257989 Factors influencing Taiwanese older women's intention to attend strength and balance training (SBT) programs – A guide to increase recruitment rate of SBT programs

Sunday, October 28, 2012

Shih-Fan Lin, DrPH , Center for Health Equity Research and Policy, San Diego State University, San Diego, CA
Jerry W. Lee, PhD , Health Promotion and Education, Loma Linda University School of Public Health, Loma Linda, CA
Naomi Modeste, DrPH , Health Promotion and Education, Loma Linda University School of Public Health, Loma Linda, CA
Eric G. Johnson, DSc , Department of Physical Therapy, School of Allied Health Professions, Loma Linda University, Loma Linda, CA
Falling is a serious health concern among older adults. The National Health Research Institutes in Taiwan indicated that one-fifth of older adults fell in 2005. Although empirical evidences have shown that strength and balance training (SBT) programs are effective in preventing falls, older adults rarely participate. Based on the theory of panned behavior, our previous study among 221 Taiwanese older women found that perceived behavioral control most strongly associated with intention to attend SBT programs, followed by subjective norm and attitude. In this study, we further explore how behavioral, normative, and control beliefs associated with SBT program correlate with attitude, subjective norm, and perceived behavioral control, respectively. In addition, significant interactions between respondents' perceived likelihood of SBT program outcomes (behavioral beliefs) and the corresponding outcome evaluation were found in three outcomes: mental health improvement, fall risks reduction, and receiving gifts from instructors after completing the program. Significant interactions between respondents' perceived norms regarding SBT programs (normative beliefs) and their motivation to comply with these norms occurred in three referent groups: doctors, senior college classmates, and community members. Finally, significant interactions between respondents' expected controls over SBT programs (control beliefs) and their perceived impacts of these expectations were found in three sets of beliefs: expectation of SBT program held in a familiar place and expectation of having a mental/physical decline in the next six months. Interpretations and recommendations derived from these results will guide health professionals' recruitment efforts to promote older adults' intentions and actual engagement of SBT programs.

Learning Areas:
Planning of health education strategies, interventions, and programs
Program planning
Public health or related research

Learning Objectives:
1. Learners will be able to increase knowledge regarding factors that could influence older adults’ decision to attend strength and balance training program. 2. Learners will be able to describe ways to implement/improve the recruitment methods/materials for strength and balance training programs designed to prevent falls.

Keywords: Disease Prevention, Physical Activity

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I conceptualized the design of this study and performed the statistical analyses. My research interest has been the falls prevention among older populations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.