Randomized Clinical Trial of the Women’s Lifestyle Physical Activity Program for African-American Women

Wilbur, JoEllen; Miller, Arlene Michaels; Fogg, Louis; McDevitt, Judith; Castro, Cynthia M.; Schoeny, Michael; Buchholz, Susan Weber; Braun, Lynne T.; Ingram, Diana; Volgman, Annabelle Santos; Dancy, Barbara L.

doi:10.1177/0890117116646342

Cited by 40 publications

(58 citation statements)

References 47 publications

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“…Additionally, it investigated multiple outcomes, including BMI, waist-to-hip ratio, body fat percentage and DII, which distinguishes it from other previous trials that focused mainly on weight loss. [43][44][45][46][47][48][49][50][51] The SISTAS study focused on AAs at the population level instead of medically at-risk AAs, which makes it different from the studies reviewed by Fitzgibbon et al that showed that medically at-risk AAs have better weight loss outcomes. 43 The CBPR strategy utilized by SISTAS study was designed to address barriers such as lack of motivation, lack of knowledge, and lack of physically active role models, which were identified by Joseph et al 44 Thus, the SISTAS study is further distinguished for incorporating a CBPR strategy to address previously identified barriers.…”

Section: Interventions That Are Personalizedmentioning

confidence: 97%

“…We were also able to incorporate physical activity along with a dietary component to our trial, as compared with previous studies that focused solely on increasing physical activity among AA women. [43][44][45][46][47][48][49][50][51] Also, the SISTAS study was modeled to be experiential with a "hands-on" curriculum and AA lay instructors leading the activities. The initial screening performed by the re-tively large sample size given the study design vs other previously published papers with small sample sizes.…”

Section: Interventions That Are Personalizedmentioning

confidence: 99%

“…The initial screening performed by the re-tively large sample size given the study design vs other previously published papers with small sample sizes. [45][46][47] Additionally, compared with some other studies on weight loss among AAs, [43][44][45][46][47][48][49][50][51][52] the SISTAS trial incorporated a novel DII measure in its design.…”

Section: Interventions That Are Personalizedmentioning

confidence: 99%

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Sistas Inspiring Sistas Through Activity and Support (SISTAS): Study Design and Demographics of Participants

et al. 2018

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Section: Interventions That Are Personalizedmentioning

confidence: 97%

Section: Interventions That Are Personalizedmentioning

confidence: 99%

Section: Interventions That Are Personalizedmentioning

confidence: 99%

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Sistas Inspiring Sistas Through Activity and Support (SISTAS): Study Design and Demographics of Participants

et al. 2018

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“…Of note, nine studies targeted African-American women only. 14,[36][37][38][39][40][41][42][43] Characteristics of Women's Telehealth Interventions. Clear patterns emerged for key characteristics of telehealth centrality, modality, and focus of the treatment dyad.…”

Section: Primary Studies and Systematic Reviewsmentioning

confidence: 99%

Telehealth Interventions Designed for Women: an Evidence Map

et al. 2018

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BACKGROUND: Telehealth employs technology to connect patients to the right healthcare resources at the right time. Women are high utilizers of healthcare with genderspecific health issues that may benefit from the convenience and personalization of telehealth. Thus, we produced an evidence map describing the quantity, distribution, and characteristics of evidence assessing the effectiveness of telehealth services designed for women. METHODS: We searched MEDLINE ® (via PubMed ® ) and Embase ® from inception through March 20, 2018. We screened systematic reviews (SRs), randomized trials, and quasi-experimental studies using predetermined eligibility criteria. Articles meeting inclusion criteria were identified for data abstraction. To assess emerging trends, we also conducted a targeted search of ClinicalTrials.gov. RESULTS: Two hundred thirty-four primary studies and three SRs were eligible for abstraction. We grouped studies into focused areas of research: maternal health (n = 96), prevention (n = 46), disease management (n = 63), family planning (n = 9), high-risk breast cancer assessment (n = 10), intimate partner violence (n = 7), and mental health (n = 3). Most interventions focused on phone as the primary telehealth modality and featured healthcare team-to-patient communication and were limited in duration (e.g., < 12 weeks). Few interventions were conducted with older women (≥ 60 years) or in racially/ ethnically diverse populations. There are few SRs in this area and limited evidence regarding newer telehealth modalities such as mobile-based applications or short message service/texting. Targeted search of clinical.trials.gov yielded 73 ongoing studies that show a shift in the use of non-telephone modalities. DISCUSSION: Our systematic evidence map highlights gaps in the existing literature, such as a lack of studies in key women's health areas (intimate partner violence, mental health), and a dearth of relevant SRs. With few existing SRs in this literature, there is an opportunity for examining effects, efficiency, and acceptability across studies to inform efforts at implementing telehealth for women.

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“…Also, lifestyle approaches are costeffective and scalable for dissemination since these interventions are generally performed at home with minimal equipment (Piercy et al, 2018). An additional limitation was that none of the interventions targeted women, despite evidence that women respond better to interventions specifically designed for them (McSweeney et al, 2016;Wilbur et al, 2016). We have addressed these limitations by testing a lifestyle physical activity intervention designed specifically for women.…”

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confidence: 99%

Feasibility of a Lifestyle Physical Activity Intervention to Prevent Memory Loss in Older Women With Cardiovascular Disease: A Mixed-Methods Approach

et al. 2019

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Background Memory loss in older age affects women more than men and cardiovascular disease is a leading risk factor. Physical activity can improve memory in healthy older adults; however, few physical activity interventions have targeted women with cardiovascular disease, and none utilized lifestyle approaches. Purpose The purpose of this study was to examine feasibility, acceptability, and preliminary effects of a 24-week lifestyle physical activity intervention (physical activity prescription, five group meetings, and nine motivational interviewing calls). Methods A sequential mixed-methods approach was used. Participants were 18 sedentary women ≥65 years with cardiovascular disease and without cognitive impairment recruited in August 2017. Feasibility, acceptability, self-reported health, accelerometer-assessed physical activity, and neurocognitive memory tests were measured using a pre-post test design. Two post-intervention focus groups ( n = 8) were conducted in June 2018. Concept analysis was used to identify barriers/motivators of intervention participation. Results Meeting attendance was >72% and retention was 94%. Participants rated the program with high satisfaction. There were significant improvements at 24 weeks in self-rated physical health, objective daily steps, and estimated cardiorespiratory fitness ( d = .30–.64). Focus group themes generated recommendations for modifying the intervention. Conclusion Findings support adapting the intervention further for women with cardiovascular disease and testing it in an efficacy trial.

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Randomized Clinical Trial of the Women’s Lifestyle Physical Activity Program for African-American Women

Abstract: Group meetings are a powerful intervention for increasing PA and preventing weight gain and may not need to be supplemented with telephone calls, which add costs and complexity.

Cited by 40 publications

References 47 publications

Sistas Inspiring Sistas Through Activity and Support (SISTAS): Study Design and Demographics of Participants

Sistas Inspiring Sistas Through Activity and Support (SISTAS): Study Design and Demographics of Participants

Telehealth Interventions Designed for Women: an Evidence Map

Feasibility of a Lifestyle Physical Activity Intervention to Prevent Memory Loss in Older Women With Cardiovascular Disease: A Mixed-Methods Approach

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