The broad, long-term objectives of this research project are to develop new and more effective intervention methods to improve the health and well-being of older adults.
The specific aims are to determine the effectiveness of the Transtheoretical Model of Health Behavior Change in improving the physical activity and nutritional behavior singly and in combination in an older population; determine the effects on functional ability and general health outcomes of stage-based physical activity and nutrition interventions singly and in combination; and, study how older adults change their health behaviors. Research indicates that most health promotion programs recruit only those persons who are ready to adopt the new behavior, usually only approximately 20 percent of the general population. High levels of attrition and relapse rates result in an """"""""impact rate"""""""" of approximately 1-5 percent. This project holds the potential for developing more effective methods to promote general health of older adults. The research will utilize a 2x2 design with 4 treatment groups: nutrition intervention alone, physical activity intervention alone, combined intervention, and control. Educational materials, including a manual, newsletters, expert feedback reports, and coaching phone calls, all based on the Transtheoretical Model of Health Behavior Change, will be developed. Measures used will include general health and functional assessments; objective and subjective physical activity and nutrition assessments; and stage and process of change, decisional balance, and self- efficacy measures. The 12-month intervention will include expert system generated reports, stage- based manual and newsletters and phone coaching.

Agency
National Institute of Health (NIH)
Institute
National Institute on Aging (NIA)
Type
Research Project (R01)
Project #
5R01AG016588-04
Application #
6509784
Study Section
Special Emphasis Panel (ZRG1-HUD-2 (01))
Program Officer
Stahl, Sidney M
Project Start
1999-06-15
Project End
2006-03-31
Budget Start
2002-04-01
Budget End
2006-03-31
Support Year
4
Fiscal Year
2002
Total Cost
$1,034,077
Indirect Cost
Name
University of Rhode Island
Department
Type
Organized Research Units
DUNS #
135531015
City
Kingston
State
RI
Country
United States
Zip Code
02881
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Garber, Carol Ewing; Greaney, Mary L; Riebe, Deborah et al. (2010) Physical and mental health-related correlates of physical function in community dwelling older adults: a cross sectional study. BMC Geriatr 10:6
Greaney, Mary L; Riebe, Deborah; Ewing Garber, Carol et al. (2008) Long-term effects of a stage-based intervention for changing exercise intentions and behavior in older adults. Gerontologist 48:358-67
Hebert, James R; Hurley, Thomas G; Peterson, Karen E et al. (2008) Social desirability trait influences on self-reported dietary measures among diverse participants in a multicenter multiple risk factor trial. J Nutr 138:226S-234S
Greene, Geoffrey W; Fey-Yensan, Nancy; Padula, Cynthia et al. (2008) Change in fruit and vegetable intake over 24 months in older adults: results of the SENIOR project intervention. Gerontologist 48:378-87
Peterson, Karen E; Hebert, James R; Hurley, Thomas G et al. (2008) Accuracy and precision of two short screeners to assess change in fruit and vegetable consumption among diverse populations participating in health promotion intervention trials. J Nutr 138:218S-225S
Williams, Geoffrey C; Hurley, Thomas G; Thompson, Frances E et al. (2008) Performance of a short percentage energy from fat tool in measuring change in dietary intervention studies. J Nutr 138:212S-217S
Davis, Rachel E; Resnicow, Ken; Atienza, Audie A et al. (2008) Use of signal detection methodology to identify subgroups of dietary supplement use in diverse populations. J Nutr 138:205S-211S
Beresford, Shirley A A; Klesges, Lisa M; Rockett, Helaine R H (2008) The examination of two short dietary assessment methods, within the context of multiple behavioral change interventions in adult populations. Introduction. J Nutr 138:183S-184S
Yaroch, Amy L; Nebeling, Linda; Thompson, Frances E et al. (2008) Baseline design elements and sample characteristics for seven sites participating in the Nutrition Working Group of the Behavior Change Consortium. J Nutr 138:185S-192S

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