Barbara Resnick, PhD CRNP, is a professor at the University of Maryland School of Nursing.
The Relationship Between Psychosocial State and Exercise Behavior of Older Women 2 Months After Hip Fracture
Article first published online: 27 MAR 2012
2007 Association of Rehabilitation Nurses
Volume 32, Issue 4, pages 139–149, July-August 2007
How to Cite
Resnick, B., Orwig, D., Hawkes, W., Shardell, M., Golden, J., Werner, M., Zimmerman, S. and Magaziner, J. (2007), The Relationship Between Psychosocial State and Exercise Behavior of Older Women 2 Months After Hip Fracture. Rehabilitation Nursing, 32: 139–149. doi: 10.1002/j.2048-7940.2007.tb00168.x
- Issue published online: 27 MAR 2012
- Article first published online: 27 MAR 2012
- hip fracture;
- outcome expectations;
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.