ADULTS: A RANDOMIZED CONTROLLED CLINICAL TRIAL
By K. Shah, Zahraa Majeed, Yilmaz B. Yoruk, Hongmei Yang, T. Hilton, James M. McMahon, W. Hall, D. Walck, Amneris E. Luque, Richard M. Ryan. Health Psychology, 2016
721 citations recorded by the source corpus.
Objective HIV-infected older adults (HOA) are at risk of functional decline. Interventions promoting physical activity that can attenuate functional decline and are easily translated into the HOA community are of high priority. We conducted a randomized, controlled clinical trial to evaluate whether a physical activity counseling intervention based on self-determination theory (SDT) improves physical function, autonomous motivation, depression and the quality of life (QOL) in HOA. Methods A total of 67 community-dwelling HOA with mild-to-moderate functional limitations were randomized to one of two groups: a physical activity counseling group or the usual care control group. We used SDT to guide the development of the experimental intervention. Outcome measures that were collected at baseline and final study visits included a battery of physical function tests, levels of physical activity, autonomous motivation, depression, and QOL. Results The study participants were similar in their demographic and clinical characteristics in both the treatment and control groups. Overall physical performance, gait speed, measures of endurance and strength, and levels of physical activity improved in the treatment group compared to the control group (p<0.05). Measures of autonomous regulation such as identified regulation, and measures of depression and QOL improved significantly in the treatment group compared to the control group (p<0.05). Across the groups, improvement in intrinsic regulation and QOL correlated with an improvement in physical function (p<0.05). Conclusion Our findings suggest that a physical activity counseling program grounded in SDT can improve physical function, autonomous motivation, depression, and QOL in HOA with functional limitations.
Subfields: Emergency Medicine, Physiology, Social Psychology
View Paper: https://www.semanticscholar.org/paper/96739cc52d4692a44cb616679fa547fd57cbca8d
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In Social Psychology
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Citations in the corpus
- Motivating voluntary compliance to behavioural restrictions: Self-determination theory–based checklist of principles for COVID-19 and other emergency communications (2021, positive): “…medication adherence (Williams et al., 1998), better dental hygiene (Münster Halvari et al., 2012), greater abstinence in tobacco cessation (Williams et al., 2006), and physical functioning, increased weight loss, and physical activity (Shah et al., 2016; Silva et al., 2010; Williams et al., 1996).”