Abstract
Background: We recently completed a parent study (Bone Loading Exercises versus Risedronate on Bone Health in Post-menopausal Women [NIH# R01NR015029]) examining bone-loading exercises to prevent bone loss in postmenopausal women with low bone mass. Forty-three million US women have low bone mass and increased risk for fractures. Bone-loading exercises (weight-bearing and resistance training) can preserve bone mass and decrease risk of fractures. However, multiple barriers prevent women from exercising and adherence rates are low. Purpose: This secondary analysis of the parent study (a) examined barriers specific to women participating in boneloading exercises; (b) described effectiveness of self-efficacy strategies used in the parent study for increasing confidence in knowledge and reducing barriers; and (c) applied study findings and principles of self-efficacy and selfregulation in development of guidelines for promoting adherence to exercises. Methods: Seventy-two women were randomized to the exercise group and completed 12 months of exercises. Instruments for self-efficacy were completed at 2 weeks and barriers interference at 6 months. Percent adherence was measured as the number of exercise sessions attended divided by the number prescribed. Results: In the 12-month study, average adherence to exercises was 58.9%. Lower adherers reported lack of selfregulation skills such as "lack of time" as the most frequent barriers to exercise. Implications for practice: Guidelines developed included promotion of skills for self-regulation (such as regulation of time) as well as self-efficacy to improve adherence rates. Nurse practitioners may be the most motivated of all providers to use guidelines promoting exercise for women in their clinical practice.
Original language | English (US) |
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Pages (from-to) | 50-61 |
Number of pages | 12 |
Journal | Journal of the American Association of Nurse Practitioners |
Volume | 34 |
Issue number | 1 |
DOIs | |
State | Published - Jan 4 2022 |
Keywords
- Adherence
- Barriers
- Bone-loading exercises
- Evidence-based guidelines
- Low bone mass
- Postmenopausal women
- Self-efficacy
- Self-regulation
ASJC Scopus subject areas
- General Nursing