title: The relationship between psychosocial state and exercise behavior of older women 2 months after hip fracture.
abstract: Despite the potential benefits associated with exercise after hip fracture, those who have sustained hip fractures are among the least likely to engage in regular exercise (resistive or aerobic). This article describes the psychosocial state, specifically the self-efficacy expectations and outcome expectations related to exercise, mood, fear of falling, pain, and health status of older women who enrolled in either of two Baltimore Hip Studies (BHS), BHS-4 and BHS-5, and to test a self-efficacy-based model to explain exercise behavior after hip fracture. A total of 389 older women with hip fractures participated in these studies. The participants reported moderate confidence in their ability to exercise and a general belief in the benefits of exercise, high perceived health status, limited depressive symptoms, and some pain and fear of falling. Consistently across these two samples, age and mental status or depressive symptoms influenced outcome expectations, such that older women with more depressive symptoms or lower mental health status had weaker outcome expectations for exercise. Self-efficacy expectations consistently influenced exercise behavior across both samples. It was also consistent across both models that age, cognitive status, physical and mental health status, pain, fear, outcome expectations, and depressive symptoms did not directly influence exercise behavior.
authors.affiliation: University of Maryland School of Nursing, Baltimore 21201, USA. barbresnick@aol.com
authors.forename: Barbara
authors.initials: B
authors.lastname: Resnick
authors.forename: Denise
authors.initials: D
authors.lastname: Orwig
authors.forename: William
authors.initials: W
authors.lastname: Hawkes
authors.forename: Michelle
authors.initials: M
authors.lastname: Shardell
authors.forename: Justine
authors.initials: J
authors.lastname: Golden
authors.forename: Michele
authors.initials: M
authors.lastname: Werner
authors.forename: Sheryl
authors.initials: S
authors.lastname: Zimmerman
authors.forename: Jay
authors.initials: J
authors.lastname: Magaziner
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D015142:Baltimore; D003863:Depression / Q000523:psychology; D015444:Exercise / Q000523:psychology*; D005260:Female; D005500:Follow-Up Studies; D006620:Hip Fractures / Q000534:rehabilitation*; D006801:Humans; D008603:Mental Health; D008960:Models, Psychological; D009042:Motivation; D016032:Randomized Controlled Trials as Topic; D020377:Self Efficacy