title: Groningen Active Living Model (GALM): stimulating physical activity in sedentary older adults; validation of the behavioral change model.
abstract: BACKGROUND
  A significant proportion of older adults in The Netherlands do not participate regularly in leisure-time physical activity. The Groningen Active Living Model (GALM) was developed to change this situation for the better. Longitudinal results of the validation of the GALM behavioral change model are presented.
  
  
  METHODS
  We obtained data on potentially mediating variables of physical activity behavior change (self-efficacy, social support, perceived fitness, and enjoyment) from 96 participants in a prospective study during the 18 months the GALM strategy lasted.
  
  
  RESULTS
  Prospective analyses revealed significant differences in several potentially mediating variables, although some of these differences were contrary to our hypothesis. Discriminant analysis resulted in canonical correlations of 0.50 after 6 months and 0.66 after 18 months of program participation between adherers and nonadherers, respectively; 73.8 and 80.0% of the subjects were classified correctly.
  
  
  CONCLUSIONS
  Based on the results, it can be concluded that we partially succeeded in manipulating the potentially mediating variables by means of our GALM strategy. Several mediating variables were identified that reliably discriminated long-term adherers from nonadherers, expanding the generalizability of social cognitive theory-driven variables to a Dutch population.
authors.affiliation: Department of Orthopedics, Groningen University Hospital, Groningen, The Netherlands. m.stevens@orth.azg.nl
authors.forename: Martin
authors.initials: M
authors.lastname: Stevens
authors.forename: Koen A P M
authors.initials: KA
authors.lastname: Lemmink
authors.forename: Marieke J G
authors.initials: MJ
authors.lastname: van Heuvelen
authors.forename: Johan
authors.initials: J
authors.lastname: de Jong
authors.forename: Piet
authors.initials: P
authors.lastname: Rispens
mesh_terms: D000368:Aged; D032763:Behavior Control; D015444:Exercise / Q000502:physiology*; D006293:Health Promotion / Q000379:methods / Q000592:standards; D006801:Humans; D008137:Longitudinal Studies; D008875:Middle Aged; D008962:Models, Theoretical; D009426:Netherlands; D010809:Physical Fitness; D015397:Program Evaluation; D011446:Prospective Studies