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Positive messaging promotes walking in older adults.

Psychology and aging
June 1, 2014
Nanna Notthoff et al. (2 authors)
Journal ArticleRandomized Controlled TrialResearch Support, N.I.H., ExtramuralHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether positively-framed messages could more effectively encourage walking in older adults compared to negatively-framed or neutral messages.

Results Summary

Positively-framed messages significantly increased walking in older adults, while negatively-framed messages were less effective. The effect of positive messaging was sustained over a 28-day period.

Population

Older adults (compared to younger adults in Study 1).

Effective Dosage

Not specified (intervention focused on messaging, not walking dosage).

Duration

28 days (Study 2).

Interactions

None mentioned.

Extracted Claims (4)
InterventionDirectionEndpointPopulationDosageImpactClaim #
positive messages to encourage walking
increase
walking
older adults
-
walked more than those who were informed about the negative consequences of failing to walk
#1
positive, negative, and neutral messages to encourage walking
no change
walking
younger adults
-
were unaffected by framing valence
#2
positively-framed messages
increase
walking
older adults
-
more effectively promoted walking than negatively-framed messages
#3
positively-framed messages
increase
walking
older adults
-
the effect was sustained across the intervention period
#4
Abstract

Walking is among the most cost-effective and accessible means of exercise. Mounting evidence suggests that walking may help to maintain physical and cognitive independence in old age by preventing a variety of health problems. However, older Americans fall far short of meeting the daily recommendations for walking. In 2 studies, we examined whether considering older adults' preferential attention to positive information may effectively enhance interventions aimed at promoting walking. In Study 1, we compared the effectiveness of positive, negative, and neutral messages to encourage walking (as measured with pedometers). Older adults who were informed about the benefits of walking walked more than those who were informed about the negative consequences of failing to walk, whereas younger adults were unaffected by framing valence. In Study 2, we examined within-person change in walking in older adults in response to positively- or negatively-framed messages over a 28-day period. Once again, positively-framed messages more effectively promoted walking than negatively-framed messages, and the effect was sustained across the intervention period. Together, these studies suggest that consideration of age-related changes in preferences for positive and negative information may inform the design of effective interventions to promote healthy lifestyles. Future research is needed to examine the mechanisms underlying the greater effectiveness of positively- as opposed to negatively-framed messages and the generalizability of findings to other intervention targets and other subpopulations of older adults.

Medical Subject Headings (MeSH)
AdolescentAdultAgedAged, 80 and overAgingFemaleHealth BehaviorHealth EducationHealth PromotionHumansMaleMiddle AgedModels, PsychologicalMotivationWalkingYoung Adult
Study Links
Quality Scores
SafetyNot Assessed
Efficacy85/10
Quality75/10
Citation Metrics
Total Citations84
Citations/Year7.6
Relative Citation Ratio4.31
NIH Percentile91.2%
Research Impact Scores
APT Score0.75
Weight Score1.73
Normalized Score0.69
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