Texercise: A Multi-Component Lifestyle Enhancement Program for Older Texans
Methods: In 2012-2013, Texercise Select, a 12-week exercise program including behavioral change principles and hands-on exercise training was delivered to 220 participants across 8 Texas counties. Participants completed assessments at baseline and the 12-week follow-up in multiple domains including physical activity, eating behaviors, physical functioning, and depression. Both self-report and objective measures were collected. Linear mixed models were used for continuous outcome variables and GEE models with logit link function for binary outcome variables. Effect sizes were calculated to compare study results with other programs.
Results:The majority of participants were older (average age=74.9 years), female (85.3%), non-Hispanic white (92.9%), and had multiple co-morbidities (average=2.4 chronic conditions). The program demonstrated significant benefits on aerobic physical activity (P<0.001, ES=0.64), fruit and vegetable consumption (P<0.01, ES=0.31); physical functioning P<0.001, ES=0.27), and reduced depression (P<0.05, ES=0.18).
Conclusions: A multi-component lifestyle program can have many positive effects, suggesting an additive intervention effect. Program manualization and structured training are important for ensuring lifestyle programs are delivered with fidelity. On-line training will help ensure widespread dissemination.
Learning Areas:Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Public health or related education
Public health or related research
Social and behavioral sciences
Describe the purposes and intervention components of the Texercise program; Evaluate the effectiveness of Texercise to improve physical activity, nutrition, physical functioning, and depression; Identify the infrastructure needed to disseminate and sustain an evidence-based program
Keyword(s): Aging, Health Promotion and Education
Qualified on the content I am responsible for because: because I have extensive experience in the development and evaluation of evidence-based programs. I am currently a Regents and Distinguished Professor at the Texas A&M School of Rural Public Health, and served as the lead evaluator on a grant examining the effectiveness of Texercise.
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.