Applying the transtheoretical model to promote functional fitness of community older adults participating in elastic band exercises

J Adv Nurs. 2015 Oct;71(10):2338-49. doi: 10.1111/jan.12705. Epub 2015 Jun 8.

Abstract

Aims: The transtheoretical model was applied to promote behavioural change and test the effects of a group senior elastic band exercise programme on the functional fitness of community older adults in the contemplation and preparation stages of behavioural change.

Background: Forming regular exercise habits is challenging for older adults. The transtheoretical model emphasizes using different strategies in various stages to facilitate behavioural changes.

Design: Quasi-experimental design with pre-test and post-tests on two groups.

Methods: Six senior activity centres were randomly assigned to either the experimental or control group. The data were collected during 2011. A total of 199 participants were recruited and 169 participants completed the study (experimental group n = 84, control group n = 85). The elastic band exercises were performed for 40 minutes, three times per week for 6 months. The functional fitness of the participants was evaluated at baseline and at the third and sixth month of the intervention. Statistical analyses included a two-way mixed design analysis of variance, one-way repeated measures analysis of variance and an analysis of covariance.

Results: All of the functional fitness indicators had significant changes at post-tests from pre-test in the experimental group. The experimental group had better performances than the control group in all of the functional fitness indicators after three months and 6 months of the senior elastic band exercises.

Conclusion: The exercise programme provided older adults with appropriate strategies for maintaining functional fitness, which improved significantly after the participants exercising regularly for 6 months.

Keywords: community; elastic band; functional fitness; nursing; older adults; physical activity; transtheoretical model.

Publication types

  • Multicenter Study
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Exercise Therapy / methods*
  • Female
  • Health Promotion / methods
  • Humans
  • Male
  • Models, Theoretical
  • Physical Fitness / physiology