD, MSJulie A. Walwick, MSWGrace Wang, MD, MPHJames P. LoGerfo, MD, MPHBackgroundRegular physical activity is an important goal for elders with chronic health conditions.ContextThis 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.MethodsPALS 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.ConsequencesOne-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.Interpretation 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.http://www.cdc.gov/pcd/issues/2008/jan/07_0142.htmPhysical Activity for a Lifetime of SuccessPALSphysical activity and older adultsolder adultssenior health |
| spellingShingle | Odette Batik, MD, MPH Elizabeth A. Phelan, MD, MS Julie A. Walwick, MSW Grace Wang, MD, MPH James P. LoGerfo, MD, MPH 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 Physical Activity for a Lifetime of Success PALS physical activity and older adults older adults senior health |
| title | 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) |
| title_full | 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) |
| title_fullStr | 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) |
| title_full_unstemmed | 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) |
| title_short | 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) |
| title_sort | 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 |
| topic | Physical Activity for a Lifetime of Success PALS physical activity and older adults older adults senior health |
| url | http://www.cdc.gov/pcd/issues/2008/jan/07_0142.htm |
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