Applying the ecological model of behavior change to a physical activity trial in retirement communities: Description of the study protocol

Journal article

Kerr, Jacqueline, Rosenberg, Dori E., Nathan, Andrea Grace, Millstein, Rachel A., Carlson, Jordan A., Crist, Katie, Wasilenko, Kari, Bolling, Khalisa, Castro, Cynthia M., Buchner, David M. and Marshall, Simon J.. (2012). Applying the ecological model of behavior change to a physical activity trial in retirement communities: Description of the study protocol. Contemporary Clinical Trials. 33(6), pp. 1180 - 1188. https://doi.org/10.1016/j.cct.2012.08.005
AuthorsKerr, Jacqueline, Rosenberg, Dori E., Nathan, Andrea Grace, Millstein, Rachel A., Carlson, Jordan A., Crist, Katie, Wasilenko, Kari, Bolling, Khalisa, Castro, Cynthia M., Buchner, David M. and Marshall, Simon J.
Abstract

Objectives: To describe the intervention protocol for the first multilevel ecological intervention for physical activity in retirement communities that addresses individual, interpersonal and community influences on behavior change. Design: A cluster randomized controlled trial design was employed with two study arms: a physical activity intervention and an attention control successful aging condition. Setting: Sixteen continuing care retirement communities in San Diego County. Participants: Three hundred twenty older adults, aged 65 years and older, are being recruited to participate in the trial. In addition, peer leaders are being recruited to lead some study activities, especially to sustain the intervention after study activities ceased. Intervention: Participants in the physical activity trial receive individual, interpersonal and community intervention components. The individual level components include pedometers, goal setting and individual phone counseling. The interpersonal level components include group education sessions and peer-led activities. The community level components include resource audits and enumeration, tailored walking maps, and community improvement projects. The successful aging group receives individual and group attention about successful aging topics. Measurements: The main outcome is light to moderate physical activity, measured objectively by accelerometry. Other objective outcomes included physical functioning, blood pressure, physical fitness, and cognitive functioning. Self report measures include depressive symptoms and health related quality of life. Results: The intervention is being delivered successfully in the communities and compliance rates are high. Conclusion: Ecological Models call for interventions that address multiple levels of the model. Previous studies have not included components at each level and retirement communities provide a model environment to demonstrate how to implement such an intervention.

Keywordsbuilt environment; physical activity; older adults; walking; trial; successful aging; protocol
Year2012
JournalContemporary Clinical Trials
Journal citation33 (6), pp. 1180 - 1188
PublisherElsevier Inc.
ISSN0197-2456
Digital Object Identifier (DOI)https://doi.org/10.1016/j.cct.2012.08.005
Scopus EID2-s2.0-84867146471
Page range1180 - 1188
Research GroupInstitute for Health and Ageing
Publisher's version
File Access Level
Controlled
Place of publicationUnited States
Permalink -

https://acuresearchbank.acu.edu.au/item/882vw/applying-the-ecological-model-of-behavior-change-to-a-physical-activity-trial-in-retirement-communities-description-of-the-study-protocol

Log in to edit

Restricted files

Publisher's version

  • 101
    total views
  • 0
    total downloads
  • 0
    views this month
  • 0
    downloads this month
These values are for the period from 19th October 2020, when this repository was created.

Export as

Related outputs

Sun-protective clothing and shade use in public outdoor leisure settings from 1992 to 2019 : Results from cross-sectional observational surveys in Melbourne, Australia
Haynes, Ashleigh, Nathan, Andrea, Dixon, Helen, Wakefield, Melanie and Dobbinson, Suzanne. (2020). Sun-protective clothing and shade use in public outdoor leisure settings from 1992 to 2019 : Results from cross-sectional observational surveys in Melbourne, Australia. Preventive Medicine. 139, p. 106230. https://doi.org/10.1016/j.ypmed.2020.106230
A multilevel study of neighborhood disadvantage, individual socioeconomic position, and body mass index: Exploring cross-level interaction effects
Rachele, Jerome N., Schmid, Christina J., Brown, Wendy J., Nathan, Andrea, Kamphuis, Carlijn B. M. and Turrell, Gavin. (2019). A multilevel study of neighborhood disadvantage, individual socioeconomic position, and body mass index: Exploring cross-level interaction effects. Preventive Medicine Reports. 14(100844), pp. 1 - 7. https://doi.org/10.1016/j.pmedr.2019.100844
Neighbourhood built environment and older adults' physical activity
Cerin, Ester, Nathan, Andrea, Van Cauwenberg, Jelle and Barnett, Anthony. (2019). Neighbourhood built environment and older adults' physical activity. In In A. P. Lane (Ed.). Urban Environments for Healthy Ageing: A Global Perspective pp. 69 - 88 Routledge. https://doi.org/10.4324/9780429243097
Walking behaviour and patterns of perceived access to neighbourhood destinations in older adults from a low-density (Brisbane, Australia) and an ultra-dense city (Hong Kong, China)
Boakye-Dankwa, Ernest, Nathan, Andrea, Barnett, Anthony, Busija, Lucy, Lee, Ruby, Pachana, Nancy A., Turrell, Gavin and Cerin, Ester. (2019). Walking behaviour and patterns of perceived access to neighbourhood destinations in older adults from a low-density (Brisbane, Australia) and an ultra-dense city (Hong Kong, China). Cities. 84, pp. 23 - 33. https://doi.org/10.1016/j.cities.2018.07.002
Built and social environmental factors influencing healthy behaviours in older Chinese immigrants to Australia: A qualitative study
Cerin, Ester, Nathan, Andrea, Choi, Wing Ka, Ngan, Winsfred, Yin, Shiyuan, Thornton, Lukar and Barnett, Anthony. (2019). Built and social environmental factors influencing healthy behaviours in older Chinese immigrants to Australia: A qualitative study. International Journal of Behavioral Nutrition and Physical Activity. 16(116), pp. 1 - 15. https://doi.org/10.1186/s12966-019-0885-3
Relationships between neighbourhood physical environmental attributes and older adults’ leisure-time physical activity: a systematic review and meta-analysis
van Cauwenberg, Jelle, Nathan, Andrea, Barnett, Anthony, Barnett,, David and Cerin, Ester. (2018). Relationships between neighbourhood physical environmental attributes and older adults’ leisure-time physical activity: a systematic review and meta-analysis. Sports Medicine. 48(7), pp. 1635 - 1660. https://doi.org/10.1007/s40279-018-0917-1
Physical environments that promote physical activity among older people
Van Cauwenberg, Jelle, Nathan, Andrea, Deforche, Benedicte, Barnett, Anthony, Barnett, David and Cerin, Ester. (2018). Physical environments that promote physical activity among older people. In In S. R. Nyman, A. Barker and T. Haines, K. Horton, C. Musselwhite, G. Peeters, C. R. Victor, and J. K. Wolff (Ed.). The Palgrave Handbook of Ageing and Physical Activity Promotion pp. 447 - 466 Palgrave Macmillan. https://doi.org/10.1007/978-3-319-71291-8_22
Neighbourhood disadvantage, geographic remoteness and body mass index among immigrants to Australia: a national cohort study 2006-2014
Menigoz, Karen, Nathan, Andrea, Heesch, Kristiann C. and Turrell, Gavin. (2018). Neighbourhood disadvantage, geographic remoteness and body mass index among immigrants to Australia: a national cohort study 2006-2014. PLoS ONE. 13(1), pp. 1 - 17. https://doi.org/10.1371/journal.pone.0191729
Capturing ultraviolet radiation exposure and physical activity: feasibility study and comparison between self-reports, mobile apps, dosimeters, and accelerometers
Hacker, Elke, Horsham, Caitlin, Allen, Martin, Nathan, Andrea, Lowe, John and Janda, Monika. (2018). Capturing ultraviolet radiation exposure and physical activity: feasibility study and comparison between self-reports, mobile apps, dosimeters, and accelerometers. Journal of Medical Internet Research. 7(4), pp. 1 - 9. https://doi.org/10.2196/resprot.9695
Ethnicity, length of residence, and prospective trends in body mass index in a national sample of Australian adults (2006-2014)
Menigoz, Karen, Nathan, Andrea, Heesch, Kristiann C. and Turrell, Gavin. (2018). Ethnicity, length of residence, and prospective trends in body mass index in a national sample of Australian adults (2006-2014). Annals of Epidemiology. 28(3), pp. 160 - 168. https://doi.org/10.1016/j.annepidem.2018.01.006
Identifying patterns of item missing survey data using latent groups: An observational study
Barnett, Adrian G., McElwee, Paul, Nathan, Andrea, Burton, Nicola W. and Turrell, Gavin. (2017). Identifying patterns of item missing survey data using latent groups: An observational study. BMJ Open. 7(10), pp. 1 - 9. https://doi.org/10.1136/bmjopen-2017-017284
Built environmental correlates of older adults' total physical activity and walking: a systematic review and meta-analysis
Barnett, David W., Barnett, Anthony, Nathan, Andrea, van Cauwenberg, Jelle and Cerin, Ester. (2017). Built environmental correlates of older adults' total physical activity and walking: a systematic review and meta-analysis. International Journal of Behavioral Nutrition and Physical Activity. 14(1), pp. 1 - 24. https://doi.org/10.1186/s12966-017-0558-z
Nowhere to go and nothing to do but sit? Youth screen time and the association with access to neighborhood destinations
Christian, Hayley, Zubrick, Stephen R., Knuiman, Matthew, Nathan, Andrea, Foster, Sarah, Villanueva, Karen and Giles-Corti, Billie. (2017). Nowhere to go and nothing to do but sit? Youth screen time and the association with access to neighborhood destinations. Environment and Behavior. 49(1), pp. 84 - 108. https://doi.org/10.1177/0013916515606189
Neighbourhood disadvantage and smoking: Examining the role of neighbourhood-level psychosocial characteristics
Rachele, Jerome Nikolaos, Wood, Lisa, Nathan, Andrea Grace, Giskes, Katrina and Turrell, Gavin. (2016). Neighbourhood disadvantage and smoking: Examining the role of neighbourhood-level psychosocial characteristics. Health and Place. 40(July), pp. 98 - 105. https://doi.org/10.1016/j.healthplace.2016.04.012
Ethnic differences in overweight and obesity and the influence of acculturation on immigrant bodyweight: Evidence from a national sample of Australian adults
Menigoz, Karen, Nathan, Andrea G. and Turrell, Gavin. (2016). Ethnic differences in overweight and obesity and the influence of acculturation on immigrant bodyweight: Evidence from a national sample of Australian adults. BMC Public Health. 16(932), pp. 1 - 13. https://doi.org/10.1186/s12889-016-3608-6
The association between dog walking, physical activity and owners' perceptions of safety: cross-sectional evidence from the US and Australia
Christian, Hayley, Wood, Lisa, Nathan, Andrea, Kawachi, Ichiro, Houghton, Stephen, Martin, Karen and McCune, Sandra. (2016). The association between dog walking, physical activity and owners' perceptions of safety: cross-sectional evidence from the US and Australia. BMC Public Health. 16(1010), pp. 1 - 12. https://doi.org/10.1186/s12889-016-3659-8
The pet factor - Companion animals as a conduit for getting to know people, friendship formation and social support
Wood, Lisa, Martin, Karen, Christian, Hayley, Nathan, Andrea, Lauritsen, Claire, Houghton, Steve, Kawachi, Ichiro and McCune, Sandra. (2015). The pet factor - Companion animals as a conduit for getting to know people, friendship formation and social support. PLoS ONE. 10(4), pp. 4 - 21. https://doi.org/10.1371/journal.pone.0122085
Exploring socioecological correlates of active living in retirement village residents
Nathan, Andrea Grace, Wood, Lisa and Giles-Corti, Billie. (2014). Exploring socioecological correlates of active living in retirement village residents. Journal of Aging and Physical Activity. 22(1), pp. 1 - 15. https://doi.org/10.1123/JAPA.2012-0189
Examining correlates of self-reported and objectively measured physical activity among retirement village residents
Nathan, Andrea Grace, Wood, Lisa and Giles-Corti, Billie. (2014). Examining correlates of self-reported and objectively measured physical activity among retirement village residents. Australasian Journal on Ageing. 33(4), pp. 250 - 256. https://doi.org/10.1111/ajag.12055
The impact of neighborhood walkability on walking: Does it differ across adult life stage and does neighborhood buffer size matter?
Villanueva, Karen, Knuiman, Matthew, Nathan, Andrea Grace, Giles-Corti, Billie, Christian, Hayley, Foster, Sarah and Bull, Fiona. (2014). The impact of neighborhood walkability on walking: Does it differ across adult life stage and does neighborhood buffer size matter? Health and Place. 25, pp. 43 - 46. https://doi.org/10.1016/j.healthplace.2013.10.005
Perceptions of the built environment and associations with walking among retirement village residents
Nathan, Andrea Grace, Wood, Lisa and Giles-Corti, Billie. (2014). Perceptions of the built environment and associations with walking among retirement village residents. Environment and Behavior. 46(1), pp. 46 - 69. https://doi.org/10.1177/0013916512450173
Selling new neighborhoods as good for walking: Issues for measuring self-selection
Nathan, Andrea Grace, Wood, Lisa and Giles-Corti, Billie. (2013). Selling new neighborhoods as good for walking: Issues for measuring self-selection. Journal of Physical Activity and Health. 10(1), pp. 5 - 9. https://doi.org/10.1123/jpah.10.1.5
Environmental factors associated with active living in retirement village residents: Findings from an exploratory qualitative enquiry
Nathan, Andrea Grace, Wood, Lisa and Giles-Corti, Billie. (2013). Environmental factors associated with active living in retirement village residents: Findings from an exploratory qualitative enquiry. Research on Aging. 35(4), pp. 459 - 480. https://doi.org/10.1177/0164027512454886
People living in hilly residential areas in metropolitan Perth have less diabetes: Spurious association or important environmental determinant?
Villanueva, Karen, Knuiman, Matthew, Koohsari, Mohammad Javad, Hickey, Sharyn, Foster, Sarah, Badland, Hannah, Nathan, Andrea Grace, Bull, Fiona and Giles-Corti, Billie. (2013). People living in hilly residential areas in metropolitan Perth have less diabetes: Spurious association or important environmental determinant? International Journal of Health Geographics. 12(59), pp. 1 - 11. https://doi.org/10.1186/1476-072X-12-59
The impact of the built environment on health across the life course: design of a cross-sectional data linkage study
Villanueva, Karen, Pereira, Gavin, Knuiman, Matthew, Bull, Fiona, Wood, Lisa, Christian, Hayley, Foster, Sarah, Boruff, Bryan, Beesley, Bridget, Hickey, Sharyn, Joyce, Sarah, Nathan, Andrea Grace, Saarloos, Dick and Giles-Corti, Billie. (2013). The impact of the built environment on health across the life course: design of a cross-sectional data linkage study. BMJ Open. 3(1), pp. 1 - 11. https://doi.org/10.1136/bmjopen-2012-002482
Using GPS technology to (re)-examine operational definitions of 'neighbourhood' in place-based health research
Boruff, Bryan, Nathan, Andrea Grace and Nijënstein, Sandra. (2012). Using GPS technology to (re)-examine operational definitions of 'neighbourhood' in place-based health research. International Journal of Health Geographics. 11(22), pp. 22 - 35. https://doi.org/10.1186/1476-072X-11-22
Access to commercial destinations within the neighbourhood and walking among Australian older adults
Nathan, Andrea Grace, Pereira, Gavin, Foster, Sarah, Hooper, Paula, Saarloos, Dick and Giles-Corti, Billie. (2012). Access to commercial destinations within the neighbourhood and walking among Australian older adults. International Journal of Behavioral Nutrition and Physical Activity. 9(133), pp. 133 - 140. https://doi.org/10.1186/1479-5868-9-133