Group-based physical activity for older adults (GOAL) randomized controlled trial: Exercise adherence outcomes.

Beauchamp, Mark R.; Ruissen, Geralyn R.; Dunlop, William L.; Estabrooks, Paul A.; Harden, Samantha M.; Wolf, Svenja; Liu, Yan; Schmader, Toni; Puterman, Eli; Sheel, A. William; Rhodes, Ryan E.

doi:10.1037/hea0000615

Cited by 85 publications

(73 citation statements)

References 40 publications

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“…This also has important practical implications. Specifically, findings support suggestions that the power of groups may be harnessed to promote physical activity participation (e.g., Harden et al, 2015;Stevens et al, 2017), and point to the potential benefits of physical activity interventions that attend to individuals' identities (see also Beauchamp et al, 2018;Hunt et al, 2014). Indeed, evidence of reciprocity in the relationship between group identification and attendance further indicates the potential of such interventions, with greater attendance seemingly acting to reinforce and strengthen members' group identification as part of a virtuous upward spiral.…”

Section: Discussionsupporting

confidence: 74%

Leading us to be active: A two-wave test of relationships between identity leadership, group identification, and attendance.

Stevens¹,

Rees²,

Coffee³

et al. 2020

Sport, Exercise, and Performance Psychology

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Although physical activity participation has numerous physiological and psychological benefits, inactivity rates remain high, and a greater understanding of the factors that drive participation is needed. Growing evidence indicates that (1) the strength of individuals' social identification as a member of a particular physical activity group (e.g., an exercise group or sports team) is positively associated with their group-relevant participation, and (2) physical activity leaders (e.g., exercise group leaders, coaches, and captains) can foster members' identification, and thus their greater group-relevant participation. Extending previous crosssectional research, we examined relationships over time between sports group members' perceptions of their leaders' engagement in identity leadership, their group identification, and attendance. Participants (N = 186) from amateur sports teams completed measures of identity leadership, group identification, and attendance on two occasions, eight weeks apart. Lagged regressions indicated that perceptions of leaders' engagement in identity leadership at Time 1 predicted members' group identification at Time 2, controlling for their group identification at Time 1; and members' group identification at Time 2 was associated with their attendance at Time 2, controlling for their attendance at Time 1. Mediation analysis demonstrated a significant indirect effect of perceptions of leaders' engagement in identity leadership on group members' attendance through greater group identification. Findings provide evidence of the participation-related benefits of forming, and maintaining, strong social identities in physical activity settings, and point to the role leaders can play in fostering members' sustained identification and participation.

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Section: Discussionsupporting

confidence: 74%

Leading us to be active: A two-wave test of relationships between identity leadership, group identification, and attendance.

Stevens¹,

Rees²,

Coffee³

et al. 2020

Sport, Exercise, and Performance Psychology

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“…Participants' positive feedback about the group setting and atmosphere in the focus group suggest that a peer group might be beneficial for evoking feelings of comfort, joy, and motivation [63][64][65]. The perceived high safety level during sessions is in line with previous studies [23].…”

Section: Qualitative Feasibility Measuressupporting

confidence: 78%

Development of a conceptual framework for a group-based format of the Lifestyle-integrated Functional Exercise (gLiFE) programme and its initial feasibility testing

Kramer

Labudek

Jansen

et al. 2020

Pilot Feasibility Stud

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Background: The Lifestyle-integrated Functional Exercise (LiFE) programme is a fall prevention programme originally taught in a resource-intensive one-to-one format with limited feasibility for large-scale implementation. The aim of this paper is to present the conceptual framework and initial feasibility evaluation of a group-based LiFE (gLiFE) format developed for large-scale implementation. Methods: The conceptual gLiFE framework (part I) is based on three pillars, LiFE Activities and Principles, Theory of Behaviour Change and Behaviour Change Techniques, and Instruction. The feasibility of gLiFE was tested (part II) within a multimodal approach including quantitative questionnaires measuring safety, acceptability (1 = best to 7 = insufficient), and adherence to the LiFE activities (range = 0-14) as well as a focus group interview. Exploratory self-reported measures on behaviour change including self-determined motivation (range = 1-5), intention, planning, action control, and habit strength (range = 1-6) were assessed pre and post intervention. Data analyses were performed using descriptive statistics and qualitative content analysis. Results: The development process resulted in a manualised gLiFE concept containing standardised information on gLiFE's content and structure. Feasibility testing: Six older adults (median = 72.8 years, 5 female) completed the feasibility study and rated safety (median = 7.0, IQR = 0.3) and acceptability as high (median = 1, IQR = 1). Participants implemented 9.5 LiFE activities (IQR = 4.0) into their daily routines. No adverse events occurred during the study. In the focus group, the group format and LiFE activities were perceived as positive and important for maintaining strength and balance capacity. Self-determined motivation intention, planning, and habit strength were rated higher post intervention. Conclusion: The developed conceptual gLiFE framework represents the basis for a gLiFE format with potential for standardised large-scale implementation. Proof-of-concept could be demonstrated in a group of communitydwelling older adults at risk of falling. The public health potential of gLiFE in terms of (cost-)effectiveness is currently being evaluated in a large trial.

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“…Six such factors that influence physical activity behavior are identified by Franco et al: social influences, physical limitations, competing priorities, access difficulties, personal benefits of physical activity, and motivation and beliefs (Franco et al, 2015). The GrOup-based physical Activity for oLder adults (GOAL) trial of Beauchamp et al suggests that community exercise programs should attempt to engage in age-targeting but not necessarily gender-targeting among older adults (Beauchamp et al, 2018). Our physical exercise community program aimed at resolving these factors.…”

Section: Discussionmentioning

confidence: 99%

Cardiovascular and Quality of Life Outcomes of a 3-Month Physical Exercise Program in Two Brazilian Communities

Lima

Conopca

Miyabara

et al. 2020

Preprint

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BackgroundA decline in physical activity levels in older people is related with worsening of quality of life and a lower cardiorespiratory fitness level, which are associated with cardiovascular disease events and mortality from all causes. Evidence supports the potential impact of community-based physical exercise programs (CEXE) on cardiovascular health and quality of life. The aim of this study was to investigate health-related quality of life (HRQoL) and cardiovascular risk factors of a CEXE in two communities in Brazil.MethodsAdults with an average age of 70.2 ± 5.4 years were recruited to take part in an individually designed group based CEXE program 2–3 times/ week (aerobic exercise, circuit resistance training and stretching exercises for 1 h each time). Once a week were held competitions to develop the socialization and the ability to collaborate among group members. A CEXE group was compared with a sedentary group. Cardiovascular outcomes were blood pressure (BP), triglycerides, body mass index, waist circumference, high-density-lipoprotein cholesterol (HDL-C), low-density-lipoprotein cholesterol (LDL-C), total cholesterol, and glycaemia. HRQoL was evaluated with the Short Form-36 (SF-36).ResultsOf the investigated cardiovascular outcome measures, significantly decreased by the CEXE program were systolic BP (5.7 [95%CI 0.2 to 11.3], p < 0.05), and the triglyceride-HDL-C ratio (0.8 [95%CI 0.05 to 1.5], p < 0.05), while HDL-C was significantly increased (4.4 [95%CI 0.02 to 8.8], p < 0.05). A significant improvement in the SF-36 subscales occurred in CEXE but not in the control group: physical functioning score (increase of 24.2 [95%CI 11.8 to 36.5] vs. -9.2 [95%CI -21.5 to 3.2], p < 0.001), physical role functioning score (increase of 35.4 [95%CI 12.8 to 58.0] vs. 16.7 [95%CI -6.0 to 39.3], p < 0.01) and general health score (increase of 23.7 [95%CI 36.9 to 10.4] vs. 2.4 [95%CI -10.9 to 15.7], p < 0.001).ConclusionThis study shows that a 12-week physical exercise program may significantly improve cardiovascular risk and health-related quality of life measures in older people. An important socio-cultural transferable strategy of our physical exercise program was to develop social activities during and outside the CEXE program.# These authors contributed equally to this study

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Group-based physical activity for older adults (GOAL) randomized controlled trial: Exercise adherence outcomes.

Cited by 85 publications

References 40 publications

Leading us to be active: A two-wave test of relationships between identity leadership, group identification, and attendance.

Leading us to be active: A two-wave test of relationships between identity leadership, group identification, and attendance.

Development of a conceptual framework for a group-based format of the Lifestyle-integrated Functional Exercise (gLiFE) programme and its initial feasibility testing

Cardiovascular and Quality of Life Outcomes of a 3-Month Physical Exercise Program in Two Brazilian Communities

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