title: The effectiveness of a peer-mentored older adult fitness program on perceived physical, mental, and social function.
abstract: OBJECTIVE
  The purpose of this research was to compare changes in perceived physical, mental, and social function measured by the Short Form-36 (SF36vr2) in a group of older adults who were trained by peer mentors (PMs) versus a similar group trained by qualified kinesiology student mentors (SMs).
  
  
  METHODS
  We conducted a two-arm repeated measures longitudinal intervention and collected data for 87 PM and 44 SM participants. Pre- and post-training subscale scores were computed for all eight subscales and the two summary physical and mental component scores. The percentage differences in the 10 scores were used as the response variables.
  
  
  CONCLUSIONS
  After a 14-week physical fitness intervention, perceived physical, mental, and social functioning improved significantly (p < .05) for the PM group, but not for the SM group (p > .06). Thus, older adults who participated in a physical fitness program with peer support perceived (a) overall improvement in physical and mental well-being; (b) better social functioning, (c) enhanced ability to carry out physical and emotional roles, (d) improved general health, and (e) increased level of vitality. Thus, we conclude that peer-mentored exercise programs for older adults are superior to programs mentored by young professionals and may lead to increased adherence.
  
  
  CONCLUSIONS
  Nurse practitioners routinely prescribe exercise while educating older adults about the benefits of an active lifestyle; however, older adults often remain sedentary and exhibit poor adherence to exercise. One potential solution is to use peer support. Two factors that can improve adherence are availability of structured exercise programs for the older adult and peer mentoring.
authors.affiliation: Department of Kinesiology, The University of Texas at El Paso, El Paso, TX, USA.
authors.forename: Sandor
authors.initials: S
authors.lastname: Dorgo
authors.forename: Kristynia M
authors.initials: KM
authors.lastname: Robinson
authors.forename: Julia
authors.initials: J
authors.lastname: Bader
mesh_terms: D000368:Aged / Q000502:physiology / Q000523:psychology*; D001294:Attitude to Health; D003479:Curriculum; D005081:Exercise Therapy / Q000458:organization & administration*; D005260:Female; D015577:Geriatric Assessment; D006304:Health Status; D006801:Humans; D018953:Kinesiology, Applied / Q000193:education / Q000458:organization & administration; D008137:Longitudinal Studies; D008297:Male; D008603:Mental Health; D008611:Mentors / Q000193:education* / Q000523:psychology; D009722:Nurse Practitioners / Q000458:organization & administration; D015403:Nursing Evaluation Research; D010379:Peer Group; D010809:Physical Fitness; D015397:Program Evaluation; D012919:Social Behavior; D011795:Surveys and Questionnaires; D013781:Texas; D016896:Treatment Outcome