Manfred Diehl, Han-Yun Tseng, George W Rebok, Kaigang Li, Abigail M Nehrkorn-Bailey, Diana Rodriguez, Diefei Chen, David L Roth
{"title":"测试AgingPLUS干预的机制:对身体活动结果的影响。","authors":"Manfred Diehl, Han-Yun Tseng, George W Rebok, Kaigang Li, Abigail M Nehrkorn-Bailey, Diana Rodriguez, Diefei Chen, David L Roth","doi":"10.1037/pag0000893","DOIUrl":null,"url":null,"abstract":"<p><p>Following the experimental medicine approach, Diehl et al. (2023) demonstrated the malleability of negative views of aging (NVOA), self-efficacy beliefs, and exercise intention in middle-aged and older adults who participated in the AgingPLUS intervention program. The present study built on those findings and addressed (a) whether the intervention resulted in significant improvements in physical activity (PA) and (b) whether the purported mechanistic variables were significant mediators of the intervention's effects on PA outcomes. AgingPLUS used a randomized, single-blind control group design to implement the intervention in a sample of 335 adults aged 45-75 years. This study reports findings from 278 participants (<i>M</i><sub>age</sub> = 60.1 years; <i>SD</i> = 8.3 years) for whom PA measures were available at baseline and the delayed posttest at Week 8. Compared to participants in the Health Education control group and compared to baseline, participants in the AgingPLUS program showed significant improvements in accelerometer-assessed PA (e.g., total daily steps walked; total daily minutes of moderate-to-vigorous PA [MVPA]) and self-reported PA (e.g., weekly kcals burned in MVPA; increase in weekly total minutes of MVPA). Findings from bias-corrected bootstrap mediation analyses yielded partial support for the purported mechanisms of the intervention. Specifically, improvements in NVOA mediated the effects of the intervention on several accelerometer-assessed PA outcomes. Furthermore, improvements in NVOA, general, motivational, and volitional self-efficacy beliefs were significant mediators on several self-reported PA outcomes. Overall, findings provided support for small but significant effects of AgingPLUS on PA outcomes and supportive evidence for several of the theoretical mechanisms tested. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>","PeriodicalId":48426,"journal":{"name":"Psychology and Aging","volume":" ","pages":"355-370"},"PeriodicalIF":3.5000,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12088897/pdf/","citationCount":"0","resultStr":"{\"title\":\"Testing the purported mechanisms of the AgingPLUS intervention: Effects on physical activity outcomes.\",\"authors\":\"Manfred Diehl, Han-Yun Tseng, George W Rebok, Kaigang Li, Abigail M Nehrkorn-Bailey, Diana Rodriguez, Diefei Chen, David L Roth\",\"doi\":\"10.1037/pag0000893\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p>Following the experimental medicine approach, Diehl et al. (2023) demonstrated the malleability of negative views of aging (NVOA), self-efficacy beliefs, and exercise intention in middle-aged and older adults who participated in the AgingPLUS intervention program. The present study built on those findings and addressed (a) whether the intervention resulted in significant improvements in physical activity (PA) and (b) whether the purported mechanistic variables were significant mediators of the intervention's effects on PA outcomes. AgingPLUS used a randomized, single-blind control group design to implement the intervention in a sample of 335 adults aged 45-75 years. This study reports findings from 278 participants (<i>M</i><sub>age</sub> = 60.1 years; <i>SD</i> = 8.3 years) for whom PA measures were available at baseline and the delayed posttest at Week 8. Compared to participants in the Health Education control group and compared to baseline, participants in the AgingPLUS program showed significant improvements in accelerometer-assessed PA (e.g., total daily steps walked; total daily minutes of moderate-to-vigorous PA [MVPA]) and self-reported PA (e.g., weekly kcals burned in MVPA; increase in weekly total minutes of MVPA). Findings from bias-corrected bootstrap mediation analyses yielded partial support for the purported mechanisms of the intervention. Specifically, improvements in NVOA mediated the effects of the intervention on several accelerometer-assessed PA outcomes. Furthermore, improvements in NVOA, general, motivational, and volitional self-efficacy beliefs were significant mediators on several self-reported PA outcomes. Overall, findings provided support for small but significant effects of AgingPLUS on PA outcomes and supportive evidence for several of the theoretical mechanisms tested. (PsycInfo Database Record (c) 2025 APA, all rights reserved).</p>\",\"PeriodicalId\":48426,\"journal\":{\"name\":\"Psychology and Aging\",\"volume\":\" \",\"pages\":\"355-370\"},\"PeriodicalIF\":3.5000,\"publicationDate\":\"2025-06-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12088897/pdf/\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Psychology and Aging\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://doi.org/10.1037/pag0000893\",\"RegionNum\":1,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2025/4/10 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q1\",\"JCRName\":\"GERONTOLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Psychology and Aging","FirstCategoryId":"102","ListUrlMain":"https://doi.org/10.1037/pag0000893","RegionNum":1,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2025/4/10 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"GERONTOLOGY","Score":null,"Total":0}
引用次数: 0
摘要
Diehl et al.(2023)采用实验医学方法,在参加AgingPLUS干预计划的中老年人中证明了消极衰老观(NVOA)、自我效能感信念和运动意图的可塑性。本研究建立在这些发现的基础上,并解决了(a)干预是否导致身体活动(PA)的显着改善,以及(b)所谓的机制变量是否是干预对PA结果影响的重要中介。AgingPLUS采用随机、单盲对照组设计,对335名年龄在45-75岁的成年人进行干预。该研究报告了278名参与者的研究结果(年龄= 60.1岁;SD = 8.3年),在基线和第8周延迟后测时可获得PA测量。与健康教育对照组的参与者相比,与基线相比,AgingPLUS项目的参与者在加速度计评估的PA(例如,每日总步数;每日中高强度PA (MVPA)总分钟数和自我报告的PA(例如,MVPA中每周消耗的卡路里数;每周MVPA总分钟数增加)。偏差校正的自举中介分析结果部分支持了干预的机制。具体来说,NVOA的改善介导了干预对几个加速度计评估的PA结果的影响。此外,NVOA、一般、动机和意志自我效能感信念的改善是几个自我报告的PA结果的显著中介。总的来说,研究结果支持AgingPLUS对PA结果的小而显著的影响,并为几个测试的理论机制提供了支持性证据。(PsycInfo Database Record (c) 2025 APA,版权所有)。
Testing the purported mechanisms of the AgingPLUS intervention: Effects on physical activity outcomes.
Following the experimental medicine approach, Diehl et al. (2023) demonstrated the malleability of negative views of aging (NVOA), self-efficacy beliefs, and exercise intention in middle-aged and older adults who participated in the AgingPLUS intervention program. The present study built on those findings and addressed (a) whether the intervention resulted in significant improvements in physical activity (PA) and (b) whether the purported mechanistic variables were significant mediators of the intervention's effects on PA outcomes. AgingPLUS used a randomized, single-blind control group design to implement the intervention in a sample of 335 adults aged 45-75 years. This study reports findings from 278 participants (Mage = 60.1 years; SD = 8.3 years) for whom PA measures were available at baseline and the delayed posttest at Week 8. Compared to participants in the Health Education control group and compared to baseline, participants in the AgingPLUS program showed significant improvements in accelerometer-assessed PA (e.g., total daily steps walked; total daily minutes of moderate-to-vigorous PA [MVPA]) and self-reported PA (e.g., weekly kcals burned in MVPA; increase in weekly total minutes of MVPA). Findings from bias-corrected bootstrap mediation analyses yielded partial support for the purported mechanisms of the intervention. Specifically, improvements in NVOA mediated the effects of the intervention on several accelerometer-assessed PA outcomes. Furthermore, improvements in NVOA, general, motivational, and volitional self-efficacy beliefs were significant mediators on several self-reported PA outcomes. Overall, findings provided support for small but significant effects of AgingPLUS on PA outcomes and supportive evidence for several of the theoretical mechanisms tested. (PsycInfo Database Record (c) 2025 APA, all rights reserved).
期刊介绍:
Psychology and Aging publishes original articles on adult development and aging. Such original articles include reports of research that may be applied, biobehavioral, clinical, educational, experimental (laboratory, field, or naturalistic studies), methodological, or psychosocial. Although the emphasis is on original research investigations, occasional theoretical analyses of research issues, practical clinical problems, or policy may appear, as well as critical reviews of a content area in adult development and aging. Clinical case studies that have theoretical significance are also appropriate. Brief reports are acceptable with the author"s agreement not to submit a full report to another journal.