A Community-Based Exergaming Physical Activity Program Improves Readiness-to-Change and Self-Efficacy Among Rural-Residing Older Adults

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Rural-residing older adults (OA) are not meeting physical activity (PA) recommendations, such that identifying methods of increasing PA among OA remains an ongoing challenge. This study evaluated the effect of a community-based exergaming program on PA readiness-to-change and self-efficacy among rural-residing OA (n = 265). There was a significant (p = .008) increase in readiness-to-change classification from PRE to POST. Significant increases in self-efficacy, or confidence in their ability to be physically active for a prescribed period of time, were detected for 35 (p = .011) and 40 min (p = .035) of continuous PA. PA self-efficacy change for 35 min of continuous PA (F [3,137] = 3.973, p = .010) and 40 min of continuous PA (F [3,137) = 2.893, p = .038) were influenced by the interaction between PRE self-reported health and PRE PA readiness-to-change levels. Results suggest that an exergaming-themed PA intervention is effective at increasing PA participation and self-efficacy for PA among rural-residing OA.

Sowle was a graduate student in the Department of Food Science and Human Nutrition, Iowa State University, Ames, IA, at the time of the study. Francis is with the Department of Food Science and Human Nutrition, Iowa State University, Ames, IA. Margrett is with the Department of Human Development and Family Studies, Iowa State University, Ames, IA. Shelley is with the Departments of Political Science and Statistics, Iowa State University, Ames, IA. Franke is with the Department of Kinesiology, Iowa State University, Ames, IA.

Address author correspondence to Sarah L. Francis at slfranci@iastate.edu.
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