NDLI: Theory-based approach for maintaining resistance training in older adults with prediabetes: adherence, barriers, self-regulation strategies, treatment fidelity, costs

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Theory-based approach for maintaining resistance training in older adults with prediabetes: adherence, barriers, self-regulation strategies, treatment fidelity, costs

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Theory-based approach for maintaining resistance training in older adults with prediabetes: adherence, barriers, self-regulation strategies, treatment fidelity, costs

Content Provider	PubMed Central
Author	Winett, Richard A. Davy, Brenda M. Jyoti, Savla Marinik, Elaina L. Kelleher, Sarah A. Winett, Sheila G. Halliday, Tanya M. Williams, David M.
Abstract	Effectively preventing and treating chronic diseases through health behavior changes often require intensive theory- and evidence-based intervention including long-term maintenance components. We assessed the efficacy of theory-based maintenance approaches varying by dose for persistently performing resistance training (RT) with the hypothesis that a higher-dose social cognitive theory (SCT) approach would produce greater RT adherence than lower-dose Standard. The Resist-Diabetes study first established 2×/week resistance training (RT) in a 3-month supervised intervention in older (50–69 years, N = 170), overweight to obese (BMI 25–39.9 kg/m2) previously inactive adults who fit prediabetes criteria (fasting glucose concentration = 95–125 mg/dl; oral glucose tolerance test 2-h glucose concentration = 140–199 mg/dl or both). After the supervised phase, participants (N = 159) were then randomly assigned to one of two conditions for transition (3 weeks) and then RT alone in community settings for extended contact, maintenance (6 months), and then no contact (6 months). SCT featured continued tailored, interactive personal, and web-based check-ups focused on RT, self-regulation, and a barrier/strategies approach. Standard involved low-dose, generic personal, and web-based check-ups within the same theoretical approach. SCT and Standard both resulted in similar RT, 2×/week adherence during maintenance (74.4 %) and no-contact phases (53.1 %). Cost analysis indicated the Standard intervention for transition and maintenance was inexpensive ($160). Standard can be translated into practice with the potential for continuous contact and persistence in RT beyond the typical program maintenance phase.
Related Links	http://dx.doi.org/10.1007/s13142-015-0304-5
Ending Page	159
Page Count	11
Starting Page	149
File Format	PDF
ISSN	18696716
e-ISSN	16139860
Journal	Translational Behavioral Medicine
Issue Number	2
Volume Number	5
Language	English
Publisher	Springer US
Publisher Date	2015-06-01
Access Restriction	Open
Rights Holder	Springer US
Subject Keyword	Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Behavioral Neuroscience Applied Psychology

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Theory-based approach for maintaining resistance training in older adults with prediabetes: adherence, barriers, self-regulation strategies, treatment fidelity, costs

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