title: Project LIFE: a partnership to increase physical activity in elders with multiple chronic illnesses.
abstract: The authors describe a medical center-based randomized trial aimed at determining the feasibility and effectiveness of partnering patients and primary-care providers with an exercise health counselor. Study participants included 165 veterans age 70 years and older. The primary end point was change in physical activity at 3 and 6 months comparing patients receiving high-intensity physical activity counseling, attention control counseling, and usual care after receiving standardized clinic-based counseling. We noted a significant Group x Time interaction (p = .041) for physical activity frequency and a similar effect for caloric expenditure (p = .054). Participants receiving high-intensity counseling and usual care increased physical activity over the short term, but those with usual care returned to baseline by the end of the study. The intervention was well received by practitioners and patients. We conclude that partnering primary-care providers with specialized exercise counselors for age- and health-appropriate physical activity counseling is effective.
authors.affiliation: Geriatric Research, Education and Clinical Center, Durham VA Medical Center, Durham, NC, USA.
authors.forename: Miriam C
authors.initials: MC
authors.lastname: Morey
authors.forename: Carola
authors.initials: C
authors.lastname: Ekelund
authors.forename: Megan
authors.initials: M
authors.lastname: Pearson
authors.forename: Gail
authors.initials: G
authors.lastname: Crowley
authors.forename: Matthew
authors.initials: M
authors.lastname: Peterson
authors.forename: Richard
authors.initials: R
authors.lastname: Sloane
authors.forename: Carl
authors.initials: C
authors.lastname: Pieper
authors.forename: Eleanor
authors.initials: E
authors.lastname: McConnell
authors.forename: Hayden
authors.initials: H
authors.lastname: Bosworth
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D002908:Chronic Disease / Q000523:psychology / Q000628:therapy*; D003299:Cooperative Behavior; D037001:Directive Counseling; D015444:Exercise; D005240:Feasibility Studies; D005260:Female; D016330:Frail Elderly; D006304:Health Status; D006801:Humans; D008297:Male; D010865:Pilot Projects; D011320:Primary Health Care; D011788:Quality of Life; D020377:Self Efficacy; D014728:Veterans / Q000523:psychology