A telephone-only motivational intervention to increase physical activity in rural adults: A randomized controlled trial

Jill A. Bennett, Heather M. Young, Lillian M. Nail, Kerri Winters-Stone, Ginger Hanson

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Both urban and rural adults are likely to be inactive, but rural adults have less access to exercise classes or facilities to increase physical activity. OBJECTIVES: To evaluate whether a telephone-only motivational interviewing (MI) intervention would increase daily physical activity of rural adults. METHODS: This randomized controlled trial enrolled 86 physically inactive adults living in rural communities (mean age = 58 years, range = 30-81 years) who stated that they were ready to increase physical activity during the next 6 months. Participants were assigned randomly to MI intervention (n = 43) or control (n = 43) groups. The MI group participants received a pedometer and monthly MI telephone calls over 6 months from a counselor. Control group participants received an equal number of telephone calls without MI content. Physical activity was measured by self-report using the Community Healthy Activities Model Program For Seniors Physical Activity Questionnaire for Older Adults. Data were collected by mailed surveys and analyzed using analysis of variance. RESULTS: Seventy-two participants completed the study (35 in the intervention group and 37 in the control group). The telephone-only MI intervention increased self-efficacy for exercise (p = .019) but did not increase levels of physical activity (p = .572) compared with controls. DISCUSSION: The intervention increased self-efficacy for exercise but did not increase physical activity, possibly due to seasonal effects, the control condition, or the length of the MI intervention. Even so, future studies are warranted because telephone-only MI has potential as a practical, relatively inexpensive method to provide health counseling to rural adults in a broad geographic area. This study produced an effect size on physical activity that will be useful to guide future studies.

Original languageEnglish (US)
Pages (from-to)24-32
Number of pages9
JournalNursing Research
Volume57
Issue number1
DOIs
StatePublished - Jan 2008
Externally publishedYes

Fingerprint

Motivational Interviewing
Telephone
Randomized Controlled Trials
Exercise
Self Efficacy
Control Groups
Rural Population
Self Report
Counseling
Analysis of Variance

Keywords

  • Adult
  • Exercise
  • Physical activity
  • Randomized controlled trial
  • Rural

ASJC Scopus subject areas

  • Nursing(all)

Cite this

A telephone-only motivational intervention to increase physical activity in rural adults : A randomized controlled trial. / Bennett, Jill A.; Young, Heather M.; Nail, Lillian M.; Winters-Stone, Kerri; Hanson, Ginger.

In: Nursing Research, Vol. 57, No. 1, 01.2008, p. 24-32.

Research output: Contribution to journalArticle

Bennett, Jill A. ; Young, Heather M. ; Nail, Lillian M. ; Winters-Stone, Kerri ; Hanson, Ginger. / A telephone-only motivational intervention to increase physical activity in rural adults : A randomized controlled trial. In: Nursing Research. 2008 ; Vol. 57, No. 1. pp. 24-32.
@article{ada837d530214b13b258ee39d0aa8eb0,
title = "A telephone-only motivational intervention to increase physical activity in rural adults: A randomized controlled trial",
abstract = "BACKGROUND: Both urban and rural adults are likely to be inactive, but rural adults have less access to exercise classes or facilities to increase physical activity. OBJECTIVES: To evaluate whether a telephone-only motivational interviewing (MI) intervention would increase daily physical activity of rural adults. METHODS: This randomized controlled trial enrolled 86 physically inactive adults living in rural communities (mean age = 58 years, range = 30-81 years) who stated that they were ready to increase physical activity during the next 6 months. Participants were assigned randomly to MI intervention (n = 43) or control (n = 43) groups. The MI group participants received a pedometer and monthly MI telephone calls over 6 months from a counselor. Control group participants received an equal number of telephone calls without MI content. Physical activity was measured by self-report using the Community Healthy Activities Model Program For Seniors Physical Activity Questionnaire for Older Adults. Data were collected by mailed surveys and analyzed using analysis of variance. RESULTS: Seventy-two participants completed the study (35 in the intervention group and 37 in the control group). The telephone-only MI intervention increased self-efficacy for exercise (p = .019) but did not increase levels of physical activity (p = .572) compared with controls. DISCUSSION: The intervention increased self-efficacy for exercise but did not increase physical activity, possibly due to seasonal effects, the control condition, or the length of the MI intervention. Even so, future studies are warranted because telephone-only MI has potential as a practical, relatively inexpensive method to provide health counseling to rural adults in a broad geographic area. This study produced an effect size on physical activity that will be useful to guide future studies.",
keywords = "Adult, Exercise, Physical activity, Randomized controlled trial, Rural",
author = "Bennett, {Jill A.} and Young, {Heather M.} and Nail, {Lillian M.} and Kerri Winters-Stone and Ginger Hanson",
year = "2008",
month = "1",
doi = "10.1097/01.NNR.0000280661.34502.c1",
language = "English (US)",
volume = "57",
pages = "24--32",
journal = "Nursing Research",
issn = "0029-6562",
publisher = "Lippincott Williams and Wilkins",
number = "1",

}

TY - JOUR

T1 - A telephone-only motivational intervention to increase physical activity in rural adults

T2 - A randomized controlled trial

AU - Bennett, Jill A.

AU - Young, Heather M.

AU - Nail, Lillian M.

AU - Winters-Stone, Kerri

AU - Hanson, Ginger

PY - 2008/1

Y1 - 2008/1

N2 - BACKGROUND: Both urban and rural adults are likely to be inactive, but rural adults have less access to exercise classes or facilities to increase physical activity. OBJECTIVES: To evaluate whether a telephone-only motivational interviewing (MI) intervention would increase daily physical activity of rural adults. METHODS: This randomized controlled trial enrolled 86 physically inactive adults living in rural communities (mean age = 58 years, range = 30-81 years) who stated that they were ready to increase physical activity during the next 6 months. Participants were assigned randomly to MI intervention (n = 43) or control (n = 43) groups. The MI group participants received a pedometer and monthly MI telephone calls over 6 months from a counselor. Control group participants received an equal number of telephone calls without MI content. Physical activity was measured by self-report using the Community Healthy Activities Model Program For Seniors Physical Activity Questionnaire for Older Adults. Data were collected by mailed surveys and analyzed using analysis of variance. RESULTS: Seventy-two participants completed the study (35 in the intervention group and 37 in the control group). The telephone-only MI intervention increased self-efficacy for exercise (p = .019) but did not increase levels of physical activity (p = .572) compared with controls. DISCUSSION: The intervention increased self-efficacy for exercise but did not increase physical activity, possibly due to seasonal effects, the control condition, or the length of the MI intervention. Even so, future studies are warranted because telephone-only MI has potential as a practical, relatively inexpensive method to provide health counseling to rural adults in a broad geographic area. This study produced an effect size on physical activity that will be useful to guide future studies.

AB - BACKGROUND: Both urban and rural adults are likely to be inactive, but rural adults have less access to exercise classes or facilities to increase physical activity. OBJECTIVES: To evaluate whether a telephone-only motivational interviewing (MI) intervention would increase daily physical activity of rural adults. METHODS: This randomized controlled trial enrolled 86 physically inactive adults living in rural communities (mean age = 58 years, range = 30-81 years) who stated that they were ready to increase physical activity during the next 6 months. Participants were assigned randomly to MI intervention (n = 43) or control (n = 43) groups. The MI group participants received a pedometer and monthly MI telephone calls over 6 months from a counselor. Control group participants received an equal number of telephone calls without MI content. Physical activity was measured by self-report using the Community Healthy Activities Model Program For Seniors Physical Activity Questionnaire for Older Adults. Data were collected by mailed surveys and analyzed using analysis of variance. RESULTS: Seventy-two participants completed the study (35 in the intervention group and 37 in the control group). The telephone-only MI intervention increased self-efficacy for exercise (p = .019) but did not increase levels of physical activity (p = .572) compared with controls. DISCUSSION: The intervention increased self-efficacy for exercise but did not increase physical activity, possibly due to seasonal effects, the control condition, or the length of the MI intervention. Even so, future studies are warranted because telephone-only MI has potential as a practical, relatively inexpensive method to provide health counseling to rural adults in a broad geographic area. This study produced an effect size on physical activity that will be useful to guide future studies.

KW - Adult

KW - Exercise

KW - Physical activity

KW - Randomized controlled trial

KW - Rural

UR - http://www.scopus.com/inward/record.url?scp=37349015233&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=37349015233&partnerID=8YFLogxK

U2 - 10.1097/01.NNR.0000280661.34502.c1

DO - 10.1097/01.NNR.0000280661.34502.c1

M3 - Article

C2 - 18091289

AN - SCOPUS:37349015233

VL - 57

SP - 24

EP - 32

JO - Nursing Research

JF - Nursing Research

SN - 0029-6562

IS - 1

ER -