The Mediating Role of Self-Regulation and Self-Efficacy on Physical Activity Change in Community-Dwelling Older Adults (≥65 Years): An Experimental Cross-Lagged Analysis Using Data From SITLESS

in Journal of Aging and Physical Activity
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Improving the capacity for physical activity interventions to maintain behavior change is a key public health concern and an important strategy for the health and independence of older adults. Ways of ensuring effective maintenance of physical activity levels in older adults are unclear. This study includes the objective measure of moderate-to-vigorous physical activity (MVPA); self-reported self-efficacy; and self-regulation at four timepoints (baseline, intervention completion at 4 months, 12-, and 18-month follow-up) from the SITLESS study, a clinical trial conducted with a cohort of community-dwelling older adults (≥65 years) from Denmark, Germany, Spain, and the United Kingdom. A cross-lagged analysis found that self-regulation and self-efficacy may be key determinants of MVPA behavior in community-dwelling older adults. More specifically, the use of behavioral support strategies represents an important correlate of MVPA behavior, and its association with MVPA may be mediated by self-regulation and self-efficacy in older adults in the short and long term.

McMullan, Bunting, Blackburn, Wilson, and Tully are with the School of Health Sciences, Institute of Mental Health Sciences, Ulster University, Newtownabbey, United Kingdom. Deidda is with the Health Economics & Health Technology Assessment, Institute of Health & Wellbeing, University of Glasgow, Glasgow, United Kingdom. Caserotti is with the Department of Sports Science and Clinical Biomechanics, Center for Active and Healthy Ageing (CAHA), Syddansk Universitet, Odense, Denmark. Smith is with the Department of Life Sciences, Anglia Ruskin University, Cambridge, United Kingdom. Dallmeier is with the Research Unit on Ageing, Agaplesion Bethesda Clinic Ulm, Geriatric Center Ulm/Alb-Donau, Ulm, Germany; and the Department of Epidemiology, Boston University School of Public Health, Boston, MA, USA. Roque is with the Department of Physical Activity and Sport Sciences, Faculty of Psychology, Education and Sport Sciences (FPCEE), Blanquerna, Ramon Llull University, Barcelona, Spain. Weinmayr is with the Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany. Giné-Garriga is with the Department of Sport Sciences, Faculty of Psychology, Education and Sport Sciences, Blanquerna, Universitat Ramon Llull, Barcelona, Spain; and the Department of Physical Therapy, Faculty of Health Sciences, Blanquerna, Universitat Ramon Llull, Barcelona, Spain. Coll-Planas is with the Fundació Salut i Envelliment, Universitat Autònoma de Barcelona, Barcelona, Spain.

McMullan (Mcmullan-i2@ulster.ac.uk) is corresponding author.
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