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Western Journal of Nursing Research, Vol. 28, No. 7, 786-801 (2006)
DOI: 10.1177/0193945906289495

Physical Activity Counseling for Older Women

Cindy Costanzo

Creighton University School of Nursing

Susan Noble Walker

University of Nebraska Medical Center

Bernice C. Yates

University of Nebraska Medical Center

Barbara McCabe

University of Nebraska Medical Center

Kris Berg

University of Nebraska at Omaha

Physical inactivity is a major factor in increasing women’s risk for chronic disease, disability, and premature mortality. This study compared the effectiveness of five behavioral counseling (BC) sessions with a comparison group receiving one BC session based on the five A’s (ask, advise, assist, arrange, and agree) to increase moderate-intensity physical activity, muscle strengthening, and stretching activity. The health promotion model provided the framework for the intervention. A pretest/posttest comparison group design was used, with random assignment of 46 women recruited from an urban midwestern community. A significant group interaction was found only for cardiorespiratory fitness (p < .001). Significant time effects were found (p < .001) for both groups in increasing handgrip, leg strength, and flexibility. BC is a promising intervention to achieve physical activity behavior change with older women.

Key Words: activity • behavioral counseling • older women • strength • flexibility


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