| الوصف: |
Rationale: Sedentary behavior is characterized by too much sitting. It is estimated that 4 out of every 10 Americans never engage in physically active behaviors, and that approximately 60% of an adult's non-sleeping hours are spent in sedentary behaviors. As sedentary behavior increases, so do diagnoses of chronic illnesses such as diabetes, hypertension, cardiovascular disease, and kidney disease. Older adults are particularly at risk for sedentary behavior and the related chronic illnesses due to the challenges they face with balancing physical and/or cognitive limitations, medical conditions, and the requirements to remain physically active. Often times older adults feel that their only option for safe physical activity is low-speed walking. Occupational therapy intervention options that can decrease sedentary behavior in older adults in the community are scarce, thus the Everyday Meaningful Activities (EMA) intervention is proposed. The EMA Intervention combines concepts from Habit Formation Theory and the Ecology of Human Performance model. It is an individualized, client-centered intervention that aims to increase adherence to meaningful active lifestyle behaviors in older adults' lives. Meaningful active lifestyle behaviors are tasks or activities that promote enjoyment in time spent moving around (i.e. cooking, gardening, creating art, etc.). Participants created new habits by attaching these new active lifestyle behaviors to currently existing daily routines. The aims of this study are (1) to investigate the feasibility of implementing the EMA intervention with medically stable older adults, (2) to investigate the effectiveness of the EMA intervention in forming new active lifestyle behavior habits, and (3) to investigate the effectiveness of the EMA intervention in decreasing sedentary time. Method: Twelve medically stable older adults in the Greenville, NC community were recruited for this pretest/posttest, experimental design study. During six intervention sessions over six weeks, participants ... |
