The purpose of this study was to evaluate adherence to home-based exercise interventions among older women post hip fracture that were randomized to one of three exercise intervention groups or a routine care group. A total of 157 female hip fracture patients provided data for the intervention analysis. Factors evaluated baseline, 2, 6, and 12 months post hip fracture included demographic variables, adherence to treatment visits, self-efficacy, outcome expectations, stage of change for exercise, social support for exercise, mood, health status, pain, and fear of falling. The hypothesized model tested the direct and indirect impact of all study variables on adherence to exercise intervention sessions. Different factors appeared to influence adherence to visits across the recovery trajectory.
Barbara Resnick is with the University of Maryland School of Nursing, Baltimore, MD. E-mail: firstname.lastname@example.org. Michelle Shardell, Denise Orwig, William Hawkes, J. Richard Hebel, Justine Golden, and Jay Magaziner are with the University of Maryland School of Medicine. Sheryl Zimmerman is with the School of Social Work at the University of North Carolina Chapel Hill, and Janet Yu-Yahiro is with Union Memorial Hospital in Baltimore.