Comparing Class-Based and Home-Based Exercise for Older Adults With Chronic Health Conditions: 12-Month Follow-Up of a Randomized Clinical Trial

in Journal of Aging and Physical Activity

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Koren L. Fisher
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Bruce A. Reeder
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Elizabeth L. Harrison
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Brenda G. Bruner
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Nigel L. Ashworth
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Punam Pahwa
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Nazmi Sari
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M. Suzanne Sheppard
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Christopher A. Shields
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Karen E. Chad
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DOI:
https://doi.org/10.1123/japa.2016-0285
Keywords:
aging; community; follow-up studies; health promotion; physical activity
In Print:
Volume 26: Issue 3
Page Range:
471–485
Restricted access

Objective: To assess the maintenance of physical activity (PA) and health gains among participants in a class-based (CB) or home-based (HB) PA intervention over a 12-month study period. Methods: A total of 172 adults aged 50 years and older were randomly allocated to either a CB or an HB intervention, each involving an intensive 3-month phase with a 9-month follow-up period. Measures at baseline, 3, 6, and 12 months included self-reported PA and health, body mass index, waist circumference (WC), blood pressure, cardiovascular endurance (6-min walk test), physical function, and functional fitness (senior fitness test). Outcomes were analyzed using generalized estimating equations. Results: Maximum improvement was typically observed at 3 or 6 months followed by a modest diminution, with no differences between groups. For body mass index, waist circumference, 6-min walk test, and senior fitness test, there was progressive improvement through the study period. Greater improvement was seen in the CB group compared with the HB group on three items on the senior fitness test (lower body strength and endurance [29% vs. 21%, p < .01], lower body flexibility [2.8 cm vs. 0.4 cm, p < .05], and dynamic agility [14% vs. 7%, p < .05]). Conclusion: The interventions were largely comparable; thus, availability, preferences, and cost may better guide program choice.

Fisher is with California State University, Fullerton, Fullerton, CA. Reeder, Harrison, Pahwa, Sari, and Chad are with the University of Saskatchewan, Saskatoon, SK, Canada. Bruner is with Nipissing University, North Bay, ON, Canada. Ashworth is with the University of Alberta, Edmonton, AB, Canada. Sheppard is with Saskatoon Health Region, Saskatoon, SK, Canada. Shields is with Acadia University, Wolfville, NS, Canada.

Address author correspondence to Koren L. Fisher at kofisher@fullerton.edu.
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  • Andersen, R.E., Wadden, T.A., Bartlett, S.J., Zemel, B., Verde, T.J., & Franckowiak, S.C. (1999). Effects of lifestyle activity vs. structured aerobic exercise in obese women: A randomized trial. Journal of the American Medical Association, 281(4), 335–340. PubMed ID: 9929086 doi:10.1001/jama.281.4.335

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ashworth, N.L, Chad, K.E., Harrison, E.L., Reeder, B.A., & Marshall, S.C. (2005). Home versus center based physical activity programs in older adults. Cochrane Database of Systematic Reviews, (1), CD004017.

    • Search Google Scholar
    • Export Citation

  • Bandura, A. (2004). Health promotion by social cognitive means. Health Education and Behavior, 31(2), 143–164. PubMed ID: 15090118 doi:10.1177/1090198104263660

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Bauman, A., Merom, D., Bull, F.C., Buchner, D.M., & Fiatarone Singh, M.A. (2016). Updating the evidence for physical activity: Summative reviews of the epidemiological evidence, prevalence, and interventions to promote “active aging”. Gerontology, 56(2), 268–280.

    • Search Google Scholar
    • Export Citation

  • Bellet, R.N., Adams, L., Morris, N.R. (2012). The 6-minute walk test in outpatient cardiac rehabilitation: Validity, reliability and responsiveness–a systematic review. Physiotherapy, 98(4), 277–286. PubMed ID: 23122432 doi:10.1016/j.physio.2011.11.003

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Berkemeyer, K., Wijndaele, K., White, T., Cooper, A.J., Luben, R., Westgate, K., & Brage, S. (2016). The descriptive epidemiology of accelerometer-based physical activity in older adults. International Journal of Behavioral Nutrition and Physical Activity, 13(2), 1–10.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Buchner, D.M., Larson, E.B., Wagner, E.H., Koepsell, T.D., & de Lateur, B.J. (1996). Evidence for a non-linear relationship between leg strength and gait speed. Age and Ageing, 25, 386–391. doi:10.1093/ageing/25.5.386

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Burke, L., Lee, A.H., Jancey, J., Xiang, L., Kerr, D.A., Howat, P.A., & Anderson, A.S. (2013). Physical activity and nutritional behavioral outcomes of a home-based intervention program for seniors: A randomized controlled trial. International Journal of Behavioral Nutrition and Physical Activity, 10, 14. PubMed ID: 23363616 doi:10.1186/1479-5868-10-14

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Canadian Society for Exercise Physiology. (2003). Fitness assessment and interpretation—Healthy body composition. In The Canadian physical activity, fitness & lifestyle approach (3rd ed.). Ottawa, Canada: Canadian Society for Exercise Physiology.

    • Search Google Scholar
    • Export Citation

  • Chad, K.E., Reeder, B.A., Harrison, E.L., Ashworth, N.L., Sheppard, M.S., Schultz, S.L., & Lawson, J.A. (2005). Profile of physical activity levels in community dwelling older adults. Medicine & Science in Sports & Exercise, 37(10), 1774–1784. PubMed ID: 16260980 doi:10.1249/01.mss.0000181303.51937.9c

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Chase, J.D. (2015). Interventions to increase physical activity among older adults: A meta-analysis. The Gerontologist, 55(4), 706–718. PubMed ID: 25298530 doi:10.1093/geront/gnu090

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Chen, J.T., Lin, T.H., Voon, W.C., Lai, W.T., Huang, M.H., Sheu, S.H., & Chen, C.K. (2016). Beneficial effects of home-based cardiac rehabilitation on metabolic profiles in coronary heart-disease patients. Kaohsiung Journal of Medical Sciences, 32(5), 267–275. PubMed ID: 27316586 doi:10.1016/j.kjms.2016.04.014

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Clark, A.M., Haykowsky, M., Kryworuchko, J., MacClure, T., Scott, J., DesMeules, M., & McAlister, F.A. (2010). A meta-analysis of randomized control trials of home-based secondary prevention programs for coronary artery disease. European Journal of Cardiovascular Prevention and Rehabilitation, 17, 261–270. PubMed ID: 20560165 doi:10.1097/HJR.0b013e32833090ef

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Colley, R.C., & Tremblay, M.S. (2011). Moderate and vigorous physical activity intensity cut-points for the Actical accelerometer. Journal of Sports Science, 21, 1–7.

    • Search Google Scholar
    • Export Citation

  • Colley, R., Garriguet, D., Janssen, I, Craig, C.L., Clarke, J., Tremblay, M.S. (2011). Physical activity of Canadian adults: Accelerometer results from the 2007 to 2009 Canadian Health Measures Survey. Health Reports, 22, 7–14.

    • Search Google Scholar
    • Export Citation

  • Cyarto, E.V., Brown, W.J., Marshall, A.L., Trost, S.G. (2008). Comparative effects of home-based and group-based exercise on balance confidence and balance ability in older adults: Cluster randomized trial. Gerontology, 54, 272–280. PubMed ID: 18787321 doi:10.1159/000155653

    • Crossref
    • Search Google Scholar
    • Export Citation

  • de Labra, C., Guimaraes-Pinheiro, C., Maseda, A., Lorenzo, T., & Millan-Calenti, J.C. (2015). Effects of physical exercise interventions in frail older adults: A systematic review of randomized control trials. BMC Geriatrics, 15, 154. PubMed ID: 26626157 doi:10.1186/s12877-015-0155-4

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Dinger, M.K., Oman, F., Taylor, E.L., Vesely, S.K., & Able, J. (2004). Stability and convergent validity of the Physical Activity Scale for the Elderly (PASE). Journal of Sports Medicine and Physical Fitness, 44, 186–192. PubMed ID: 15470317

    • Search Google Scholar
    • Export Citation

  • Dunn, A.L., Marcus, B.H., Kampert, J.B., Garcia, M.E., Kohl, H.W., & Blair, S.N. (1999). Comparison of lifestyle and structured interventions to increase physical activity and cardiorespiratory fitness. Journal of the American Medical Association, 281(4), 327–334. PubMed ID: 9929085 doi:10.1001/jama.281.4.327

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Fiatarone, M.A., O’Neill, E.F., Ryan, N.D., Clements, K.M., Solares, G.R., Nelson, M.E., & Evans, W.J. (1994). Exercise training and nutritional supplementation for physical frailty in very elderly people. New England Journal of Medicine, 330, 1769–1775. doi:10.1056/NEJM199406233302501

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Foster, C., Hillsdon, M., & Thorogood, M. (2009). Interventions for promoting physical activity. Cochrane Database of Systematic Reviews, (1), CD003180.

    • Search Google Scholar
    • Export Citation

  • Freene, N., Waddington, G., Chesworth, W., Davey, R., & Cochrane, T. (2014). Community group exercise versus physiotherapist-led home-based program: Barriers, enablers, and preferences in middle-aged adults. Physiotherapy Theory and Practice, 30(2), 85–93. PubMed ID: 24405399 doi:10.3109/09593985.2013.816894

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Freene, N., Waddington, G., Davey, R., & Cochrane, T. (2015). Longitudinal comparison of a physiotherapist-led, home-based and group-based program for increasing physical activity in community-dwelling middle-aged adults. Australian Journal of Primary Health, 21(2), 189–196. PubMed ID: 26509205 doi:10.1071/PY13114

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Health Canada. (1998). Canada’s physical activity guide to active, healthy living. Ottawa, Canada: Physical Activity Unit.

  • Hedeker, D.& Gibbons, R.D. (1997). Application of random-effects pattern-mixture models for missing data in longitudinal studies. Psychological Methods, 2, 64–78. doi:10.1037/1082-989X.2.1.64

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Hess, N.C., Carlson, D.J., Inder, J.D., Jesulola, E., McFarlane, J.R., Smart, N.A. (2016). Clinically meaningful blood pressure reductions with low intensity isometric handgrip exercise. A randomized trial. Physiological Research, 65(3), 461–468. PubMed ID: 27070747

    • Search Google Scholar
    • Export Citation

  • Iliffe, S., Kendrick, D., Morris, R., Masud, T., Gage, H., Skelton, D., & Belcher, C. (2014). Multicentre cluster randomised trial comparing a community group exercise programme and home-based exercise with usual care people aged 65 years and over in primary care. Health Technology Assessment, 18(49), 1–106. doi:10.3310/hta18490

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Jensen, M.D., Ryan, D.H., Donato, K.A., Apovian, C.M., Ard, J.D., Comuzzie, A.G., & Yanovski, S.Z. (2014). Guidelines (2013) for managing overweight and obesity in adults. Obesity, 22(Suppl. 2), 1–410. doi:10.1002/oby.20819

    • Search Google Scholar
    • Export Citation

  • Jolly, K., Lip, G.Y.H., Taylor, R.S., Raftery, J., Mant, J., Lane, D., & Stevens, A. (2009). The Birmingham rehabilitation uptake maximization study (BRUM): A randomised controlled trial comparing home-based with centre-based cardiac rehabilitation. Heart, 95, 36–42. PubMed ID: 18332063 doi:10.1136/hrt.2007.127209

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Karapolat, H., Demir, E., Bozkaya, Y.T., Eyigor, S., Nalbantgil, S., Durmaz, B., & Zoghi, M. (2009). Comparison of hospital-based versus home-based exercise training in patients with heart failure: Effects on functional capacity, quality of life, psychological symptoms, and hemodynamic parameters. Clinical Research in Cardiology, 98(10), 635–642. PubMed ID: 19641843 doi:10.1007/s00392-009-0049-6

    • Crossref
    • Search Google Scholar
    • Export Citation

  • King, A.C., Hekler, E.B., Grieco, L.A., Winter, S.J., Sheats, J.L., Buman, M.P., & Cirimele, J. (2016). Effects of motivationally targeted mobile device applications on initial physical activity and sedentary behavior change in midlife and older adults: A randomized control trial. PLoS ONE, 11(6), e0156370.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • King, A.C., Rejeski, W.J., & Buchner, D.M. (1998). Physical activity interventions targeting older adults: A critical review and recommendations. American Journal of Preventive Medicine, 15, 316–333. doi:10.1016/S0749-3797(98)00085-3

    • Crossref
    • Search Google Scholar
    • Export Citation

  • King, M., Judge, J., Whipple, R., & Wolfson, L. (2000). Reliability and responsiveness of two physical performance measures examined in the context of a functional training intervention. Physical Therapy, 80(1), 8–16. PubMed ID: 10623956

    • Search Google Scholar
    • Export Citation

  • Kivitz, A., Fairfax, M., Sheldon, E.A., Xiang, Q., Jones, B.A., Gammaitoni, A.R., & Gould, E.M. (2008). Comparison of the effectiveness and tolerability of Lidocaine patch 5% versus Celecoxib for osteoarthritis-related knee pain: Post hoc analysis of a 12-week, prospective, randomized, active-controlled, open-label, parallel-group trial in adults. Clinical Therapeutics, 30(12), 2366–2377. PubMed ID: 19167595 doi:10.1016/j.clinthera.2008.12.015

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Lee, I.M., Shiroma, E.J., Lobelo, F., Puska, P., Blair, S.N., Katzmarzyk, P.T., and The Lancet Physical Activity Series Working Group. (2012). Effect of physical inactivity on major non-communicable diseases worldwide: An analysis of burden of disease and life expectancy. The Lancet, 380(9838), 219–229. PubMed ID: 22818936 doi:10.1016/S0140-6736(12)61031-9

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Liang, K.Y.& Zeger, S.L. (1986). Longitudinal data analysis using generalized linear models. Biometrika, 73(1), 13–22. doi:10.1093/biomet/73.1.13

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Marcus, B.H., Williams, D.M., Dubbert, P.M., Sallis, J.F., King, A.C., Yancey, A.K., & Claytor, R.P. (2006). Physical activity intervention studies. What we know and what we need to know: A scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation, 114, 2739–2752. PubMed ID: 17145995 doi:10.1161/CIRCULATIONAHA.106.179683

    • Search Google Scholar
    • Export Citation

  • Martinson, B.C., Crain, A.L., Sherwood, N.E., Hayes, M., Pronk, N.P., & O’Connor, P.J. (2008). Maintaining physical activity among older adults: Six months outcomes of the Keep Active Minnesota randomized controlled trial. Preventive Medicine, 46(2), 111–119. PubMed ID: 17904629 doi:10.1016/j.ypmed.2007.08.007

    • Crossref
    • Search Google Scholar
    • Export Citation

  • McArdle, W.D., Katch, F.I., & Katch, V.L. (2009). Exercise physiology: Nutrition, energy and human performance. Baltimore, MD: Lippincott Williams & Wilkins.

    • Search Google Scholar
    • Export Citation

  • Morey, M.C., Snyder, D.C., Sloane, R., Cohen, H.J., Peterson, B., Hartman, T.J., & Demark-Wahnefried, W. (2009). Effects of home-based diet and exercise on functional outcomes among older, overweight long-term cancer survivors renew: A randomized controlled trial. Journal of the American Medical Association, 301(18), 1883–1891. PubMed ID: 19436015 doi:10.1001/jama.2009.643

    • Crossref
    • Search Google Scholar
    • Export Citation

  • New England Research Institutes Inc. (1991). PASE: Physical Activity Scale for the Elderly administration and scoring manual. Watertown, MA: Author.

    • Search Google Scholar
    • Export Citation

  • Office of Disease Prevention and Health Promotion. (2008) Physical Activity Guidelines for Americans. Retrieved from https://health.gov/PAGuidelines/guidelines/

    • Search Google Scholar
    • Export Citation

  • Opdenacker, J., Boen, F., Coorevits, N., & Delecluse, C. (2008). Effectiveness of a lifestyle intervention and a structured exercise intervention in older adults. Preventive Medicine, 46, 518–524. PubMed ID: 18405960 doi:10.1016/j.ypmed.2008.02.017

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Opdenacker, J., Delecluse, C., & Boen, F. (2011). A 2-year follow-up of a lifestyle physical activity versus a structured exercise intervention in older adults. Journal of the American Geriatrics Society, 59(9), 1602–1611. PubMed ID: 21883103 doi:10.1111/j.1532-5415.2011.03551.x

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Paterson, D.H., & Warburtion, D.E. (2010). Physical activity and functional limitations in older adults: A systematic review related to Canada’s Physical Activity Guidelines. International Journal Behavioral Nutrition and Physical Activity, 7, 38 doi:10.1186/1479-5868-7-38

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Pauler, D.K., McCoy, S., & Moinpour, C. (2003). Pattern mixture models for longitudinal quality of life studies in advanced stage disease. Statistics in Medicine, 22, 795–809. PubMed ID: 12587106 doi:10.1002/sim.1397

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Perri, M.G., Martin, D., Leermakers, E.A., Sears, S.F., & Notelovitz, M. (1997). Effects of group- versus home-based exercise in the treatment of obesity. Journal of Consulting and Clinical Psychology, 65(2), 278–285. PubMed ID: 9086691 doi:10.1037/0022-006X.65.2.278

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Pischon, T., Boeing, H., Hoffman, K., Bergmann, M., Schulze, M.B., Overvad, K., & Riboli, E. (2008). General and abdominal adiposity and risk of death in Europe. New England Journal of Medicine, 359, 2105–2120. PubMed ID: 19005195 doi:10.1056/NEJMoa0801891

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Province, M.A., Hadley, E.C., Hornbrook, M.C., Lipsitz, L.A., Miller, J.P., Mulrow, C.D., Wolf, S.L. (1995). The effects of exercise on falls in elderly patients. A preplanned meta-analysis of the FICSIT Trials. Journal of the American Medical Association, 273(17), 1341–1347. PubMed ID: 7715058 doi:10.1001/jama.1995.03520410035023

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Reeder, B.A., Chad, K.E., Harrison, E.L., Ashworth, N.L., Sheppard, M.S., Fisher, K.L., & Hossain, M.A. (2008). Saskatoon in motion: Class- vs. home-based physical activity promotion in older adults with chronic disease. Journal of Physical Activity and Health, 5(1), 74–87. PubMed ID: 18209255 doi:10.1123/jpah.5.1.74

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Resnick, B.& Nahm, E.S. (2001). Reliability and validity testing of the revised 12-item Short-Form Health Survey in older adults. Journal of Nursing Measurement, 9(2), 151–161. PubMed ID: 11696939

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Reuben, D.B.& Siu, A.L. (1990). An objective measure of physical function of elderly outpatients: The physical performance test. Journal of the American Geriatrics Society, 38, 1105–1112. PubMed ID: 2229864 doi:10.1111/j.1532-5415.1990.tb01373.x

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Reuben, D.B., Siu, A.L., & Kimpau, S. (1992). The predictive validity of self-report and performance-based measures of function and health. Journal of Geronotology, 47(4), M106–M110. doi:10.1093/geronj/47.4.M106

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Rikli, R.E.& Jones, C.J. (1999). Development and validation of a functional fitness test for community-residing older adults. Journal of Aging and Physical Activity, 7, 129–161. doi:10.1123/japa.7.2.129

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Rikli, R.E.& Jones, C.J. (2013). Development and validation of criterion-referenced clinically relevant fitness standards for maintaining physical independence in later years. The Gerontologist, 53(2), 255–267. PubMed ID: 22613940 doi:10.1093/geront/gns071

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Samsa, G., Edelman, D., Rothman, M.L., Williams, G.R., Lipscomb, J., & Matchar, D. (1999). Determining clinically important differences in health status measures: A general approach with illustration to the Health Utilities Index Mark II. Pharmacoeconomics, 15(2), 141–155. doi:10.2165/00019053-199915020-00003

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Schuit, A.J., Schouten, E.G., Westerterp, K.R., & Saris, W.H. (1997). Validity of the Physical Activity Scale for the Elderly (PASE): According to energy expenditure assessed by the doubly labeled water method. Journal of Clinical Epidemiology, 50(5), 541–546. PubMed ID: 9180646 doi:10.1016/S0895-4356(97)00010-3

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Sherwood, N.E., Martinson, B.C., Crain, A.L., Hayes, M.G., Pronk, N.P., & O’Connor, P.J. (2008). A new approach to physical activity maintenance: Rationale, design, and baseline data from the Keep Active Minnesota trial. BMC Geriatrics, 8, 17. PubMed ID: 18655709 doi:10.1186/1471-2318-8-17

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Sperandio, E.F., Arantes, R.L., Matheus, A.C., Silva, R.P., Lauria, V.T., Romiti, M., & Dourado, V.Z. (2015). Intensity and physiological responses to the 6-minute walk test in middle-aged and older adults: A comparison with cardiopulmonary exercise testing. Brazilian Journal of Medical and Biological Research, 48(4), 349–353. PubMed ID: 25714888 doi:10.1590/1414-431X20144235

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Stewart, A., Mills, K.M., Sepsos, P.G., King, A.C., McLellan, B.Y., Roitz, K., & Ritter, P.L. (1997). Evaluation of CHAMPS, a physical activity promotion program for older adults. Annals of Behavioral Medicine, 19(4), 353–361. PubMed ID: 9706362 doi:10.1007/BF02895154

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Stewart, A.L., Verboncoeur, C.J., McLellan, B.Y., Gillis, D.E., Rush, S., Mills, K.M., & Bortz, W.M. (2011). Physical activity outcomes of CHAMPS II: A physical activity promotion program for older adults. Journals of Geronotology: Series A, 56(8), M465–M470.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Taylor, R.S., Dalal, H., Jolly, K., Moxham, T., & Zawada, A. (2010). Home-based versus centre-based cardiac rehabilitation. Cochrane Database of Systematic Reviews, (6), CD007130.

    • Search Google Scholar
    • Export Citation

  • Thompson, D.R. (2010). Systematic review finds no difference between home-based and centre-based cardiac rehabilitation in terms of effect on mortality, morbidity and modifiable risk factors in patients with CHD. Evidence-Based Medicine, 15(2), 38–38. PubMed ID: 20436112 doi:10.1136/ebm1031

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Twisk, J.W.R. (2003). Applied longitudinal data analysis for epidemiology — A practical guide. Cambridge, MA: Cambridge University Press.

    • Search Google Scholar
    • Export Citation

  • van der Bij, A., Laurant, M., & Wensing, M. (2002). Effectiveness of physical activity interventions for older adults. American Journal of Preventive Medicine, 22(2), 120–133. PubMed ID: 11818183 doi:10.1016/S0749-3797(01)00413-5

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Van Roie, E., Delecluse, C., Opdenacker, J, De Bock, K., Kennis, E., Boen, F. (2010). Effectiveness of a lifestyle physical activity versus a structured exercise intervention in older adults. Journal of Aging and Physical Activity, 18, 335–352.

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Vestergaard, S., Kronborg, C., & Puggaard, L. (2008). Home-based video exercise intervention for community-dwelling frail older women: A randomized controlled trial. Aging Clinical and Experimental Research, 20(5), 479–486. PubMed ID: 19039291 doi:10.1007/BF03325155

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Victor, C.R., Rogers, A., Woodcock, A., Beighton, C., Cook, D.G., Kerry, S.M., & Harris, T.J. (2016). What factors support older people to increase their physical activity levels? An exploratory analysis of the experiences of PACE-Lift trial participants. Archives of Gerontology Geriatrics, 67, 1–6. PubMed ID: 27394028 doi:10.1016/j.archger.2016.06.006

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Warburton, D.E., Nicol, C.W., & Bredin, S.S. (2006). Health benefits of physical activity: The evidence. Canadian Medical Association Journal, 174(6), 801–809. PubMed ID: 16534088 doi:10.1503/cmaj.051351

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ware, J., Jr., Kosinski, M., & Keller, S.D. (1996). A 12-item short-form health survey: Construction of scales and preliminary tests of reliability and validity. Medical Care, 34(3), 220–233. PubMed ID: 8628042 doi:10.1097/00005650-199603000-00003

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Ware, J., Jr., Kosinski, M., Turner-Bowker, D.M., & Gandek, B. (2002). How to score version 2 of the SF-12 Health Survey (with a supplement documenting version 1). Lincoln, Rhode Island: QualityMetric Incorporated.

    • Search Google Scholar
    • Export Citation

  • Washburn, R.A., McAuley, E., Katula, J., Mihalko, S.L., & Boileau, R.A. (1999). The Physical Activity Scale for the Elderly (PASE): Evidence for validity. Journal of Clinical Epidemiology, 52(7), 643–651. PubMed ID: 10391658 doi:10.1016/S0895-4356(99)00049-9

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Washburn, R.A., Smith, K.W., Jette, A.M., & Janney, C.A. (1993). The Physical Activity Scale for the Elderly (PASE): Development and evaluation. Journal of Clinical Epidemiology, 46(2), 153–162. PubMed ID: 8437031 doi:10.1016/0895-4356(93)90053-4

    • Crossref
    • Search Google Scholar
    • Export Citation

  • Wong, G.W.& Wright, J.M. (2014). Blood pressure lowering efficacy of nonselective beta-blockers for primary hypertension. Cochrane Database of Systematic Reviews, (2), CD007452. doi:10.1002/14651858.CD007452.pub2

    • Search Google Scholar
    • Export Citation

  • World Health Organization. (2008). WHO STEPS surveillance manual. Geneva, Switzerland: Author.

  • Wu, G., Keyes, L., Callas, P., Ren, X., & Bookchin, B. (2010). Comparison of telecommunication, community, and home-based Tai Chi exercise programs on compliance and effectiveness in elders at risk for falls. Archives of Physical Medicine and Rehabilitation, 91, 849–856. PubMed ID: 20510973 doi:10.1016/j.apmr.2010.01.024

    • Crossref
    • Search Google Scholar
    • Export Citation
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