Effectiveness, efficiency, duration, and costs of recruiting for an African American women's lifestyle physical activity program

Wilbur, JoEllen; Buchholz, Susan Weber; Ingram, Diana; Braun, Lynne T.; Johnson, Tricia J.; Fogg, Louis; Miller, Arlene Michaels; Volgman, Annabelle Santos; McDevitt, Judith

doi:10.1002/nur.21550

Cited by 25 publications

(59 citation statements)

References 39 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The sample consisted of 288 African American women between the ages of 40 and 65, who were sedentary (participated in moderate-vigorous PA < 3 times per week), had access to a telephone, and could attend group meetings (Wilbur et al, 2015, Wilbur et al, 2013). Those with health issues that interfered with PA were excluded.…”

Section: Methodsmentioning

confidence: 99%

Barriers to physical activity as moderators of intervention effects

Schoeny

Fogg

Buchholz

et al. 2017

Preventive Medicine Reports

Self Cite

View full text Add to dashboard Cite

The impact of interventions to increase physical activity (PA) may vary as a function of participants' barriers to PA. The aim of this paper is to determine whether individual barriers (demographic, physical health, psychological health, neighborhood factors, perceived barriers to PA, social support for PA) moderate treatment effects on increases in PA. Three treatment conditions tested the relative efficacy of a group-based PA intervention alone or supplemented by either personal or automated phone calls made between group meetings. From 2010 to 2012, 284 African American women (ages 40–65) living in the Chicago, IL, area were randomized to one of the three treatment conditions. Data collection occurred at baseline as well as 24 and 48 weeks after baseline. Moderation of intervention effects by barriers to PA were tested across four outcome measures (self-reported moderate-vigorous PA, self-reported walking, accelerometer steps, and aerobic fitness) using multilevel mixed-effects analyses. Significant condition by barrier interaction effects for the accelerometer steps outcome were found for material hardships, general health, depressive symptoms, neighborhood crime rate, and perceived barriers to PA. For aerobic fitness, intervention effects were moderated by material hardships and perceived pain. Increases in the outcome variables were greater for the conditions in which group sessions were supplemented with personal and/or automated calls. Among participants with greater barriers to PA, supplementing the intervention group meetings with between-session personal and/or automated phone calls may be an effective way to strengthen intervention effects. These results may inform the use of treatment supplements in the context of adaptive interventions.

show abstract

Section: Methodsmentioning

confidence: 99%

Barriers to physical activity as moderators of intervention effects

Schoeny

Fogg

Buchholz

et al. 2017

Preventive Medicine Reports

Self Cite

View full text Add to dashboard Cite

show abstract

“…31 The sites were in or bordering communities that were predominantly African American (> 90%) and had 30% of household incomes below the poverty level. 32 …”

Section: Methodsmentioning

confidence: 99%

“…31 Further, participants used their social networks to encourage participation of other women. Briefly, of the 514 women who completed an initial telephone screening, 105 were ineligible and 409 were scheduled for a health assessment screening at their respective community site with a study nurse practitioner.…”

Section: Methodsmentioning

confidence: 99%

Cardiovascular Risk in Midlife African American Women Participating in a Lifestyle Physical Activity Program

et al. 2016

Self Cite

View full text Add to dashboard Cite

Background: Cardiovascular disease (CVD) is the largest contributor to disparate morbidity and mortality in African American women. Objective: The aims of this article are to describe in a cohort of sedentary, urban community-based midlife African American women eligible for a physical activity program their (1) CVD risk factors and (2) awareness, treatment, and control of hypertension and hypercholesterolemia. Methods: Cross-sectional baseline findings on 297 women were examined at baseline of a controlled physical activity clinical trial. Cardiovascular disease risks included hypertension, hypercholesterolemia, smoking, diabetes, and obesity. Among women with hypertension and hypercholesterolemia, rates of awareness, treatment, and control were calculated. Results: Our sample had significantly more hypertension and obesity than reported in other national samples of African American women. The women mirrored national samples of African American women: fewer than 60% had adequate control of hypertension. Versus national samples of African Americans (men/women combined), our study groups both showed significantly lower low-density-lipoprotein cholesterol level: treatment, 33% versus 63.8%, and control, 24.8% versus 45.3%. Conclusions: Because national samples are more heterogeneous, our sample provides important information about CVD risks in inactive, urban community-dwelling, midlife African American women. Given the opportunity, many such women at elevated risk for CVD are willing to participate in a physical activity intervention. They must be identified and offered pharmacological and lifestyle interventions.

show abstract

“…As described elsewhere in detail, participants in the Women’s Lifestyle PA Program were sedentary (not involved in routine exercise two or more times per week in the past six months), urban-dwelling, midlife African American women aged 40 to 65 years (Wilbur et al, 2015; Wilbur et al, 2013). Exclusion criteria included only risks for exercise-related adverse events: (1) major signs or symptoms of pulmonary disease or cardiovascular disease; (2) history of myocardial infarction or stroke; and (3) blood pressure ≥ 160 mmHg systolic or ≥ 100 mmHg diastolic (American College of Sports Medicine, 2010).…”

Section: Methodsmentioning

confidence: 99%

“…Briefly, as reported elsewhere (Wilbur et al, 2013), of the 514 women who completed an initial telephone screening, 105 were ineligible and 409 were scheduled for a health assessment screening for cardiovascular risk at their respective community site with a study nurse practitioner. Of the 337 women (72 women did not come to the health assessment) who completed the screening health assessment, 40 were ineligible.…”

Section: Methodsmentioning

confidence: 99%

Retention of African American Women in a Lifestyle Physical Activity Program

et al. 2015

Self Cite

View full text Add to dashboard Cite

Using a cohort of African American women enrolled in a physical activity program, the purpose of the paper is to examine how well individual characteristics, neighborhood characteristics and intervention participation predict study retention and staff level of effort needed for retention. Secondary data analysis was conducted from a randomized clinical trial. Participants were 40–65 years without major signs/symptoms of cardiovascular disease. Assessments were conducted at community sites in/bordering African American communities. Study retention was 90%. Of those retained, 24% required moderate/high level of staff effort for retention. Retention was predicted by being older, having lower perceived neighborhood walkability, living in neighborhoods with greater disadvantage and crime, and having greater program participation. More staff effort was predicted by participants being younger, having more economic hardships, poorer health, or lower intervention participation. We may be able to identify people at baseline likely to require more staff effort to retain.

show abstract

Effectiveness, efficiency, duration, and costs of recruiting for an African American women's lifestyle physical activity program

Cited by 25 publications

References 39 publications

Barriers to physical activity as moderators of intervention effects

Barriers to physical activity as moderators of intervention effects

Cardiovascular Risk in Midlife African American Women Participating in a Lifestyle Physical Activity Program

Retention of African American Women in a Lifestyle Physical Activity Program

Contact Info

Product

Resources

About