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Web-site-based tailored advice to promote strength and balance training: an experimental evaluation
Nyman SR, Yardley L
Journal of Aging and Physical Activity 2009 Apr;17(2):210-222
clinical trial
4/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: Yes; Baseline comparability: No; Blind subjects: No; Blind therapists: No; Blind assessors: No; Adequate follow-up: No; Intention-to-treat analysis: No; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed*

This study evaluated a web site providing tailored advice to encourage older people to undertake strength and balance training (SBT). Adults age 60 to 88 (n = 302) were randomized to read either generic advice or advice tailored to their self-perceived balance problems and activity preferences. Between-groups differences in attitudes toward SBT after reading the advice did not quite reach significance (p = 0.059), but the tailored group reported higher ratings than the generic group that the advice was personally relevant (p = 0.017) and that the activities would be good for them (p = 0.047). Within-groups differences in the tailored group showed that completing an action plan increased confidence in undertaking SBT (p = 0.006). These findings were supported by a meta-analysis that pooled the effect sizes with those of a previous study. Thus, a tailored web site might be a cost-effective way of encouraging some older people to undertake SBT.

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