Meta-analysis of patient education interventions to increase physical activity among chronically ill adults
Patient Education and CounselingPublished 1 December 2007Open access
Vicki S. Conn, Adam R. Hafdahl, Sharon A. Brown, Lori M. Brown
Citations253
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
It is suggested that some patient education interventions to increase physical activity (PA) are effective, despite considerable heterogeneity in the magnitude of intervention effect.
Abstract
Moderator analyses are preliminary and provide suggestive evidence for further testing of interventions to inform practice.
Keywords
MedicineHealth Professions
BMJMeasuring inconsistency in meta-analyses
62,756 Citations2003Julian P. T. Higgins, Simon G. Thompson +2 more
A new quantity is developed, I 2, which the authors believe gives a better measure of the consistency between trials in a meta-analysis, which is susceptible to the number of trials included in the meta- analysis.
Journal of Educational StatisticsStatistical Methods for Meta-Analysis
10,479 Citations1988Stanley Wasserman, Larry V. Hedges +1 more
Obesity Facts‘Small Changes' to Diet and Physical Activity Behaviors for Weight Management
9,509 Citations2013Andrew P. Hills, Nuala M. Byrne +2 more
A case for the use of small and incremental changes in diet and physical activity for improved weight management in the context of a toxic obesogenic environment is presented.
Practical Meta-Analysis
8,923 Citations2000Mark W. Lipsey, David B. Wilson
This paper presents a meta-analysis procedure called “Meta-Analysis Interpretation for Meta-Analysis Selecting, Computing and Coding the Effect Size Statistic and its applications to Data Management Analysis Issues and Strategies.
Psychological MethodsCombining effect size estimates in meta-analysis with repeated measures and independent-groups designs.
2,379 Citations2002Scott B. Morris, Richard P. DeShon
A method for combining results across independent-groups and repeated measures designs is described, and the conditions under which such an analysis is appropriate are discussed.
Medical CareEvidence Suggesting That a Chronic Disease Self-Management Program Can Improve Health Status While Reducing Hospitalization
2,245 Citations1999Kate Lorig, David S. Sobel +7 more
An intervention designed specifically to meet the needs of a heterogeneous group of chronic disease patients, including those with comorbid conditions, was feasible and beneficial beyond usual care in terms of improved health behaviors and health status.
American Journal of Preventive MedicineThe effectiveness of interventions to increase physical activityA systematic review1 and 2
2,027 Citations2002Emily B. Kahn, Leigh Ramsey +7 more
Evidence is insufficient to assess a number of interventions: classroom-based health education focused on information provision, and family-based social support; mass media campaigns and college-basedhealth education and physical education (because of an insufficient number of studies); and classroom- based health educationfocused on reducing television viewing and video game playing.
Sports MedicineHow Many Steps/Day Are Enough?
2,011 Citations2004Catrine Tudor‐Locke, David R. Bassett
This article evaluates popular recommendations for steps/day and attempts to translate existing physical activity guidelines into steps/ day equivalents and proposes the following preliminary indices be used to classify pedometer-determined physical activity in healthy adults.
American Journal of Preventive MedicineEnvironmental factors associated with adults' participation in physical activity A review
1,767 Citations2002Nancy Humpel
Physical environment factors have consistent associations with physical activity behavior and further development of ecologic and environmental models, together with behavior-specific and context-specific measurement strategies, should help in further understanding of these associations.
JAMA"A Controlled Study"
1,719 Citations1966Hamilton S. Davis
I feel let down by the overstatement and it does not seem cricket to whet the reader's appetite by including in the title the come-on phrase "controlled study" when the method used is not really rigidly controlled.
JAMAIntensive Lifestyle Changes for Reversal of Coronary Heart Disease
1,710 Citations1998Dean Ornish
More regression of coronary atherosclerosis occurred after 5 years than after 1 year in the experimental group, and in the control group, coronary Atherosclerosis continued to progress and more than twice as many cardiac events occurred.
PubMedEffect of a self-management program on patients with chronic disease.
1,526 Citations2002Kate Lorig, David S. Sobel +3 more
At 1 year, participants in the Chronic Disease Self-Management Program experienced statistically significant improvements in health behaviors, self-efficacy, and health status and had fewer visits to the emergency department and had less ED visits.
European NeurologyPost-Stroke Fatigue: Epidemiology, Clinical Characteristics and Treatment
1,419 Citations2014Monica Acciarresi, Julien Bogousslavsky +1 more
The aim of this narrative review was to provide a comprehensive knowledge, from current literature, regarding the epidemiology, clinical characteristics and treatment of fatigue in order to provide physicians with better tools for treating this debilitating symptom that worsens outcome.
JAMAEffects of Comprehensive Lifestyle Modification on Blood Pressure Control
1,327 Citations2003Lawrence J. Appel
Both behavioral interventions significantly reduced weight, improved fitness, and lowered sodium intake and the established plus DASH intervention also increased fruit, vegetable, and dairy intake.
American Psychological Association eBooksBeyond significance testing: Reforming data analysis methods in behavioral research.
1,001 Citations2004Rex B. Kline
Annals of Internal MedicineMeta-Analysis: Secondary Prevention Programs for Patients with Coronary Artery Disease
987 Citations2005Alexander M. Clark, Lisa Hartling +2 more
A systematic review to update earlier work and to determine the effects of different types of secondary prevention programs (particularly those with a structured exercise component versus those without) on mortality, MI, or hospitalization rates in patients with established CAD.
CirculationEffects of intensive multiple risk factor reduction on coronary atherosclerosis and clinical cardiac events in men and women with coronary artery disease. The Stanford Coronary Risk Intervention Project (SCRIP).
883 Citations1994William L. Haskell, Edwin L. Alderman +8 more
Intensive multifactor risk reduction conducted over 4 years favorably altered the rate of luminal narrowing in coronary arteries of men and women with coronary artery disease and decreased hospitalizations for clinical cardiac events.
Diabetes CareA Randomized Controlled Trial of Resistance Exercise Training to Improve Glycemic Control in Older Adults With Type 2 Diabetes
846 Citations2002Carmen Castañeda, Jennifer E. Layne +7 more
PRT as an adjunct to standard of care is feasible and effective in improving glycemic control and some of the abnormalities associated with the metabolic syndrome among high-risk older adults with type 2 diabetes.
Journal of Renal NutritionVisceral protein status and caloric intake in exercising versus nonexercising individuals with end-stage renal disease
805 Citations1999Sherri Frey, A Rauf Mir +1 more
Kilocalorie and protein intakes appeared to increase for E patients during the exercise program and a majority of E patients expressed feelings of improved health, better exercise tolerance and improved appetite and viewed exercise as enjoyable.
Diabetes CareHigh-Intensity Resistance Training Improves Glycemic Control in Older Patients With Type 2 Diabetes
770 Citations2002David W. Dunstan, Robin M. Daly +5 more
High-intensity progressive resistance training, in combination with moderate weight loss, was effective in improving glycemic control in older patients with type 2 diabetes.
Medicine & Science in Sports & ExerciseIncreasing physical activity: a quantitative synthesis
673 Citations1996Rod K. Dishman, Janet Buckworth
The results show that physical activity can be increased by intervention and the optimal ways for selecting intervention components, settings, and population segments to maintain increases in physical activity require experimental confirmation.
Cochrane Database of Systematic ReviewsInterventions for promoting physical activity
668 Citations2005Charlie Foster, Melvyn Hillsdon +3 more
Physical activity interventions have a moderate effect on self-reported physical activity, on achieving a predetermined level of physical activity and cardio-respiratory fitness, and the heterogeneity in reported effects was reduced when physical activity was self-directed with some professional guidance and when there was on-going professional support.
Journal of the American College of CardiologyPhysical training in patients with stable chronic heart failure: Effects on cardiorespiratory fitness and ultrastructural abnormalities of leg muscles
578 Citations1995Rainer Hambrecht, Josef Niebauer +8 more
Regular physical training increases maximal exercise tolerance and delays anaerobic metabolism during submaximal exercise in patients with stable chronic heart failure and improved functional capacity is closely linked to an exercise-induced increase in the oxidative capacity of skeletal muscle.
Annals of Behavioral MedicineA systematic review of randomized trials on the effectiveness of computer-tailored education on physical activity and dietary behaviors
577 Citations2006Willemieke Kroeze, Andrea Werkman +1 more
Overall, there seems to be potential for the application of computer tailoring for promoting healthy diets, but more research is needed to test computer-tailored interventions against other state-of-the-art intervention techniques and to identify the mechanisms underlying successful computer Tailoring.
CirculationPhysical Activity Intervention Studies
562 Citations2006Bess H. Marcus, David M. Williams +8 more
New England Journal of MedicinePrevention of Postmenopausal Osteoporosis
553 Citations1991Richard L. Prince, Margaret A. Smith +5 more
In postmenopausal women with low bone density, bone loss can be slowed or prevented by exercise plus calcium supplementation or estrogen-progesterone replacement, and the exercise-estrogen regimen was more effective than exercise and calcium supplementation in increasing bone mass.
American Journal of Preventive MedicineEffectiveness of physical activity interventions for older adults a review
498 Citations2002Abhishek Bij
Comparative studies evaluating the effectiveness of diverse interventions are needed to identify the interventions most likely to succeed in the initiation and maintenance of physical activity.
Multiple Sclerosis JournalEffects of a short-term exercise training program on aerobic fitness, fatigue, health perception and activity level of subjects with multiple sclerosis
498 Citations2002Stefan Mostert, Jürg Kesselring
Overall compliance to the training program was quite low, whereas incidence of symptom exacerbation by physical activity has been lower than expected (6%).
Psychological MethodsPublication Bias in Research Synthesis: Sensitivity Analysis Using A Priori Weight Functions.
464 Citations2005Jack L. Vevea, Carol M. Woods
A new approach is proposed that is suitable for application to meta-analytic data sets that are too small for the application of existing methods and estimates parameters relevant to fixed-effects, mixed-effects or random-effects meta-analysis contingent on a hypothetical pattern of bias that is fixed independently of the data.
American Journal of Preventive MedicineLifestyle physical activity interventions
452 Citations1998Andrea L. Dunn, Ross E. Andersen +1 more
Lifestyle physical activity interventions are effective at increasing and maintaining levels of physical activity that meet or exceed public health guidelines for physical activity in representative samples of previously sedentary adults and obese children.
Arthritis & RheumatismOutcomes of self‐help education for patients with arthritis
447 Citations1985Kate Lorig, Deborah P. Lubeck +3 more
Experimental subjects significantly exceeded control subjects in knowledge, recommended behaviors, and in lessened pain at 4 months, and these changes remained significant at 20 months.
Health PsychologyA meta-analysis of psychoeducational programs for coronary heart disease patients.
445 Citations1999Elise Dusseldorp, Thérèse van Elderen +3 more
In a meta-analysis of 37 studies, the effects of psychoeducational programs for coronary heart disease patients were examined and it is suggested that cardiac rehabilitation programs that were successful on proximal targets were more effective on distal targets than programs without success on proximate targets.
PsychometrikaA General Linear Model for Estimating Effect Size in the Presence of Publication Bias
430 Citations1995Jack L. Vevea, Larry V. Hedges
A model for estimation of effect size when there is selection based on one-tailedp-values is described, which offers a test for the presence of publication bias, and corrected estimates of the parameters of the linear model for effect magnitude.
Journal of the American College of CardiologyVarious intensities of leisure time physical activity in patients with coronary artery disease: Effects on cardiorespiratory fitness and progression of coronary atherosclerotic lesions
426 Citations1993Rainer Hambrecht, Josef Niebauer +7 more
Journal of Vascular SurgeryExercise training improves functional status in patients with peripheral arterial disease
413 Citations1996Judith G. Regensteiner, John F. Steiner +1 more
T treadmill training alone was more effective in improving functional status in patients with intermittent claudication than strength training or combinations of the training modalities.
Nursing ResearchGrey Literature in Meta-Analyses
384 Citations2003Vicki S. Conn, Jeffrey C. Valentine +2 more
Evidence is reviewed on whether the results of studies published in peer-reviewed journals are representative of results from broader samplings of research on a topic as a rationale for inclusion of grey literature and strategies to enhance access to grey literature.
European Journal of Cancer CareA randomized trial of exercise and quality of life in colorectal cancer survivors
379 Citations2003Kerry S. Courneya, Christine M. Friedenreich +4 more
The data suggest that increased cardiovascular fitness is associated with improvements in QOL in colorectal cancer survivors but better controlled trials are needed.
Cochrane Database of Systematic ReviewsHome versus center based physical activity programs in older adults
370 Citations2005Nigel Ashworth, Karen Chad +3 more
In the short-term, center based programs are superior to home based programs in patients with PVD and there is a high possibility of a training effect however as the center based groups were trained primarily on treadmills (and the home based were not).
American Journal of Kidney DiseasesPhysical functioning and health-related quality-of-life changes with exercise training in hemodialysis patients
366 Citations2000Patricia Painter, Laurie Carlson +3 more
It is clear that improvements in physical functioning result from exercise counseling and encouragement in hemodialysis patients, and more attention to patients' levels of physical activity is warranted.
Health Education ResearchA randomized controlled study of the Arthritis Self-Management Programme in the UK
362 Citations2000Jane Barlow
The findings suggest that the ASMP is effective in promoting improvements in perception of control, health behaviours and health status, when delivered in UK settings.
Cochrane Database of Systematic ReviewsLong-term non-pharmacological weight loss interventions for adults with type 2 diabetes mellitus
350 Citations2005Susan L. Norris, Xuanping Zhang +5 more
Diabetes CareA Randomized Controlled Trial of Weight Reduction and Exercise for Diabetes Management in Older African-American Subjects
349 Citations1997Tanya Agurs‐Collins, Shiriki Kumanyika +2 more
The intervention program was effective in improving glycemic and blood pressure control and may reflect indirect program effects on other aspects of self-care.
PubMedThe efficacy of home based progressive strength training in older adults with knee osteoarthritis: a randomized controlled trial.
345 Citations2001Kristin Baker, M. E. Nelson +4 more
High intensity, home based strength training can produce substantial improvements in strength, pain, physical function and quality of life in patients with knee OA.
American Journal of Preventive MedicinePhysical activity interventions using mass media, print media, and information technology
336 Citations1998BessH Marcus, Neville Owen +3 more
There is a clear need for controlled trials comparing different forms and intensities of media-based physical activity interventions, and controlled studies of personalized print, interactive computer-mediated programs, and web-based formats for program delivery also are needed.
Journal of Aging and Physical ActivityBest Practices for Physical Activity Programs and Behavior Counseling in Older Adult Populations
330 Citations2005M. Elaine Cress, David M. Büchner +6 more
This article identifies key practices for promoting physical activity in older adults, with a focus on those with chronic disease or low fitness and those with low levels of physical activity.
International Journal of ObesityControlled outcome evaluation of the First Step Program: a daily physical activity intervention for individuals with type II diabetes
323 Citations2003Catrine Tudor‐Locke, Rhonda C. Bell +5 more
The FSP is a practical intervention that elicits an immediate and profound change in walking behaviour that is an important ‘first step’ towards increasing the volume and/or intensity of PA necessary to improve long-term health outcomes in this largely sedentary and overweight or obese population.
American Journal of Health PromotionA Site-Specific Literature Review of Policy and Environmental Interventions That Promote Physical Activity and Nutrition for Cardiovascular Health: What Works?
315 Citations2005Dyann Matson-Koffman, J. Nell Brownstein +2 more
Based on the experimental and quasi-experimental studies in this review, the following interventions provide the strongest evidence for influencing these behaviors.
Journal of the American Geriatrics SocietyA Home‐Based Pedometer‐Driven Walking Program to Increase Physical Activity in Older Adults with Osteoarthritis of the Knee: A Preliminary Study
313 Citations2003Laura A. Talbot, Jean M. Gaines +2 more
To determine whether a home‐based pedometer‐driven walking program with arthritis self-management education (Walk +) would increase physical activity, muscle strength, and functional performance in older adults with osteoarthritis of the knee as opposed to arthritis self‐management education alone (EDU).
Annals of Internal MedicineDoes Counseling by Clinicians Improve Physical Activity? A Summary of the Evidence for the U.S. Preventive Services Task Force
308 Citations2002Karen Eden, C. Tracy Orleans +3 more
A new systematic review of controlled trials published since the 1996 USPSTF guidelines concluded that counseling was moderately effective but did not use study quality as a criterion for inclusion, and assessed the harms associated with increasing physical activity.
American Journal of Health PromotionConcepts Guiding the Study of the Impact of the Built Environment on Physical Activity for Older Adults: A Review of the Literature
291 Citations2004Grazia O. Cunningham, Yvonne L. Michael
The relation between the built environment and the physical activity among seniors has been the subject of a limited number of studies and the choice of theoretical model drives the selection of concepts and variables considered.
Journal of the American Geriatrics SocietyPreventing Disability and Managing Chronic Illness in Frail Older Adults: A Randomized Trial of a Community‐Based Partnership with Primary Care
289 Citations1998Suzanne G. Leveille, Edward H. Wagner +5 more
Effective new strategies that complement primary care are needed to reduce disability risks and improve self‐management of chronic illness in frail older people living in the community.
Cochrane Database of Systematic ReviewsPsychological and/or educational interventions for the prevention of depression in children and adolescents
284 Citations2004Sally Merry, Heather McDowell +3 more
Psychological interventions were effective compared with non-intervention immediately after the programmes were delivered with a significant reduction in scores on depression rating scales for targeted and universal interventions.
BMJSecondary prevention clinics for coronary heart disease: four year follow up of a randomised controlled trial in primary care
281 Citations2003Peter Murchie, Neil C Campbell +3 more
Improved medical and lifestyle components of secondary prevention produced by nurse led clinics seem to lead to fewer total deaths and coronary events, and secondary prevention clinics should be started sooner rather than later.
PubMedReview of primary care-based physical activity intervention studies: effectiveness and implications for practice and future research.
272 Citations2000Elizabeth Eakin, Russell E. Glasgow +1 more
The literature on primary care-based interventions for increasing physical activity is summarized and enough is known to recommend integration of key strategies of physical activity counseling into routine practice, although there is considerable variability across studies.
HeartSecondary prevention in coronary heart disease: a randomised trial of nurse led clinics in primary care
260 Citations1998Neil Campbell, Lewis Ritchie +4 more
Most patients gained at least one effective component of secondary prevention and, for them, future cardiovascular events and mortality could be reduced by up to a third.
Diabetes CareA Randomized Trial of an Intervention to Improve Self-Care Behaviors of African-American Women With Type 2 Diabetes
257 Citations2002Thomas C. Keyserling, Carmen D. Samuel‐Hodge +7 more
The intervention was associated with a modest enhancement of PA and was acceptable to participants, and 86% indicated that the peer counselor's role in the program was important.
American Journal of EpidemiologyHeterogeneity in Meta-analysis of Data from Epidemiologic Studies: A Commentary
244 Citations1995Graham A. Colditz, Elisabeth Burdick +1 more
Annals of Behavioral MedicineInterventions to increase physical activity among aging adults: A meta-analysis
240 Citations2002Vicki S. Conn, Jeffrey C. Valentine +1 more
These findings suggest that group-delivered interventions should encourage moderate activity, incorporate self-monitoring, target only activity, and encourage center-based activity.
Arthritis & RheumatismThe beneficial outcomes of the arthritis self‐management course are not adequately explained by behavior change
230 Citations1989Kate Lorig, Mitchel J. Seleznick +4 more
Evaluation of the Arthritis Self-Management Course revealed significant positive changes in the practice of behaviors that were taught and in health outcomes, but only weak associations between changes in behavior and changes in health status were demonstrated.
Preventive MedicineRandomized controlled trial of the effects of nurse case manager and community health worker interventions on risk factors for diabetes-related complications in urban African Americans
229 Citations2003Tiffany L. Gary‐Webb, Lee Bone +5 more
Combined NCM/CHW interventions may improve diabetic control in urban African Americans with type 2 diabetes and deserves further attention as a means to reduce the excess risk of diabetic complications in African Americans.
Scandinavian Journal of RheumatologyMuscle Biopsy in Primary Fibromyalgia: Light-Microscopical and Histochemical Findings
229 Citations1986Ann Bengtsson, K. G. Henriksson +1 more
Changes in muscle biopsies indicate that this condition has an organic basis, and are not sufficient to constitute a diagnostic test for PF.
The GerontologistImpact of the Fit and Strong Intervention on Older Adults With Osteoarthritis
227 Citations2004Susan L. Hughes, Rachel B. Seymour +4 more
Benefits indicate that this low-cost intervention may hold great promise as one of a growing number of public health intervention strategies for older adults in the United States with osteoarthritis.
Exercise and Sport Sciences ReviewsReducing Sedentary Behavior: Role in Modifying Physical Activity
224 Citations2001Leonard H. Epstein, James N. Roemmich
Behavioral economic research demonstrates that reducing sedentary behaviors in children increases physical activity and can aid in developing public health initiatives that increase access to physical activity, while reducing access to sedentary behavior.
Journal of the American Geriatrics SocietyThe Effects of Aerobic Exercise and T'ai Chi on Blood Pressure in Older People: Results of a Randomized Trial
219 Citations1999Deborah Rohm Young, Lawrence J. Appel +2 more
The effects on blood pressure of a 12‐week moderate‐intensity aerobic exercise program and a T'ai Chi program of light activity are compared.
Journal of Cardiopulmonary RehabilitationClinical Trial of an Internet-based Case Management System for Secondary Prevention of Heart Disease
218 Citations2003Barbara H. Southard, Douglas R. Southard +1 more
An Internet-based case management system could be used as a cost-effective intervention for patients with CVD, either independently or in conjunction with traditional cardiac rehabilitation.
Patient Education and CounselingImproving self-care among older patients with type II diabetes: The “sixty something…” Study
218 Citations1992Russell E. Glasgow, Deborah J. Toobert +4 more
It is concluded that a relatively short-term program can improve self-management skills of older diabetic adults, and that there is an important need for such interventions.
Diabetes CareValidation of a Counseling Strategy to Promote the Adoption and the Maintenance of Physical Activity by Type 2 Diabetic Subjects
217 Citations2003Chiara Di Loreto, Carmine G. Fanelli +7 more
This randomized, controlled study shows that physicians can motivate most patients with type 2 diabetes to exercise long-term and emphasizes the value of individual behavioral approaches in daily practice.
British Journal of Sports MedicineAre activity promotion interventions based on the transtheoretical model effective? A critical review
214 Citations2003Jean Adams, Martin White
Although there is evidence that TTM based activity promotion interventions are effective in promoting activity adoption, initial results on longer term adherence are disappointing.
PubMedGroup treatment of fibromyalgia: a 6 month outpatient program.
213 Citations1996Robert M. Bennett, Carol S. Burckhardt +4 more
The group treatment of patients with FM in an outpatient setting shows promise; a more formal controlled study is needed to confirm this impression.
Supportive Care in CancerA meta-analysis of exercise interventions among people treated for cancer
209 Citations2006Vicki S. Conn, Adam R. Hafdahl +3 more
Exercise interventions resulted in small positive effects on health and well-being outcomes among existing studies and should be examined to examine intervention-specific characteristics that result in optimal results, such as dose.
British Journal of Mathematical and Statistical PsychologyDistribution of the standardized mean change effect size for meta‐analysis on repeated measures
203 Citations2000Scott B. Morris
The distributional properties of the standardized mean change are examined, potential problems with the variance formulae given in Becker (1988) are discussed, and the use of an approximation is recommended.
Research Quarterly for Exercise and SportAccumulating 10,000 Steps: Does this Meet Current Physical Activity Guidelines?
202 Citations2003Guy C. Le-Masurier, Cara L. Sidman +1 more
The findings suggest that individuals who accumulate 10,000 steps/day are more likely to meet the current physical activity guidelines by engaging in the length of bouts promoted by the Centers for Disease Control and Prevention and the American College of Sports Medicine.
Journal of Nursing ScholarshipBeyond MEDLINE for Literature Searches
197 Citations2003Vicki S. Conn, Sang‐arun Isaramalai +4 more
Extending searches beyond MEDLINE enables researchers to conduct more systematic comprehensive searches and describes strategies for a comprehensive literature search.
BMJRandomised controlled trial of health promotion in general practice for patients at high cardiovascular risk
193 Citations1994Margaret Cupples, A McKnight
Despite having no significant effect on objective cardiovascular risk factors, personal health education of patients with angina seems to increase exercise and improve dietary habits and is effective in lessening the restriction of everyday activities.
Health PsychologyOlder adults with chronic disease: Benefits of group-mediated counseling in the promotion of physically active lifestyles.
193 Citations2003W. Jack Rejeski, Lawrence R. Brawley +5 more
Results suggest that teaching older adults to integrate physical activity into their lives via GMCB leads to better long-term outcomes than standardized exercise therapy.
American Journal of EpidemiologyInvited Commentary: Benefits of Heterogeneity in Meta-analysis of Data from Epidemiologic Studies
192 Citations1995Josse A. Berlin
The important message of the comments will be that heterogeneity of study results can provide many benefits and should be viewed as a strength of meta-analysis, not a barrier to its use.
Diabetes CareEffect of Diabetes Education on Self-Care, Metabolic Control, and Emotional Well-Being
192 Citations1989Richard R. Rubin, Mark Peyrot +1 more
It is suggested that diabetes education can promote long-term benefits in self-care, metabolic control, and emotional status if the program is specifically designed to provide these benefits.
Cochrane Database of Systematic ReviewsMultisystemic Therapy for social, emotional, and behavioral problems in youth aged 10-17
187 Citations2005JH Littell, Marius Popa +1 more
Journal of Public HealthThe effect of physical activity advice given in routine primary care consultations: a systematic review
185 Citations2001Debbie A. Lawlor, Barbara Hanratty
It appears that advice in routine primary care consultations is not an effective means of producing sustained increases in physical activity, however, these results may not be applicable to the United Kingdom, where the structure of primary care is unique.
The American Journal of CardiologyImprovement in medical risk factors and quality of life in women and men with coronary artery disease in the Multicenter Lifestyle Demonstration Project
183 Citations2003Jenny Koertge, Gerdi Weidner +12 more
It is demonstrated that a multi-component lifestyle change program focusing on diet, exercise, stress management, and social support can be successfully implemented at hospitals in diverse regions of the United States.
Public Health NursingInterventions to Promote Physical Activity Among African American Women
183 Citations2002JoAnne Banks‐Wallace, Vicki S. Conn
This review examined the intervention research literature testing strategies to increase activity among African American women and found common methodologic weaknesses included lack of randomization of subjects, single-group design, instruments without documented validity and reliability, significant attrition, and questionable timing of outcome variable measurement.
MetabolismEfficacy of a pedometer-based physical activity program on parameters of diabetes control in type 2 diabetes mellitus
180 Citations2006Paul Araiza, Hilary A. Hewes +3 more
The American Journal of MedicineImmunologic and psychologic therapy for patients with chronic fatigue syndrome: A double-blind, placebo-controlled trial
177 Citations1993Andrew R. Lloyd, Ian B. Hickie +5 more
Patients with CFS did not demonstrate a specific response to immunologic and/or psychologic therapy, and the improvement recorded in the group as a whole may reflect both nonspecific treatment effects and a propensity to remission in the natural history of this disorder.
Medicine & Science in Sports & ExerciseAerobic exercise and the lipid profile in type 1 diabetic men: a randomized controlled trial
174 Citations2000David E. Laaksonen, Mustafa Atalay +5 more
Endurance training improved the lipid profile in already physically active type 1 diabetic men, independently of effects on body composition or glycemic control.
PubMedHome based exercise therapy for older patients with knee osteoarthritis: a randomized clinical trial.
170 Citations2000Robert J. Petrella, C Bartha
Addition of a progressive exercise program to nonsteroidal antiinflammatory therapy in patients with knee OA can improve measures of activity and activity related pain more than medication alone.
Cochrane Database of Systematic ReviewsLong-term non-pharmacological weight loss interventions for adults with prediabetes
170 Citations2005Susan L. Norris, Xuanping Zhang +4 more
Overall, weight loss strategies using dietary, physical activity, or behavioral interventions produced significant improvements in weight among persons with prediabetes and a significant decrease in diabetes incidence.
Diabetes CareDiabetes Intervention Study: Multi-Intervention Trial in Newly Diagnosed NIDDM
168 Citations1991M Hanefeld, Sabine Fischer +6 more
The most important finding was the significant increase of blood cholesterol in all three groups, which could be one major reason for the failure of IHE, effective lowering of blood pressure, and clofibric acid to prevent cardiovascular complications.
Diabetes CareImpact of Physical Activity on Cardiovascular Risk Factors in IDDM
163 Citations1997Roger Lehmann, Vladimir Kaplan +3 more
This study shows that increasing physical activity is safe and does not result in more hypoglycemic episodes and that there is a linear dose-response between increased physical activity and loss of abdominal fat and a decrease in blood pressure and lipid-related cardiovascular risk factors, with a preferential increase in the HDL3-C subfraction.
Medicine & Science in Sports & ExercisePhysical Activity Programs and Behavior Counseling in Older Adult Populations
163 Citations2004M. Elaine Cress, David M. Büchner +6 more
Key practices identified in promotion activity in older adults include a multidimensional activity program that includes endurance, strength, balance, and flexibility training is optimal for health and functional benefits.
British Journal of Health PsychologyEffects of a tailored lifestyle self‐management intervention in patients with Type 2 diabetes
158 Citations2004Marie Clark, Sarah E. Hampson +2 more
The intervention was successful in helping patients to reduce fat intake and, to a lesser extent, increase lifestyle physical activity levels, and provides further evidence of the effectiveness of tailored interventions for lifestyle change.
Arthritis & RheumatismArthritis self‐management program variations: Three studies
157 Citations1998Kate Lorig, Virginia González +3 more
The traditional 6-week ASMP is more effective than a 3-week version and a 1.5-hour community program is effective in increasing knowledge, self-efficacy, and contact with the Arthritis Foundation.
Journal of Cardiopulmonary RehabilitationEffects of Long-term Exercise Rehabilitation on Claudication Distances in Patients With Peripheral Arterial Disease: A Randomized Controlled Trial
153 Citations2002Andrew W. Gardner, Leslie I. Katzel +2 more
Improvements in claudication distances, walking economy, 6-minute walk distance, physical activity level, and peripheral circulation after 6 months of exercise rehabilitation are sustained for an additional 12 months in older patients with intermittentClaudication using a less frequent exercise maintenance program.
Journal of Orthopaedic ScienceEffect of exercise training and detraining on bone mineral density in postmenopausal women with osteoporosis
151 Citations2001Jun Iwamoto, Tsuyoshi Takeda +1 more
Findings indicate that the exercise training program led to a significant increase in lumbar BMD in postmenopausal women with osteoporosis compared with the control, but that the BMD reverted toward a level that was not significantly different from the control with detraining.
Journal of Consulting and Clinical PsychologyA "family-based" approach to the treatment of obese Type II diabetic patients.
148 Citations1991Rena R. Wing, Marsha D. Marcus +2 more
PubMedA comparison of lay-taught and professional-taught arthritis self-management courses.
148 Citations1986Kate Lorig, Paul Feigenbaum +4 more
This study suggests that lay leaders can teach arthritis self-management courses with results similar to those achieved by professionals.
Medical CareCommunity-Based Spanish Language Arthritis Education Program
147 Citations1999Kate Lorig, Virginia González +1 more
Spanish-speaking participants of an arthritis self-management program demonstrate short- and long-term benefits (improved health behaviors, health status, and self-efficacy) and the role of self- efficacy in predicting health status for this population is determined.
Diabetes CarePromoting Weight Loss in Type II Diabetes
141 Citations1996Sharon A. Brown, Sandra L. Upchurch +3 more
Dairy strategies are most effective for promoting short-term weight loss in type II diabetes, and effects of weight promotion strategies were smaller in experimental studies and for individuals over age 55.
Journal of Aging and Physical ActivityNeighborhood Influences on Physical Activity in Middle-Aged and Older Adults: A Multilevel Perspective
140 Citations2005Fuzhong Li, K. John Fisher +6 more
It is concluded that a multilevel perspective is needed to increase understanding of the multiple influences on physical activity and a model is proposed that focuses attention on multiple levels of influence and the interaction among variables characterizing individuals, among variablescharacterizing neighborhoods, and across both levels.
Home Health Care Services QuarterlyA Randomized Trial of Telenursing to Reduce Hospitalization for Heart Failure: Patient-Centered Outcomes and Nursing Indicators
135 Citations2003Anthony Jerant, Rahman Azari +2 more
This trial compared 3 post-hospitalization nursing care models for reducing congestive heart failure readmission charges during 180-days of follow-up and found telenursing can reduce CHF hospitalizations and allow increased frequency of communication with patients.
Annals of the Rheumatic DiseasesEffects of patient education on compliance with basic treatment regimens and health in recent onset active rheumatoid arthritis
135 Citations1998H.L.M. Brus, M.A.F.J. van de Laar +3 more
Compliance with sulphasalazine among patients with active, recent onset RA is high, whether formal patient education is followed or not, and compliance with physical exercise, energy conservation, and joint protection was increased by patient education.
…