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Health Education Research Advance Access originally published online on June 24, 2005
Health Education Research 2006 21(1):1-14; doi:10.1093/her/cyh037
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© The Author 2005. Published by Oxford University Press. All rights reserved. For permissions, please email: journals.permissions@oxfordjournals.org

Predicting older adults' maintenance in exercise participation using an integrated social psychological model

Maarten Stiggelbout1,2, Marijke Hopman-Rock1,2,5, Matty Crone1, Lilian Lechner3 and Willem van Mechelen2,4

1 TNO Quality of Life, Department of Physical Activity and Health, 2301 CE Leiden, 2 Body@Work Research Center, Physical Activity, Work and Health, TNO, VU University Medical Center, 1081 BT Amsterdam, 3 Faculty of Psychology, Open University of The Netherlands, 6401 DL Heerlen and 4 Department of Public and Occupational Health, Institute for Research in Extramural Medicine, VU University Medical Centre, 1081 BT Amsterdam, The Netherlands

5 Correspondence to: M. Hopman-Rock; E-mail: M.Hopman{at}pg.tno.nl

Little is known about the predictors of maintenance in organized exercise programmes. The aim of this study was to investigate the behavioral predictors of maintenance of exercise participation in older adults, using an integrated social psychological model. To this end, we carried out a prospective cohort study (n = 1725; age 50 years or older) involving 10 different types of exercise programmes, with measurements at baseline and after 6 months. Predictors of intention to continue participating and the actual maintenance of exercise participation in the exercise programme were assessed using a step-wise logistic regression model. Significant odds ratios (ORs) predicting the intention to continue with the exercise programme were found for female sex, younger age, being married, being a non-smoker, being in paid employment, having a positive attitude towards exercise and having a high self-efficacy at baseline. Significant ORs predicting actual maintenance of exercise participation were short lapses, absence of lapses, high intention at baseline, high perceived quality of the programme, positive attitude at baseline and few risk situations at baseline. In order to promote maintenance of exercise participation for older adults, effort should be taken to prevent lapses, to help people cope with risk situations for lapses, to improve the attitude towards exercise participation and to improve the quality of the programme.


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