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Cited by 57Physical Activity and HealthBehavioral Health and InterventionsMobile Health and mHealth Applications

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·2008·Nursing Research
DOI 10.1097/01.nnr.0000280661.34502.c1
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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.

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  • Both MI and the effects of PP on mood, well-being, and optimism are associated with greater self-efficacy, confidence, and motivation, which are in turn linked to physical activity.

    “In addition, both MI (pathway D1) [113, 133, 141–145] and the previously described effects of PP on mood, well-being, and optimism (pathway E) [52, 95, 146] are associated with greater self-efficacy, confidence, and motivation, which are in turn linked to physical activity (pathway D2) [139, 147–151].”

    From Positive Psychological Interventions for Patients with Type 2 Diabetes: Rationale, Theoretical Model, and Intervention Development (2015) · cites this paper as [143]

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Authors
Bennett, J. A., Young, H. M., Nail, L. M., Winters-Stone, K., & Hanson, G.
Affiliations
  • University of Auckland (NZ)
  • Oregon Health & Science University (US)
ORCID
Venue
Nursing Research
Publisher
Ovid Technologies (Wolters Kluwer Health)
Published
2008-01
Volume
57
Issue
1
Pages
24-32
ISSN
0029-6562 (ISSN-L)
DOI
10.1097/01.nnr.0000280661.34502.c1
OpenAlex
W2012012954
Cited by
57
References
22
Citations by year
2026: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 3 · 2020: 1 · 2019: 1 · 2018: 1 · 2017: 4 · 2016: 3 · 2015: 8 · 2014: 5 · 2013: 6 · 2012: 5
FWCI
3.61
Type
journal article
Language
en
Open access
closed
Locations
  • Nursing Research (publishedVersion)
  • PubMed (publishedVersion)
Funders
National Cancer Institute (R03CA113135)
Topics
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
  • Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Keywords
motivational interviewing, telephone counseling, physical activity, rural adults, exercise self-efficacy, pedometers, health counseling, physical inactivity, seasonal effects
MeSH terms
Adult, Aged, Aged, 80 and over, Female, Health Promotion, Humans, Interviews as Topic, Male, Middle Aged, Motivation, Rural Population, Exercise, Self Efficacy

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