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RESEARCH PRODUCT

Effects of an Individualized Active Aging Counseling Intervention on Mobility and Physical Activity: Secondary Analyses of a Randomized Controlled Trial

Milla SaajanahoTimo RantalainenErja PortegijsMary HassandraTaina RantanenLaura KaravirtaSini SiltanenKatja Pynnönen

subject

CounselingMaleAgingitsemäärääminenmedicine.medical_specialtymielekkyysfyysinen toimintakykyPhysical activityWalkingPhysical functionmeaningful activitylaw.invention03 medical and health sciencesphysical function0302 clinical medicineRandomized controlled triallawlife-spaceHumansMedicine030212 general & internal medicineMobility LimitationautonomyCounseling InterventionExerciseAgedAged 80 and overCommunity and Home Carebusiness.industryliikuntaneuvontaArticles030229 sport sciencessatunnaistetut vertailukokeet3. Good healthLife spacePersonal Autonomyrandomized controlled trialPhysical therapyFemaleIndependent LivingGeriatrics and Gerontologybusinessautonomy randomized controlled trialGerontologyRCTfyysinen aktiivisuusikääntyneet

description

Objectives: The aim of this study was to report preplanned secondary analyses of the effects of a 12-month individualized active aging counseling intervention on six mobility and physical activity outcomes. Methods: A two-arm, single-blinded randomized controlled trial was conducted among 75- and 80-year-old community-dwelling people. The intervention group (IG, n = 101) received counseling aimed at increasing self-selected, primarily out-of-home activity. The control group (CG, n = 103) received general health information. Data were analyzed with generalized estimating equations. Results: Physical performance improved in the IG more than that in the CG (group by time p = .022), self-reported physical activity increased in both groups (time p = .012), and autonomy in outdoor mobility declined in the IG and was enhanced in the CG (group by time p = .011). No change was observed for life-space mobility, proportion of persons perceiving difficulty walking 2 km, or monitored physical activity. Discussion: Individualized counseling aiming at increasing self-selected out-of-home activity had nonsystematic effects on mobility and positively affected physical performance only.

https://doi.org/10.1177/0898264320924258