Aging and the Social Cognitive Determinants of Physical Activity Behavior and Behavior Change: Evidence from the Guide to Health Trial

Part one of this study investigated the effect of aging on social-cognitive characteristics related to physical activity (PA) among adults in the baseline phase of a health promotion intervention. Participants' questionnaire responses and activity logs indicated PA levels and self-efficacy declined with age, while social support and the use of self-regulatory behaviors (e.g., goal setting, planning, and keeping track) increased. With age participants were also less likely to expect PA to interfere with their daily routines and social obligations. Part two of the study was among overweight/obese, inactive participants completing the intervention; it examined whether improvements in psychosocial variables might counteract declining PA associated with age. After treatment, participants were more active and decreased body weight regardless of age, and improved self-efficacy, outcome expectations, and self-regulatory behaviors. In a causal model, increases in self-efficacy at 7-months lead to increased PA levels and, albeit marginally, weight loss at 16 months; increased PA was associated with greater weight loss. Aging adults who were more confident exercised more and as a result lost more weight. This longitudinal study suggests interventions that offset the effect of aging on self-efficacy may be more successful in helping older participants become more active and avoid weight gain.

[1]  David P Mackinnon,et al.  Confidence Limits for the Indirect Effect: Distribution of the Product and Resampling Methods , 2004, Multivariate behavioral research.

[2]  A. Bandura Self-Efficacy: The Exercise of Control , 1997, Journal of Cognitive Psychotherapy.

[3]  K. Flegal,et al.  Prevalence and trends in obesity among US adults, 1999-2008. , 2010, JAMA.

[4]  Laura M. Stapleton,et al.  A Comparison of Single Sample and Bootstrap Methods to Assess Mediation in Cluster Randomized Trials , 2006, Multivariate behavioral research.

[5]  Aslak Tveito,et al.  About Scientific Software , 2010 .

[6]  G. Holmbeck Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: examples from the child-clinical and pediatric psychology literatures. , 1997, Journal of consulting and clinical psychology.

[7]  Sheila G. Winett,et al.  Guide to health: Nutrition and physical activity outcomes of a group-randomized trial of an internet-based intervention in churches , 2007, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[8]  V. Froelicher,et al.  A nomogram to predict exercise capacity from a specific activity questionnaire and clinical data. , 1994, The American journal of cardiology.

[9]  B. Renner,et al.  Gender differences in social cognitive determinants of exercise adoption , 2010, Psychology & health.

[10]  K. Patrick,et al.  Physical Activity and Public Health: A Recommendation From the Centers for Disease Control and Prevention and the American College of Sports Medicine , 1995 .

[11]  F. Gibbons,et al.  Self-regulatory cognitions, social comparison, and perceived peers’ behaviors as predictors of nutrition and physical activity: a comparison among adolescents in Hungary, Poland, Turkey, and USA , 2004 .

[12]  K. Flegal,et al.  Prevalence and trends in obesity among US adults, 1999-2000. , 2002, JAMA.

[13]  Jonathan L. Blitstein,et al.  Design and analysis of group-randomized trials: a review of recent methodological developments. , 2004, American journal of public health.

[14]  B. Marcus,et al.  Psychosocial Mediators of Physical Activity in a Randomized Controlled Intervention Trial , 2006 .

[15]  Brian J. Ayotte,et al.  Physical Activity in Middle-aged and Young-old Adults , 2010, Journal of health psychology.

[16]  Catrine Tudor-Locke,et al.  How Many Steps/Day Are Enough? Preliminary Pedometer Indices for Public Health , 2004 .

[17]  D. A. Kenny,et al.  The moderator-mediator variable distinction in social psychological research: conceptual, strategic, and statistical considerations. , 1986, Journal of personality and social psychology.

[18]  David M Williams,et al.  A review of the outcome expectancy construct in physical activity research , 2005, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[19]  Genevieve Fridlund Dunton,et al.  Using Ecological Momentary Assessment to Examine Antecedents and Correlates of Physical Activity Bouts in Adults Age 50+ Years: A Pilot Study , 2009, Annals of behavioral medicine : a publication of the Society of Behavioral Medicine.

[20]  B E Ainsworth,et al.  Compendium of physical activities: an update of activity codes and MET intensities. , 2000, Medicine and science in sports and exercise.

[21]  David M Williams,et al.  Social-cognitive determinants of physical activity: the influence of social support, self-efficacy, outcome expectations, and self-regulation among participants in a church-based health promotion study. , 2006, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[22]  Matthew S. Fritz,et al.  Distribution of the product confidence limits for the indirect effect: Program PRODCLIN , 2007, Behavior research methods.

[23]  Rex B. Kline,et al.  Principles and Practice of Structural Equation Modeling , 1998 .

[24]  D P MacKinnon,et al.  Multilevel Mediation Modeling in Group-Based Intervention Studies , 1999, Evaluation review.

[25]  P. Barnes,et al.  Physical Activity Among Adults: United States, 2000 , 2003 .

[26]  James F. Konopack,et al.  Long-term follow-up of physical activity behavior in older adults. , 2007, Health psychology : official journal of the Division of Health Psychology, American Psychological Association.

[27]  A. Bandura Health Promotion by Social Cognitive Means , 2004, Health education & behavior : the official publication of the Society for Public Health Education.

[28]  S. West,et al.  A comparison of methods to test mediation and other intervening variable effects. , 2002, Psychological methods.

[29]  M. Stevens,et al.  Groningen Active Living Model (GALM): stimulating physical activity in sedentary older adults; validation of the behavioral change model. , 2003, Preventive medicine.

[30]  David M Williams Outcome Expectancy and Self-Efficacy: Theoretical Implications of an Unresolved Contradiction , 2010, Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc.

[31]  P. Thompson,et al.  ACSM's Guidelines for Exercise Testing and Prescription , 1995 .