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Journal of Geriatric Physical Therapy:
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Adherence to Exercise Scale for Older Patients (AESOP): A Measure for Predicting Exercise Adherence in Older Adults after Discharge from Home Health Physical Therapy

Hardage, Jason PT, DScPT1; Peel, Claire PT, PhD, FAPTA2; Morris, David PT, MS, PhD3; Graham, Cecilia PT, PhD3; Brown, Cynthia J. MD, MSPH4; Foushee, Russell H. PhD5; Braswell, Jennifer PT, PhD3

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Abstract

Purpose:: To develop a measure of 3 social cognitive theory constructs (self‐efficacy expectations, outcome expectations, and outcome expectancies) for predicting home exercise program (HEP) adherence in older adults after discharge from home health physical therapy.

Methods:: A questionnaire was developed, pilot‐tested, and administered to 50 participants (mean age 79.9 years, range 65–91 years) who were being discharged from home health physical therapy on a HEP. Participants also completed the 12‐item Short‐form Health Survey (SF‐12), Mini Mental State Examination, and short form of the Geriatric Depression Scale. Participants reported level of adherence to the HEP at 1 month.

Results:: There was a strong positive response bias for all 42 items comprising the questionnaire. Two constructs (self‐efficacy expectations and outcome expectations) demonstrated test‐retest reliability, while the third (outcome expectancies) did not. There was no association between any of the 3 constructs and the 2 scales of the SF‐12. Participants' scores on the questionnaire did not predict HEP adherence.

Conclusion:: While previous studies have shown that questionnaires based on social cognitive theory constructs predict exercise adherence in community‐dwelling older adults, the current study did not establish this relationship in older adults after discharge from home health physical therapy. Future research should address scaling issues.

Copyright © 2007 the Section on Geriatrics of the American Physical Therapy Association

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