TY - JOUR
T1 - Adherence to exercise scale for older patients (AESOP)
T2 - A measure for predicting exercise adherence in older adults after discharge from home health physical therapy
AU - Hardage, Jason
AU - Peel, Claire
AU - Morris, David
AU - Graham, Cecilia
AU - Brown, Cynthia J.
AU - Foushee, H. Russell
AU - Braswell, Jennifer
PY - 2007
Y1 - 2007
N2 - Purpose: To develop a measure of 3 social cognitive theory constructs (self-efficacy expectations, outcome expectations, and outcome expectancies) for predicting home exercise program (HEP) adherence in older adults after discharge from home health physical therapy. Methods: A questionnaire was developed, pilot-tested, and administered to 50 participants (mean age 79.9 years, range 65-91 years) who were being discharged from home health physical therapy on a HEP. Participants also completed the 12-item Short-form Health Survey (SF-12), Mini Mental State Examination, and short form of the Geriatric Depression Scale. Participants reported level of adherence to the HEP at 1 month. Results: There was a strong positive response bias for all 42 items comprising the questionnaire. Two constructs (self-efficacy expectations and outcome expectations) demonstrated test-retest reliability, while the third (outcome expectancies) did not. There was no association between any of the 3 constructs and the 2 scales of the SF-12. Participants' scores on the questionnaire did not predict HEP adherence. Conclusion: While previous studies have shown that questionnaires based on social cognitive theory constructs predict exercise adherence in community-dwelling older adults, the current study did not establish this relationship in older adults after discharge from home health physical therapy. Future research should address scaling issues.
AB - Purpose: To develop a measure of 3 social cognitive theory constructs (self-efficacy expectations, outcome expectations, and outcome expectancies) for predicting home exercise program (HEP) adherence in older adults after discharge from home health physical therapy. Methods: A questionnaire was developed, pilot-tested, and administered to 50 participants (mean age 79.9 years, range 65-91 years) who were being discharged from home health physical therapy on a HEP. Participants also completed the 12-item Short-form Health Survey (SF-12), Mini Mental State Examination, and short form of the Geriatric Depression Scale. Participants reported level of adherence to the HEP at 1 month. Results: There was a strong positive response bias for all 42 items comprising the questionnaire. Two constructs (self-efficacy expectations and outcome expectations) demonstrated test-retest reliability, while the third (outcome expectancies) did not. There was no association between any of the 3 constructs and the 2 scales of the SF-12. Participants' scores on the questionnaire did not predict HEP adherence. Conclusion: While previous studies have shown that questionnaires based on social cognitive theory constructs predict exercise adherence in community-dwelling older adults, the current study did not establish this relationship in older adults after discharge from home health physical therapy. Future research should address scaling issues.
KW - Exercise adherence
KW - Older adults
KW - Outcome expectancies
KW - Outcome expectations
KW - Self-efficacy expectations
UR - http://www.scopus.com/inward/record.url?scp=34548103350&partnerID=8YFLogxK
U2 - 10.1519/00139143-200708000-00006
DO - 10.1519/00139143-200708000-00006
M3 - Article
C2 - 18171490
AN - SCOPUS:34548103350
SN - 1539-8412
VL - 30
SP - 69
EP - 78
JO - Journal of Geriatric Physical Therapy
JF - Journal of Geriatric Physical Therapy
IS - 2
ER -