142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

Texercise: A Multi-Component Lifestyle Enhancement Program for Older Texans

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 2:30 PM - 2:45 PM

Marcia Ory, PhD, MPH , Health Promotion and Community Health Sciences, Texas A&M HSC School of Rural Public Health, College Station, TX
Matthew Lee Smith, PhD, MPH, CHES , Department of Health Promotion and Behavior, The University of Georgia, College of Public Health, Athens, GA
Luohua Jiang , Department of Epidemiology & Biostatistics, Texas A&M University, Health Science Center, College Station, TX
Doris Howell, MPH , Program on Healthy Aging, Texas A&M School of Rural Public Health, College Station, TX
Shuai Chen, MS , Department of Statistics, Texas A&M University, College Station, TX
Alan Stevens, PhD , Center for Applied Health Research, Baylor/Scott and White Health, Temple, TX
Background:  There is greater awareness of the importance of multi-component interventions for maintaining the health and functioning of middle-aged and older adults.  This study focuses on the repackaging of a long-standing community-based exercise program to be an evidence-based life enhancement program for older adults.  More specifically, it documents the: (1) evolution of Texercise Classic into Texercise Select; (2) newly developed training infrastructure; and (3) effectiveness of Texercise Selecton multiple lifestyle behaviors and mental health outcomes.

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

Learning Objectives:
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

Presenting author's disclosure statement:

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.