The long and winding road to physical activity maintenance.

Abstract:

OBJECTIVES:To build upon state-of-the-art theory and empirical data to estimate the strength of multiple mediators of the efficacious Keep Active Minnesota (KAM) physical activity (PA) maintenance intervention. METHODS:The total, direct, and indirect effects through which KAM helped randomized participants (KAM n = 523; UC n = 526) maintain moderate or vigorous PA (MVPA) for up to 2 years were estimated using structural equation modeling. RESULTS:Multiple mediators explained half (beta = .052, P = .13) of the effect of KAM on MVPA (beta = .105, P = .004). Self-efficacy was the upstream variable in 2 endogenously mediated effects, and the self-concept mediator emerged as the strongest predictor of MVPA. CONCLUSIONS:KAM positively impacted self-efficacy, which was associated with PA enjoyment, integration into the self-concept, and PA maintenance. Successful long-term PA maintenance appears to be influenced by multiple small interrelated mediational pathways. Future research evaluating maintenance models should specify recursive relationships among mediators and outcomes.

journal_name

Am J Health Behav

authors

Crain AL,Martinson BC,Sherwood NE,O'Connor PJ

doi

10.5993/ajhb.34.6.11

subject

Has Abstract

pub_date

2010-11-01 00:00:00

pages

764-75

issue

6

eissn

1087-3244

issn

1945-7359

pii

10.5555/ajhb.2010.34.6.764

journal_volume

34

pub_type

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