<?xml version="1.0" encoding="UTF-8"?><?xml-stylesheet type="text/xsl" href="static/style.xsl"?><OAI-PMH xmlns="http://www.openarchives.org/OAI/2.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.openarchives.org/OAI/2.0/ http://www.openarchives.org/OAI/2.0/OAI-PMH.xsd"><responseDate>2026-09-24T23:56:42Z</responseDate><request verb="GetRecord" identifier="oai:wakespace.lib.wfu.edu:10339/57146" metadataPrefix="dim">https://wakespace.lib.wfu.edu/server/oai/request</request><GetRecord><record><header><identifier>oai:null:10339/57146</identifier><datestamp>2026-09-18T14:22:58Z</datestamp><setSpec>com_10339_14934</setSpec><setSpec>col_10339_38132</setSpec></header><metadata><dim:dim xmlns:dim="http://www.dspace.org/xmlns/dspace/dim" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:doc="http://www.lyncode.com/xoai" xsi:schemaLocation="http://www.dspace.org/xmlns/dspace/dim http://www.dspace.org/schema/dim.xsd">
   <dim:field mdschema="dc" element="contributor" qualifier="author" lang="en_US">Cox, Phillip</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="accessioned">2015-06-23T08:35:52Z</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="available">2017-06-22T08:30:09Z</dim:field>
   <dim:field mdschema="dc" element="date" qualifier="issued" lang="en_US">2015</dim:field>
   <dim:field mdschema="dc" element="identifier" qualifier="uri">https://wakespace.lib.wfu.edu/handle/10339/57146</dim:field>
   <dim:field mdschema="dc" element="description" qualifier="abstract" lang="en_US">PURPOSE: Although moderate physical activity decreases the risk of arthritis-related disability by 47%, pain and lack of confidence are often cited barriers to physical activity participation among older adults with knee osteoarthritis (OA). The purpose of this study was to examine changes in self-efficacy over the course of the Intensive Diet and Exercise (IDEA) trial in obese older adults with knee OA.</dim:field>
   <dim:field mdschema="dc" element="language" qualifier="iso" lang="en_US">en</dim:field>
   <dim:field mdschema="dc" element="publisher" lang="en_US">Wake Forest University</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">diet</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">exercise</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">knee osteoarthritis</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">sel-efficacy</dim:field>
   <dim:field mdschema="dc" element="subject" lang="en_US">weight loss</dim:field>
   <dim:field mdschema="dc" element="title" lang="en_US">EFFECTS OF INTENSIVE DIET AND EXERCISE ON SELF-EFFICACY IN OVERWEIGHT AND OBESE ADULTS WITH KNEE OSTEOARTHRITIS</dim:field>
   <dim:field mdschema="dc" element="type" lang="en_US">Thesis</dim:field>
   <dim:field mdschema="thesis" element="contributor" qualifier="committeeChair" lang="en_US">Mihalko, Shannon L</dim:field>
   <dim:field mdschema="thesis" element="contributor" qualifier="committeeMember" lang="en_US">Messier, Stephen P</dim:field>
   <dim:field mdschema="thesis" element="contributor" qualifier="committeeMember" lang="en_US">Beavers, Daniel P</dim:field>
   <dim:field mdschema="thesis" element="contributor" qualifier="committeeMember" lang="en_US">Katula, Jeffrey A</dim:field>
   <dim:field mdschema="thesis" element="degree" qualifier="discipline" lang="en_US">Health and Exercise Science</dim:field>
   <dim:field mdschema="thesis" element="embargo" qualifier="terms" lang="en_US">2017-06-22</dim:field>
   <dim:field mdschema="others" element="access-status">open.access</dim:field>
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