Defining the Construct of Health Behavior Maintenance. (16th December 2020)

• Record Type: Journal Article
• Authors: Raj, Mina; Bettger, Janet; Hughes, Susan; Hughes, Jaime
• Is Part Of: Innovation in aging. Volume 4(2020)Supplement 1
• Page Start: 827
• Page End: 827
• Publication Date: 2020-12-16
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igaa057.3021
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: Prior research on health behavior maintenance has proposed several key constructs that distinguish this concept from initiation. Initiation is thought to depend upon action self-efficacy, goal setting, and outcome expectations. Maintenance, on the other hand, depends upon self-regulation, relapse prevention, recovery self-efficacy, and satisfaction with original outcome expectations. Although much prior research has focused on cognitive components of maintenance, there has been little attention to how higher-order cognitive processing and decision-making may be challenging for some older adults. This presentation will discuss a proposed conceptual model of health behavior maintenance, specifically as this construct applies to older adults. Special consideration will be given to how both normative and non-normative age-related changes (e.g., physical, cognitive, psychosocial) impact maintenance and how such changes might influence older adults' goals and outcome expectations. Finally, individual-level maintenance will be discussed within a larger context of program sustainability at community and population levels.