Aquatic Exercise in Older Korean Women with Arthritis: Identifying Barriers to and Facilitators of Long-Term Adherence
Abstract
The purpose of this study was to identify factors influencing long-term adherence to aquatic exercise in older women with arthritis. Participants ( n = 72) completed an educational program on aquatic exercise and underwent follow up for 6 months. At follow-up, women who continued aquatic exercise (adherence group, n = 25) had significantly higher scores than women in the nonadherence group ( n = 47) in exercise self-efficacy ( p < 0.0001) and group cohesion based on social aspects ( p = 0.009). Both groups reported experiencing similar barriers to exercise (rho = 0.78). The findings provide insights for the development of strategies to promote long-term adherence to this type of aquatic exercise. Specifically, the findings encourage the fostering of exercise self-efficacy and social group cohesion during participation in educational programs to increase long-term exercise adherence.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
People with osteoarthritis may have difficulties with moderate to vigorous physical activity due to pain.
“people with OA may have difficulties with MVPA due to pain [11-13].”
From A Community-Based Physical Activity Counselling Program for People With Knee Osteoarthritis: Feasibility and Preliminary Efficacy of the Track-OA Study (2017) · cites this paper as [12]
Cites
Self-efficacy: The exercise of control
Bandura, A., Freeman, W. H., & Lightsey, R. (1999) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.13.2.158 · Cited by 46,835 · see citing works
Physical Activity, Including Walking, and Cognitive Function in Older Women
Weuve, J. (2004) · JAMA · doi:10.1001/jama.292.12.1454 · Cited by 1,175 · see citing works
Exercise Treatment for Major Depression: Maintenance of Therapeutic Benefit at 10 Months
Babyak, M., Blumenthal, J. A., Herman, S., Khatri, P., Doraiswamy, M., Moore, K., Edward Craighead, W., Baldewicz, T. T., & Ranga Krishnan, K. (2000) · Psychosomatic Medicine · doi:10.1097/00006842-200009000-00006 · Cited by 1,063 · see citing works
Carron, A. V., Widmeyer, W. N., & Brawley, L. R. (1985) · Journal of Sport Psychology · doi:10.1123/jsp.7.3.244 · Cited by 1,050 · cited 1× · see citing works
“The Group Environment Questionnaire (GEO) originally was developed by Carron, Widmeyer, and Brawley (1985) to measure cohesion in sports teams and later was modified for the exercise domain (Carron, Widmeyer, & Brawley, 1988).”
MethodEttinger, W. H. (1997) · JAMA · doi:10.1001/jama.1997.03540250033028 · Cited by 947 · see citing works
The development of self-efficacy scales for healthrelated diet and exercise behaviors
Sallis, J. F., Pinski, R. B., Grossman, R. M., Patterson, T. L., & Nader, P. R. (1988) · Health Education Research · doi:10.1093/her/3.3.283 · Cited by 826 · see citing works
Patterns of individualism and collectivism across the United States.
Vandello, J. A., & Cohen, D. (1999) · Journal of Personality and Social Psychology · doi:10.1037/0022-3514.77.2.279 · Cited by 717 · see citing works
Daily activity energy expenditure and mortality among older adults
Manini, T. M., Everhart, J. E., Patel, K. V., Schoeller, D. A., Colbert, L. H., Visser, M., Tylavsky, F., Bauer, D. C., Goodpaster, B. H., & Harris, T. B. (2006) · JAMA · doi:10.1001/jama.296.2.171 · Cited by 598 · see citing works
Sex differences in stroke recovery.
Lai, S., Duncan, P. W., Dew, P., & Keighley, J. D. (2005) · Europe PMC (PubMed Central) · Cited by 460 · see citing works
A multivariate study of determinants of vigorous exercise in a community sample
Sallis, J. F., Hovell, M. F., Hofstetter, C. R., Faucher, P., Elder, J. P., Blanchard, J. H., Caspersen, C. J., Powell, K. E., & Christenson, G. M. (1989) · Preventive Medicine · doi:10.1016/0091-7435(89)90051-0 · Cited by 419 · see citing works
Wilcox, S., Ananian, C. D., Abbott, J., Vrazel, J., Ramsey, C. A., Sharpe, P. A., & Brady, T. J. (2006) · Arthritis Care & Research · doi:10.1002/art.22098 · Cited by 316 · see citing works
Resistance Exercise and Physical Performance in Adults Aged 60 to 83
Vincent, K. R., Braith, R. W., Feldman, R. A., Magyari, P. M., Cutler, R. B., Persin, S. A., Lennon, S. L., Gabr, A., & Lowenthal, D. T. (2002) · Journal of the American Geriatrics Society · doi:10.1046/j.1532-5415.2002.50267.x · Cited by 294 · see citing works
Team Building in an Exercise Setting
Carron, A. V., & Spink, K. S. (1993) · The Sport Psychologist · doi:10.1123/tsp.7.1.8 · Cited by 228 · see citing works
Assessing the Cohesion of Teams: Validity of the Group Environment Questionnaire
Brawley, L. R., Carron, A. V., & Widmeyer, W. N. (1987) · Journal of Sport Psychology · doi:10.1123/jsp.9.3.275 · Cited by 211 · see citing works
The Effect of Social Support on Exercise Behavior in Older Adults
Resnick, B. M., Orwig, D., Magaziner, J. S., & Wynne, C. (2002) · Clinical Nursing Research · doi:10.1177/105477380201100105 · Cited by 191 · see citing works
Conn, V. S. (1998) · Nursing Research · doi:10.1097/00006199-199805000-00009 · Cited by 184 · see citing works
Toward a Model of Exercise Motivation
Dzewaltowski, D. A. (1989) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.11.3.251 · Cited by 184 · see citing works
Litt, M. D., Kleppinger, A., & Judge, J. O. (2002) · Journal of Behavioral Medicine · doi:10.1023/a:1013593819121 · Cited by 169 · see citing works
Stewart, K. J., Turner, K. L., Bacher, A. C., DeRegis, J. R., Sung, J., Tayback, M., & Ouyang, P. (2003) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200303000-00009 · Cited by 155 · see citing works
Suomi, R. E., & Collier, D. H. (2003) · Archives of Physical Medicine and Rehabilitation · doi:10.1053/s0003-9993(03)00278-8 · Cited by 151 · see citing works
Predictors of Women???s Exercise Maintenance After Cardiac Rehabilitation
Moore, S. M., Dolansky, M. A., Ruland, C. M., Pashkow, F. J., & Blackburn, G. G. (2003) · Journal of Cardiopulmonary Rehabilitation · doi:10.1097/00008483-200301000-00008 · Cited by 151 · see citing works
Group Cohesion in Older Adult Exercisers: Prediction and Intervention Effects
Estabrooks, P. A., & Carron, A. V. (1999) · Journal of Behavioral Medicine · doi:10.1023/a:1018741712755 · Cited by 145 · see citing works
Path analysis of efficacy expectations and exercise behaviour in older adults
Resnick, B. M., Palmer, M. H., Jenkins, L. S., & Spellbring, A. M. (2000) · Journal of Advanced Nursing · doi:10.1046/j.1365-2648.2000.01463.x · Cited by 141 · see citing works
Group Cohesion and Individual Adherence to Physical Activity
Carron, A. V., Widmeyer, W. N., & Brawley, L. R. (1988) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.10.2.127 · Cited by 137 · see citing works
The Effect of Social Support on Exercise Behavior in Older Adults
Resnick, B. M., Orwig, D., Magaziner, J. S., & Wynne, C. (2002) · Clinical Nursing Research · doi:10.1177/1054773802011001005 · Cited by 127 · see citing works
Does Adherence Make a Difference?
Belza, B. L., Topolski, T. D., Kinne, S., Patrick, D. L., & Ramsey, S. D. (2002) · Nursing Research · doi:10.1097/00006199-200209000-00003 · Cited by 115 · see citing works
Testing A Theoretical Model of Exercise Behavior for Older Adults
Resnick, B. M., & Nigg, C. R. (2003) · Nursing Research · doi:10.1097/00006199-200303000-00004 · Cited by 114 · see citing works
The Effects of Team Building on the Adherence Patterns of Female Exercise Participants
Spink, K. S., & Carron, A. V. (1993) · Journal of Sport and Exercise Psychology · doi:10.1123/jsep.15.1.39 · Cited by 105 · see citing works
Testing a model of exercise behavior in older adults
Resnick, B. M. (2001) · Research in Nursing & Health · doi:10.1002/nur.1011 · Cited by 100 · see citing works
Rhodes, R. E., Martín, A., & Taunton, J. E. (2001) · Perceptual and Motor Skills · doi:10.2466/pms.2001.93.3.693 · Cited by 81 · see citing works
Resistance Training is Associated with Improved Mood in Healthy Older Adults
McLafferty, C. L., Wetzstein, C. J., & Hunter, G. R. (2004) · Perceptual and Motor Skills · doi:10.2466/pms.98.3.947-957 · Cited by 48 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Zanten, J. V., Rouse, P. C., Hale, E., Ntoumanis, N., Metsios, G. S., Duda, J. L., & Kitas, G. D. (2015) · Sports Medicine · doi:10.1007/s40279-015-0363-2 · Cited by 262 · see citing works
Kanitz, A. C., Delevatti, R. S., Reichert, T. L., Liedtke, G. V., Ferrari, R., Almada, B. P., Pinto, S. S., Alberton, C. L., & Kruel, L. F. M. (2015) · Experimental Gerontology · doi:10.1016/j.exger.2015.02.013 · Cited by 74 · see citing works
Li, L. C., Sayre, E. C., Xie, H., Clayton, C., & Feehan, L. M. (2017) · JMIR mHealth and uHealth · doi:10.2196/mhealth.7863 · Cited by 74 · see citing works
Fisken, A., Keogh, J., Waters, D. L., & Hing, W. A. (2012) · Journal of Applied Gerontology · doi:10.1177/0733464812463431 · Cited by 56 · see citing works
General and Arthritis-Specific Barriers to Moderate Physical Activity in Women With Arthritis
Brittain, D. R., Gyurcsik, N. C., McElroy, M., & Hillard, S. A. (2010) · Women s Health Issues · doi:10.1016/j.whi.2010.07.010 · Cited by 52 · see citing works
Mediating Effects of Group Cohesion on Physical Activity and Diet in Women of Color: Health is Power
Lee, R. E., O’Connor, D. P., Smith-Ray, R. L., Mama, S. K., Medina, A. V., Reese-Smith, J. Y., Banda, J. A., Layne, C. S., Brosnan, M., Cubbin, C., et al. (2012) · American Journal of Health Promotion · doi:10.4278/ajhp.101215-quan-400 · Cited by 50 · see citing works
Measurements of self‐efficacy in musculoskeletal rehabilitation: A systematic review
Picha, K. J., Jochimsen, K. N., Heebner, N. R., Abt, J. P., Usher, E. L., Capilouto, G. J., & Uhl, T. L. (2018) · Musculoskeletal Care · doi:10.1002/msc.1362 · Cited by 39 · see citing works
A Pilot Study of Determinants of Ongoing Participation in EnhanceFitness
Gillette, D. B., Petrescu-Prahova, M. G., Herting, J. R., & Belza, B. L. (2015) · Journal of Geriatric Physical Therapy · doi:10.1519/jpt.0000000000000041 · Cited by 39 · see citing works
Being physically active through chronic illness: life experiences of people with arthritis
Hunt, E. R., & Papathomas, A. (2019) · Qualitative Research in Sport Exercise and Health · doi:10.1080/2159676x.2019.1601637 · Cited by 28 · see citing works
Fertelli, T. K., Mollaoğlu, M., & Şahin, Ö. (2018) · Rehabilitation Nursing · doi:10.1097/rnj.0000000000000142 · Cited by 22 · see citing works
QUALITATIVE RESEARCH IN SPORT AND EXERCISE
(2010) · Qualitative Research in Sport Exercise and Health · doi:10.1080/19398441.2010.530134 · Cited by 19 · see citing works
Physiological Effects of Aquatic Exercise on Cognitive Function in the Aging Population
Sherlock, L., Hornsby, W. G., & Rye, J. A. (2013) · International Journal of Aquatic Research and Education · doi:10.25035/ijare.07.03.09 · Cited by 14 · see citing works
LI, L. C., Lineker, S. C., Cibere, J., Crooks, V. A., Jones, C. A., Kopec, J. A., Lear, S. A., Pencharz, J. N., Rhodes, R. E., & Esdaile, J. M. (2013) · JMIR Research Protocols · doi:10.2196/resprot.2553 · Cited by 11 · see citing works
Social Fun and Enjoyment: Viable Outcomes in Aquatics for Individuals with Physical Disabilities
Broach, E., & McKenney, A. (2012) · International Journal of Aquatic Research and Education · doi:10.25035/ijare.06.02.08 · Cited by 7 · see citing works
Fisken, A., Waters, D. L., Hing, W. A., Steele, M. C., & Keogh, J. (2014) · International Journal of Aquatic Research and Education · doi:10.25035/ijare.08.01.05 · Cited by 6 · see citing works
Fisken, A., Waters, D. L., Hing, W. A., Steele, M. C., & Keogh, J. (2014) · International Journal of Aquatic Research and Education · doi:10.1123/ijare.2013-0007 · Cited by 6 · see citing works
Older Ethnic Minority Women's Perceptions of Stroke Prevention and Walking
Kwon, I., Bharmal, N. H., CHOI, S. E., Araiza, D., Moore, M. R., Trejo, L., & Sarkisian, C. A. (2015) · Women s Health Issues · doi:10.1016/j.whi.2015.08.003 · Cited by 5 · see citing works
Aquatic Exercise Among Older Adults
Mobily, K. E., & Lenartz, A. (2017) · Topics in Geriatric Rehabilitation · doi:10.1097/tgr.0000000000000156 · Cited by 1 · see citing works
Perceived and measured health benefits of aqua-based exercise for older adults with osteoarthritis
Fisken, A. (2013) · Tuwhera (Auckland University of Technology)
- Authors
- Kang, H. S., Ferrans, C. E., Kim, M. J., Kim, J. I., & Lee, E.-O.
- Affiliations
- Kongju National University (KR)
- University of Illinois Chicago (US)
- Chungnam National University (KR)
- Seoul National University (KR)
- Venue
- Journal of Gerontological Nursing
- Publisher
- SLACK, Inc.
- Published
- 2007-07-01
- Volume
- 33
- Issue
- 7
- Pages
- 47-56
- ISSN
- 0098-9134 (ISSN-L)
- 1938-243X
- OpenAlex
- W181258481
- Cited by
- 19
- References
- 32
- Citations by year
- 2019: 1 · 2018: 2 · 2017: 2 · 2015: 4 · 2014: 2 · 2013: 3 · 2012: 3
- FWCI
- 0.45
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Gerontological Nursing (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Social Sciences › Psychology › Social Psychology › Motivation and Self-Concept in Sports
- Keywords
- aquatic exercise, arthritis, older women, exercise adherence, barriers to exercise, facilitators of exercise, exercise self-efficacy, group cohesion, social support, educational programs, Korean women
- MeSH terms
- Aged, Arthritis, Cross-Sectional Studies, Female, Humans, Interpersonal Relations, Korea, Middle Aged, Patient Compliance, Water, Exercise
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review
