研究生: |
陳秀珠 Chen Shiu-Chu |
---|---|
論文名稱: |
老人運動行為及其相關因素研究--以台北市基督長老教會松年大學五十五歲以上學員為例 The determinants of exercise behavior of the elderly aged fifty-five and over in senior college of Taipei presbyterian church |
指導教授: |
李景美
Lee, Ching-Mei |
學位類別: |
碩士 Master |
系所名稱: |
健康促進與衛生教育學系 Department of Health Promotion and Health Education |
畢業學年度: | 87 |
語文別: | 中文 |
論文頁數: | 150 |
中文關鍵詞: | 運動行為 、老年人 、運動知識 、自覺運動利益 、自覺運動障礙 、運動自我效能 、運動社會支持 |
英文關鍵詞: | exercise behavior, the elderly, knowledge of exercise, perceived benefits of exercise, perceived barriers to exercise, social support for exercise, perceived self-efficacy for exercise |
論文種類: | 學術論文 |
相關次數: | 點閱:442 下載:0 |
分享至: |
查詢本校圖書館目錄 查詢臺灣博碩士論文知識加值系統 勘誤回報 |
本研究主要目的在了解老年人的運動行為現況,並探討規律運動行為與其個人背景因素及運動的認知與知覺因素之間的關係。本研究以台北市基督長老教會所屬的松年大學五十五歲以上全體學員為母群體,採系統隨機抽樣法抽出研究樣本,並利用自填問卷方式進行資料收集,於88年3月26日收回331份問卷,其中有效樣本有287人,有效作答率為86.7%。所得資料以單因子變異數分析、卡方檢定、點二系列相關、邏輯斯迴歸及多變項變異數分析等統計方法進行分析。
研究結果發現,有規律運動的老人佔78.4%,無規律運動者佔21.6%,受測老人主要運動項目為散步,其次為體操。運動強度以輕度運動者最多。每週平均運動時間為5.3小時,其中有規律運動者為6.3小時,無規律運動者為1.7小時。
受測老人的運動知識得分尚佳,其運動知識會因年齡、教育程度、生活費用、自覺運動量及過去規律運動習慣之不同而有顯著差異。受測老人的自覺運動利益得分相當高,其自覺運動利益會因自覺健康狀況、自覺運動量、過去規律運動習慣之不同而有顯著差異。受測老人的自覺運動障礙分數得分偏低,有六至八成的老人不同意量表中所列出的障礙因素,其自覺運動障礙會因有無罹患疾病、自覺健康狀況、自覺運動量、過去規律運動習慣、生活費用和有無運動資訊來源之不同而有顯著差異。受測老人的運動自我效能程度屬尚可,其運動自我效能會因教育程度、自覺健康狀況、自覺運動量、過去規律運動習慣及生活費用之不同而有顯著差異。受測老人的自覺運動社會支持為中等程度,其中以來自家人的運動社會支持最多,其次為朋友的運動社會支持,其自覺朋友運動社會支持會因自覺健康狀況、自覺運動量及過去規律運動習慣之不同而有顯著差異,而自覺醫護人員運動社會支持會因有無運動資訊來源之不同而有顯著差異。
受測老人的規律運動行為會因自覺運動量及過去規律運動習慣的不同而有顯著差異。其規律運動行為和運動知識、自覺運動利益、運動自我效能及自覺運動的社會支持呈正相關,但和自覺運動障礙呈負相關。另外,由邏輯斯迴歸分析得知,受測老人的規律運動行為可由過去規律運動習慣及自覺運動障礙兩個變項來預測,其中又以過去規律運動習慣的影響力最大,亦即過去有規律運動習慣者其現在從事規律運動與否的機率比為過去無規律運動習慣者的3.249倍。
根據本研究結果,分別就如何減少老人運動的障礙、加強老人對運動的正確認知及增進老人健康體適能三方面提出建議,以提昇老年人運動的質和量。以及針對研究對象的選取、研究方法的改進及研究變項三方面提出建議,以作為未來研究的參考。
The main purpose of this study was to investigate the current exercise behavior of the elderly aged fifty-five and over, and to explore its relationships with demographic characteristics, and cognition and perceptions of exercise (including knowledge of exercise, perceived benefits of exercise, perceived barriers to exercise, perceived self-efficacy for exercise, and perceived social support for exercise). The data were collected from 287 individuals in six senior colleges of Taipei presbyterian church by self-administrated questionnaire or interview on March 1999. Chi-square, Logistic Regression, one-way ANOVA, point-biserial correlation, and MANOVA were used to analyze the data.
The results indicated that: (1) 78.4% of subjects did regular exercise, and 21.6% exercised irregularly. The main types of exercise done by the elderly were walking, followed by calisthenics. Most of the elderly did low-intensity exercise. They took about 5.3 hours a week to do regular exercise. (2) The elderly's knowledge of exercise was in middle level. It varied with ages, educational level, living expense, perceived exercise amount, and past regular exercise habit. (3) The elderly's perceived benefits of exercise was substantial. It varied with The elderly's perceived health status, perceived exercise amount, and past regular exercise habit. (4) The elderly's perceived barriers to exercise was quite few. It varied with disease status, perceived health status, perceived exercise amount, past regular exercise habit, living expense, and exercise information. (5) The elderly's perceived self-efficacy for exercise was in middle level. It varied with educational level, perceived health status, past regular exercise habit, and living expense. (6) The elderly's perceived social support for exercise was in middle level. The support for exercise from family was the most frequently mentioned support. The exercise support from friends varied with perceived health status, perceived exercise amount, and past regular exercise habit. The support from health professionals varied with exercise information. (7) There were significant differences between regular exercise behavior and (a) perceived exercise amount, and (b) past regular exercise habit. In addition, regular exercise behavior was significant correlated with knowledge of exercise, perceived benefits of exercise, perceived barriers to exercise, perceived self-efficacy for exercise, and perceived social support for exercise. (8) Past regular exercise habit and perceived barriers to exercise were significant predictors of regular exercise behavior. Past regular exercise habit was the most important predictor of regular exercise behavior.
Based on the findings of the study, decreasing the elderly's perceived barriers to exercise, emphasizing the correct cognition of exercise and promoting the elderly's health-related fitness were suggested for improving the elderly's exercise quantity and quality. In addition, picking up the different sample, and the different variable and improving research methods were suggested for future researches.
一、中文部份
于漱(民77):台北市20-60歲居民預防性行為之調查研究。公共衛生,14(2),391-405。
方進隆(民80):老人的運動處方。健康教育,67,17-20。
王秀紅、邱啟潤、王瑞霞、李建廷(民81):婦女健康進行為及其相關因素的探討。公共衛生,19(3),251-265
王秀紅(民73):高血壓患者居家照顧情形及其相關因素之研究。公共衛生,11(3) ,310-326。
王瑞霞(民83):社區老年人健康體能活動參與及相關因素探討。行政院衛生署研究計畫。
行政院內政部(民88):87年中華民國台閩地區重要人口指標。戶籍人口統計。
行政院衛生署(民82):台灣地區公共衛生概況。
行政院衛生署(民85):台灣地區公共衛生概況。
吳宏蘭(民82):某教學醫院參加健康檢查者之運動及攝鈉行為探討。台北市:師大衛生教育研究所碩士論文(未出版)。
吳慧玲(民85):臨床護理人員規律運動習慣及其相關因素探討。台北市:國立台灣大學護理研究所碩士論文(未出版)。
李蘭、陸玓玲、李隆安(民84):台灣地區成人的健康行為探討:分佈情形、因素結構和相關因素。中華衛誌。14(4),358-367。
卓俊辰(民78):健身運動守則。老人的運動,台北市:中華日報。
季瑋珠、符春美(民81)疾病狀況:社區民眾從事體能活動之研究。中華民國公共衛生學會雜誌,11(4),328-339。
姜逸群、呂槃、江永盛、黃雅文(民77):民眾的健康意識及中老年病之預防健康行為調查。衛生教育雜誌,9,67-81。
洪百薰、林豐雄、洪美玟、黃明珠、吳聖良(民80):社區老人健康狀況與需求評估。公共衛生,18(3),212-235。
高有志(民81):運動處方對社區慢性病防治之影響評估--以金山社區為例。行政院衛生署。
張彩秀(民81):中老年人運動型態、體適能及健康狀況之研究。台北市:國立陽明醫學院碩士論文(未出版)
郭青萍(民81):影響鄉村婦女預防性健康行為相關因素之調查研究--以彰化縣線西鄉為例。台北市:國立台灣師範大學衛生教育研究所碩士論文(未出版)。
陳宇嘉、吳美玲(民73):台灣地區老人休閒活動型態之研究與檢討。社區發展,27,77-87。
陳繡屏(民83):五專學生預防愛滋病行為及其相關因素之研究。台北市:國立台灣師範大學衛生教育研究所碩士論文(未出版)。
童淑琴(民80):工作場所健康促進計畫實驗研究--以台電總公司體適能計畫為例。台北市:國立台灣師範大學衛生教育研究所碩士論文(未出版)。
黃雅文、藍忠孚、劉貴雲、姜逸群及方進隆(民80):中老年人健康行為之探討。國科會。
劉翠薇(民84):北縣某商專學生運動行為及其影響因素之研究。台北市:國立台灣師範大學衛生教育研究所碩士論文(未出版)。
歐曉蓁(民84):台北縣某國中男生嚼檳榔行為研究。台北市:國立台灣師範大學衛生教育研究所碩士論文(未出版)。
蔡美月(民85):台北市某活動中心六十歲以上老人運動行為及其影響因素之研究。台北市:國立台灣師範大學衛生教育研究所碩士論文(未出版)。
藍辰聿(民87):台北市某國小學童中重度體能活動及其影響因素的研究。台北市:國立台灣師範大學衛生教育研究所碩士論文(未出版)。
二、英文部份
Albanes,D., Blair, A., & Taylor,P.R. (1989). Physical activity and risk of cancer in NHANES I population. American Journal of Public Health,79, 744-750.
Bandura,A. (1977). Social learning theory. NJ: Prentice-Hall.
Barduhn,M.S. (1986). An analysis of the influence of selected variables on the health promotion behavior of a sample of noninstitutionalized elderly in New York State. DAI-A,46(12): 3829(AAC 8603748).
Berkman,L.F., & Breslow,L. (1983). Health and ways of living: The Alameda county study. New York: Oxford University Press.
Blair,S.N. (1984). How to assess exercise habits and physical fitness. Behavioral Health: A handbook of health enhancement and disease prevention. New York, NY: John Wiley and Sons, 424-477.
Bonheur,B., & Young,S.W. (1991). Exercise as a health-promoting lifestyle choice. Applied Nursing Research, 4,2-6.
Booth,M., Bauman,A., Oldenburg,B., Owen,N., & Magnus,P. (1992). Effects of a national mass-media campaign on physical activity participation. Health Promotion International,7, 241-247.
Bouchard,C., Shephard,R.J., & Stephens,T. (1993). Physical activity, fitness, and health: Consensus statement. Campaign, IL: Human Kinetcs Publishing.
Calfas,K.J., Sallis,J.F., Lovato,C.Y., & Campbell,J. (1994). Physical activity and its determinants before and after college graduation. Medicine, Exercise, Nutrition, and Health, 3,323-334.
Canada fitness survey (1982). Canada's fitness: Preliminary fitness of the 1981 survey. Ottawa, Canada.
Caspersen,C.J., & Merritt,R.K. (1995). Physical activity trends among 26 states,1986-1990. Medicine and Science in Sports and Exercise,27,713-720.
Caspersen,C.J., Christenson,G.M., & Pollard,R.A. (1986). Status of the 1990 physical fitness and exercise objectives: Evidence from the NHIS 1985. Public Health Report,101, 587-593.
Caspersen,C.J., Merritt,R.K., & Stephens,T. (1994). Interna-tional activity patterns: A methodological perspective. In R.K. Dishman (Ed.), Advanced in exercise adherence. (pp.73-110). Champaign, IL: Human Kinetics.
Caspersen,C.J., Powell,K.E., & Christenson,G.M. (1985). Physical activity, exercise, and physical fitness:Definitions and distinctions for health-related research. Public Health Report, 100(2),126-131.
Caspersen.C.J., Bloemberg,B.P., Saris,W.H., Merritt,R.K., & Kromhout,D. (1985). The prevalence of selected physical activities and their relation with coronary heart disease risk factors in elderly men: The Zutphen study. American Journal of Epidemiology, 133(11), 1078-1092.
Chen,Ching-Huey. (1995). Physical exercise and sense of well-being among Chinese elderly in Taiwan. The University of Texas at Austin, U.S.A.
Clark,D.O.(1995). Racial and educational differences in physical activity among older adults. Gerontologist 35, 472-480.
Clark,D.O., Patrick,D.L., Grembowski,D., & Durham M.L. (1995). Socioeconomic status and exercise self-efficacy in late life. Journal of Behavior Medicine, l18(4).
Conrad,C.C. (1976). When you're young at heart. Aging, 258,11-13.
Cousins,S.O. (1993). The determinant of late life exercise in women over age 70. DAI-A, 55(2), 240.
Dallosso,H.M., Morgan,K., Bassey,E.J., Ebrahim,S.B., Fentem,P.H., & Darie,T.H. (1988). Levels of customary physical activity among the old and the very old living at home. Journal of Epidemiology and Community Health, 42(1), 121-127.
Dishman,R.K. (1982). Compliance/adherence in health related exercise. Health Psychology, 5(1), 237-267.
Dishman,R.K., Sallis,J.F., & Orenstein,D.R. (1985). The determinants of physical activity and exercise. Public Health Reports. 100, 158-171.
Dishman,R.K., Sallis,J.F.,& Orenstein,D.R. (1985). The determinants of physical activity and exercise. Public Health Report, 100,158-171.
Duda,J.L., & Tappe,M.K. (1988). Predictors of personal investment in physical activity among middle-aged and older adults. Perceptual and Motor Skills, 66,543-549.
Dzewaltowski,D.A. (1989). Toward a model of exercise motivation. Journal of Sport and Exercise psychology, 60(4), 613-618.
Dzewaltowski,D.A. (1994). Physical activity determinants: A social cognitive approach. Medicine and Science in Sports and Exercise, 26(11), 1395-1399.
Dzewaltowski,D.A., Noble,J.M., & Shaw,J.M. (1990). Physical activity participation: Social cognitive theory versus the theories of reasoned action and planned behavior. Journal of Sport and Exercise Psychology, 11, 251-269.
Eaton,C.B., Nafziger,A.N., Strogatz,D.S., & Pearson T.A. (1994). Self-reported physical activity in rural country: A New York county health census. American Journal of Public Healh, 84, 29-33.
Elkowitz,E.B., & Elkowitz,D. (1986). Adding life to later years through exercise. Postgraduate Medicine, 80, 91-103.
Elward,K.,& Larson,E. (1992). Benefits of exercise for older adults. In G. Omenn (Ed.), Clinics in geriatric medicine (pp.35-50). Philadelphia: W.B. Saunders.
Ferrini,A.F.,& Ferrini,R.L. (1993). Physical activity. In Ferrini,A.F.,& Ferrini,R.L.(eds.), Health in the later years (pp.331-332). Madison, WI: Brown & Bechmark.
Fiatarone,M.A., O'Neill,E.F., Ryan,N.D., Clements,K.M., Solares,G.R., Nelson,M.E., Roberts,S.B., Kehayias,J.J., Lipsitz,L.A., & Evans,W.J. (1994). Exercise training and nutritional supplementation for physical frailty in very elderly people. North England Journal Medicine, 330, 1769-1775.
Folsom,A.R., Cook,T.C., Sprafka,J.M. (1991). Differences in leisure-time physical activity levels between blacks and whites in population-based samples: The Minnesota heart survey. Journal Behavior Medicine, 14,1-9.
Ford,E.S.(1991). Physical activity behavior in lower and higher socioeconomic status population. American Journal of Epidemiology, 133(12), 1246-1255.
Fuchs,D.J., Health.G.W., & Wheeler,F.C. (1992). Perceived morbidity as a determinants of health behavior. Health Education Research, 7(3), 327-334.
Garcia,A.W., Broda,M.A.N., Frenn,M., Coviak,C., Pender,N.J., & Ronis,D.L. (1995). Gender and developmental difference in exercise beliefs among youth and prediction of their exercise behavior. Journal of School Health, 65(6), 213-219.
Gionet,N.J., & Godin,G. (1989). Self reported exercise behavior of employee: A validity study. Journal of Occupation Medicine, 31(12), 969-973.
Godin,G., Shepard,R.J. (1990). An evaluation of the potential role of the physician in influencing community exercise behavior. American Journal of Health Promotion, 4, 255-259.
Godin,G., Shephard,R.J., Colantonia,A. (1986). The cognitive profile of those who intend to exercise but do not. Public Health Report, 101, 521-526.
Harris,L.,& Associates. (1989).The prevention index'89: Summary report. Emmaus, PA: Rodale Press.
Harris,S.S., Caspersen,C.J., Defriese,G.H., & Estes,E.H. (1989). Physical activity counseling for healthy adults as a primary preventive intervention in the clinical setting. Journal of the American Medicine Association, 261(24), 3590-3597.
Hatziandreu,E.I., Koplan,J.P., Weistein,M.C., Caspersen,C.J., & Warner,K.E. (1985). A cost-effective analysis of exercise as a health promotion activity. American Journal of Public Health, 78, 1417-1421.
Heckler,M.M. (1985). Health promotion for older Americans. Public Health Reports, 100, 225-230.
House,J.S.,Robbinns,C.,& Metzner,h.L. (1982). The association of social relationships and activities with mortality: Prospective evidence from the Tehcumseh community health study.American Journal of Epidemiology, 116: 123-140.
Hovell,M., Sallis,J., Hofstetter,R., Barrington,E., Hackley,M., Elder,J., Castro,F., & Klibourne,K. (1991). Identification of correlate on physical activity among Latin adults. Journal of Community Health, 16(1), 23-26.
Howze,E.H., Smith,M., & DiGilio,D.A. (1989). Factors affecting the adoption of exercise behavior among sedentary older adults. Health Education Research, 4, 173-180.
Hrris,S.S., Caspersen,C.J., Defriese,G.H., & Estes,E.H. (1989). Physical activity counseling for healthy adults as a primary preventive intervention in the clinical setting. JAMA June (24), 3590-3598.
Israel,B.,& Schurman,S. (1990).Social support,control,and the stress process.In K.Glanz et al.(Eds.),Halth behavior and health education: Theory,research and practice (pp.196-201). San Francisco: Jossey-Bass.
Johnson,C.A., Corrigan,S.A., Dubbert,P.A., & Gramling, S.E. (1990). Perceived barriers to exercise and weight control practices in community women. Women & Health, 16, 177-191.
King,A.C., Blair,S.N., Bild,D.E., Dishman,R., Dubbert,P.M., Marcus,B.M., Oldridge,N.B., Paffenbarger,R.S., Powell,K.E., & Yeager,K.K. (1992). Determinants of physical activity and interventions in adults. Medicine Science Sports Exer,, 24(supp.), s221-s236.
King,A.C., Haskell,W.L., Taylor,C.B., Kraemer,H.C., & Debusk,R.F. (1991). Group vs home-based exercise training in healthy older men and women. JAMA 266: 1535-1542.
Krick,D.P. & Sobal,J. (1990). Relationships between health protective behaviors. Journal of Community Health, 54, 19-34.
Laffrey,S.C., Isenberf,M. (1983). The relationships of internal locus of control, value placed on health, perceived importance of exercise, and participation in physical activity during leisure. International Journal of Nursing Study, 20(3), 187-196.
Larson,E.B., & Bruce,R.A. (1987). Health benefits of exercise in aging society. Archives International Medicine, 147, 353-356.
Larson,E.B., (1988). Health promotion and disease prevention in the older adult. Geriatrics, 43, 31-39.
Lee,C. (1993). Attitude, knowledge, and stage of change: A survey of exercise patterns in older Australian women. Health psychology, 12, 476-480.
Lee,C. (1993). Factors related to the adoption of exercise among older women. Journal of Behavior Medicine, 16, 3233-334.
Lees,L.A., & Dygdon,J.A. (1988). The initiation and maintenance of exercise behavior. A learning theory conceptualization. Clinical Psychology Review, 8, 345-353.
Lewis,B.S., Lynch,W.D. (1993). The effect of physician advice on exercise behavior. Preventive Medicine, 22, 110-121.
Logsdon,D.N., Lazaro,M.A., Meier,R.V. (1989). The feasibility of behavioral risk reduction in primary medical care. American Journal of Preventive Medicine, 5, 249-256.
Marcus,B.H., Rakowski,W., & Rossi,J.S. (1992). Assessing motivational readiness and decision making for exercise. Health Psychology, 11, 257-261.
Marcus,B.H., Rossi,J.S., Selby,V.C., Niaura,R.S., & Abrama,D.B. (1992). The stages and processes of exercise adoption and maintenance in worksite sample. Health Psychology, 11(6), 386-395.
Martin,J.E., Dubbert,P.M., Katell,A.D., Thompson,J.K., Raczynski,J.R., Lake,M., Smith,P.A., Webster,J.S., Sikoro,T.,& Chen,R.E., (1984). Behavioral control of exercise in sedentary adult: Studies 1 through 6.Journal of Consulting and Clinical Psychology, 52(5), 795-811.
McAuley,E., Lox,C., & Duncan, T.E. (1993). Long-term maintenance of exercise, self-efficacy, and physiological change in older adults. Journal of Gerontology, 48(4), 218-224.
Mcginnis,J.M. (1992). The public health burden of sedentary lifestyle. Medicine and Science in Sports and Exercise, 24, 196-200.
McMurdo,M.E., & Rennie,L. (1993). A controlled trial of exercise by residents of old people's home. Age and Aging, 22(1), 11-15.
Mcphillip,J.B., Bellettera,K.M., Barrett-Cornnor,E., Wingard, D.L., & Criqui,M.H. (1989). Exercise patterns in a population of older adults. American Preventive Medicine, 5(2), 65-72.
Myer,A.M., Weigel,C., & Holliday,P.J. (1989). Sex and age linked determinants of physical activity in adulthood. Canadian Journal of Public Health, 80, 256-261.
Oldrige,N.B. (1982). Compliance and exercise in primary and secondary prevention of coronary heart disease: A review. Preventive Medicine, 11(1), 56-70.
O'Leary,A. (1985). Self-efficacy and health. Behavior and Research Therapy, 23, 437-451.
O'neill,K., & Reid.G. (1991). Perceived barriers to physical activity by older adults. Canadian Journal of Public Health, 82, 392-396.
Petruzzello,S.J., Landers,D.M., Hatfield,B.D., Kubitz,K.A., & Salazar,W. (1991). A meta-analysis on the anxiety reducing effects of acute and chronic exercise. Sports Medicine, 11, 143-182.
Powell,K.E., Thompson,P.D., & Caspersen,C.J. (1987). Physical activity and incidence of coronary heart disease. Annual Review of Public Health, 8, 253-257.
Powell,K.E., Thompson,P.D., Caspersen,C.J., & Kendrick, J.S. (1987). Physical activity and the incidence of coronary heart disease. Annual Review of Public Health, 8, 253-287.
Qwen,N., Bauman,A., Booth,M., Oldenburg,B., & Magnus,P. (1995). Serial mass-media campaigns to promote physical activity: Reinforcing or redundant. American Journal of Public Health, 85, 244-248.
Rauckhorst,L.M. (1987). Health habits of elderly widows. Journal of Gerontological Nursing, 6(4), 204-211.
Redman,S., Spencer,E.A., & Sanson-Fisher,R.W. (1990). The role of mass media in changing health-related behavior: A critical appraisal of two models. Health Promotion International, 5, 85-101.
Revicki,D.,& Mitchell,J. (1990).Strain,social support,and mental health in rural elderly individuals.Journal of Gerontology ,45(6), 267-274.
Reynolds,K.D., Killen,J.D., Bryson,S.W., Maron,D.J., Taylor,B., Maccoby,N., & Farquhar,J.W. (1990). Psychosocial predictors of physical activity in adolescents. Preventive Medicine, 19, 541-551.
Rudy,F. (1989). The relationship of health belief to exercise participation in an elderly population aged 65 years and older. UMI. Dissertation service (order no.9006696).
Ruuskanen,J.M. & Ruoppila,I. (1995). Physical activity and psychological well-being among people aged 65-84 years. Age and Aging, 24(4), 195-206.
Sallis,J.F., Grossman,R.M., Pinski,R.B., Patterson,T.L., & Nader,P.R, (1987). The development of scales to measures social support for diet and exercise behavior. Preventive Medicine, 16, 826-836.
Sallis,J.F., Hill,R.D., Fortmann,S.P., & Flora,J.A. (1986). Health behavior change at the worksite: Cardiovascular risk reduction. In M. Hersen, R. M. Eisler, & P. M. Miller (Eds.), Progress in behavior modification, 20, 161-197.New York: Academic press.
Sallis,J.F., Hovell,M.F., & Hofstetter,C.R. (1992). Predictors of adoption and maintenance of vigorous physical activity in men and women. Preventive Medicine, 21, 237-251.
Sallis,J.F., Owen,N. (1999). Physical Activity & Behavioral Medicine. Sage Publications, Inc.
Sallis,J.F., Pinski,R.B., Crossman,R.M., Patterson,T.L. & Nader,P.R. (1988). The development of self-efficacy scales for health-related diet and exercise behaviors. Health Education Research, 3(3), 283-292.
Schunk,D.H., & Carbonari,J.P. (1984). Self-efficacy model Bebavioral Health: A handbook of health enhancement and disease prevention. New York: Wiley.
Sechrist,K.R., Walker,S.N., & Pender,N.J. (1987). Development and psychometric evaluation of the exercise benefits/barriers scale. Research in Nursing & Health, 10, 357-365.
Sharpe,P.A., & Connell,C.M. (1992). Exercise beliefs and behaviors among older employees: A health promotion trial. The Gerontological Society of America, 32, 444-449.
Shephard,R.J. (1978). Physical activity and aging. Croom Helm, London.
Sherman,S.E., Cobb,J.L., D'Agostino,R.B., & Kannel,W.B. (1994). Does exercise reduce mortality rates in the elderly? Experience from the Framingham heart study. American Heart Journal, 128(5), 965-972.
Smith,E.L. (1984). Special considerations in developing exercise programs for the older adults. In J.P. Matarazzo, S.M.Weiss, J.A.Herd, & N.E.Miller(Eds.), Behavioral health: A handbook of health enhancement and disease prevention, 525-546.New York: Wiley.
Sonstrom,R.J., Walker, M.I. (1973). Relationship of attitudes and locus control to exercise and physical fitness. Percept Mot Skills, 36(6), 1031-1034.
Steinhardt,M.A., & Dishman ,R.K. (1989). Reliability and validity of expected outcomes and barriers for habitual physical activity. Journal of Occupational Medicine, 31, 536-547.
Stephens,T., & Caspersen,L.J. (1993). The demography of physical activity. In C.Bouchard, R.J.Shephard, & T.Stephens(Eds.), Physical activity, fitness, and health: Consensus statement, 204-213. Champaign, IL: Human Kinetics Publishing.
Stetson,B.A., Rahn,J.M., Dubbert,P.M., Wilner,B.I., & Mercury,M.G. (1997). Prospective evaluation of the effects of stress on exercise adherence in community-residing women. Health Psychology, 16, 515-520.
Stucky-Ropp,R.C., & Dilorenzo,T.M. (1993). Determinants of exercise in children. Preventive Medicine, 22, 880-889.
Uitenbroek,D.G. (1993). Relationships between changes in health and fitness and the perception of exercise. Research Quarterly for Exercise and Sport, 64(3), 343-347.
US Department of Health and Human Services (1991). Healthy People 2000.
Van Mechelen,W., & Kemper,H.C.G. (1995). Habitual physical activity in longitudinal perspective. In H.C.G. Kemper (Ed.), The Amsterdam Growth Study: A longitudinal analysis of health, fitness, and lifestyle, 135-158, Champaign, IL: Human Kinetics.
Volden, C.L., D.Adamson,M., & Oechsle,L. (1990). The relationship of age,gender, and exercise practice to measure of health, life-style, and self-esteem. Applied Nursing Research, 3, 20-26.
Willis,J.D., & Campbell,L.F.(Eds.),(1992). Exercise psychology ,210-213, Illinois: Champaign, Human Kinetics Books.
Yusuf,H.F., Croft,J.B., Wayne,H.G., Robert,F.A., Casper,M.L., Caspersen,C.J., & Jones,D.A. (1996). Leisure-time physical activity among older adults United States. Archives International Medicine, 156, 1321-1326.