Telephone versus print delivery of an individualized motivationally tailored physical activity intervention: Project STRIDE.

Marcus, Bess H.; Napolitano, Melissa A.; King, Abby C.; Lewis, Beth A.; Whiteley, Jessica A.; Albrecht, Anna E.; Parisi, Alfred F.; Bock, Beth C.; Pinto, Bernardine M.; Sciamanna, Christopher N.; Jakicic, John M.; Papandonatos, George D.

doi:10.1037/0278-6133.26.4.401

Cited by 164 publications

(217 citation statements)

References 44 publications

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“…The content of the tailored interventions has been described in more detail elsewhere [18], and is briefly described below. Print-delivered computer-tailored interventions were found to be more effective in changing PA maintenance than telephonetailored interventions [31] especially among older adults [32]. Therefore, two computer-tailored interventions, including written letters, were developed.…”

Section: Intervention and Designmentioning

confidence: 99%

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

et al. 2010

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Background Important health benefits can be derived when low-cost (e.g., computer-tailored) physical activity interventions for older adults demonstrate sustained effects. Purpose The purpose of the study was to conduct in-depth analysis on the long-term efficacy of two tailored physical activity interventions for older adults. Methods A randomized controlled trial (n=1,971) with two computer-tailored interventions and a no-intervention control group was conducted. The two tailored interventions consisted of three tailored letters, delivered during 4 months. The basic tailored intervention targeted psychosocial determinants alone, while the environmentally tailored intervention additionally targeted environmental determinants, by providing tailored environmental information. Selfreported behaviors (i.e., total physical activity, transport walking and cycling, leisure walking and cycling, and sports) were measured at baseline and 12 months. Additionally, potential personal, health-related, and psychosocial moderators of the intervention effects were examined. Results The environmentally tailored intervention was effective in changing total physical activity, leisure cycling, and sports compared with the basic intervention and control group. No intervention effects were found for the basic intervention. Moderation analysis revealed that participants with a higher age, lower body mass index, and higher intention were unresponsive to the interventions. Conclusions Providing environmental information is an effective intervention strategy for increasing physical activity behaviors among older adults, especially among certain "at-risk" subgroups such as lower educated, overweight, or insufficiently active participants. Moderation analysis was perceived as a promising method for identifying meaningful subgroups that are unaffected by an intervention, which should receive special attention in future interventions.

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Section: Intervention and Designmentioning

confidence: 99%

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

et al. 2010

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“…The reports were generated from a computer-based expert system in response to the participant's answers to monthly questionnaire items. [30][31][32] In the maintenance phase during the second year, EI 1 Participant had some data censored at some visits because she was pregnant 106 analyzed 3 participants had some data censored at some visits because they were pregnant participants received tailored and non-tailored materials bi-weekly for the first 6 months and monthly for the last 6 months. They also received exercise feedback reports 4 times throughout the second year and 2 nutrition-related DVDs.…”

Section: Enhanced Interventionmentioning

confidence: 99%

“…[18][19][20][21][22] Tailored interventions that match individual patient characteristics with treatment hold promise to be effective for promoting weight loss and increasing physical activity, as well as for their generalizability to clinical application. [23][24][25][26][27][28][29][30][31][32][33][34][35][36][37] Efficacious, individually tailored interventions that can be implemented by print, telephone, video, or a combination of these media without the need for extensive face-to-face or group counseling may be an effective and easy-todisseminate model that primary care physicians could refer patients to. We evaluated such an intervention in a randomized, controlled trial of obese, sedentary adults recruited from primary care practices.…”

Section: Introductionmentioning

confidence: 99%

A Randomized Clinical Trial of a Tailored Lifestyle Intervention for Obese, Sedentary, Primary Care Patients

Eaton

Hartman

Perzanowski

et al. 2016

The Annals of Family Medicine

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PURPOSE The aim of the study was to test a tailored lifestyle intervention for helping obese primary care patients achieve weight loss and increase physical activity. METHODSWe conducted a 24-month randomized clinical trial in Rhode Island. Primary care physicians identified obese, sedentary patients motivated to lose weight and increase their moderate to vigorous physical activity. These patients were randomized to 1 of 2 experimental groups: enhanced intervention (EI) or standard intervention (SI). Both groups received 3 face-to-face weight loss meetings. The enhanced intervention group also received telephone counseling calls, individually tailored print materials, and DVDs focused on diet and physical activity. Active intervention occurred in year 1 with a tapered maintenance phase in year 2.RESULTS Two hundred eleven obese, sedentary patients were recruited from 24 primary care practices. Participants were 79% women and 16% minorities. They averaged 48.6 years of age, with a mean body mass index (BMI) of 37.8 kg/m 2 , and 21.2 minutes/week of moderate to vigorous physical activity. Significantly more EI participants lost 5% of their baseline weight than SI participants (group by visit, P <.001). The difference was significant during active treatment at 6 months (37.2% EI vs 12.9% SI) and 12 months (47.8% vs 11.6%), but was no longer significant during the maintenance phase at 18 months (31.4% vs 26.7%,) or 24 months (33.3% vs 24.6%). The EI group reported significantly more minutes of moderate to vigorous physical activity over time than the SI group (group by visit, P = 0.04). The differences in minutes per week at 6 months was 95.7 for the EI group vs 68.3 minutes for the SI group; at 12 months, it was 126.1 vs 73.7; at 18 months, 103.7 vs 63.7, and at 24 months, 101.3 vs 75.4. Similar trends were found for absolute weight loss and the percentage reaching national guidelines for physical activity. CONCLUSION A home-based tailored lifestyle intervention in obese, sedentary primary care patients was effective in promoting weight loss and increasing moderate to vigorous physical activity, with the effects peaking at 12 months but waning at 24 months.

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“…We began with the STRIDE program [17,18], which ORIGINAL RESEARCH is delivered as an individual intervention that tailors program materials based on an individual's Stage of Change in the Transtheoretical Model [19]. The program has increasingly been implemented through print and online approaches, with the aims of reducing costs for delivery and increasing ease of access for participants.…”

Section: Stage 1: Information Gatheringmentioning

confidence: 99%

“…In an effort to develop a PA program for sedentary adult Somali women (entited Ladnaan, meaning Bwellbeing^in Somali), we culturally adapted an EBI. The STRIDE program [17,18] is an EBI based on the Transtheoretical Model [19] and Social Cognitive Theory [20] that has been successfully applied to Caucasian, African-American, and Latino men and women to increase PA among sedentary populations, predominantly through print-based and online delivery of intervention materials [21][22][23][24]. It is important to test the feasibility of EBIs during the process of adapting programs from more tightly controlled efficacy trials to community-based settings and with new populations [25].…”

mentioning

confidence: 99%

Culturally adapting a physical activity intervention for Somali women: the need for theory and innovation to promote equity

Murray

Ermias²,

Lung

et al. 2016

Behav. Med. Pract. Policy Res.

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There is pressing need for innovation in clinical research to more effectively recruit, engage, retain, and promote health among diverse populations overburdened by health disparities. The purpose of this study is to provide a detailed illustration of the cultural adaptation of an evidence-based intervention to bolster translational research with currently underserved communities. The cultural adaptation heuristic framework described by Barrera and colleagues is applied to the adaptation of a physical activity evidence-based intervention with adult Somali women. Widespread changes were required to ensure program feasibility and acceptability, including the reduction of assessment protocols and changes discordant with current trends in physical activity research. The cultural adaptation of evidence-based interventions offers an important mechanism for reducing health disparities. Improved reporting standards, assessment of features relevant to underserved communities, and greater funding requirements to ensure better representation are needed to promote more widespread access for all people. KeywordsCross-cultural research, Cultural adaptation, Health disparities, Translational research, Physical activity interventions, Refugee research There is a pressing need for innovations in clinical research to more effectively recruit, engage, retain, and promote health among diverse populations overburdened by health disparities [1][2][3]. Disparities persist for many racial/ethnic minority groups in health outcomes [4], as well as representation in clinical research and interventions [2,5]. Culturally, adapting current evidence-based interventions (EBIs) for use with more diverse target populations offers great potential for decreasing health disparities and increasing access to EBIs, yet there is a need to advance this science with broader applications within diverse populations [6][7][8][9].There are several cultural adaptation theories and frameworks proposed in the literature, but few comprehensive illustrations of program adaptations, which are needed to guide best practice. Herein, we detail the cultural adaptation of an efficacious physical activity (PA) program following the heuristic framework laid out by Barrera and Castro [10]. We selected this framework because it provides flexibility in the dimensions for adaptation (e.g., engagement strategies, outcomes) and clear steps for structuring the cultural adaptation process. The framework includes four steps that include a range of information gathering, adaptation processes, and adaptation tests. The goal of program adaptation is to identify and address challenges to ensuring program fidelity alongside the acceptability of the program for the new target population [11].African immigrants represent one such underrepresented group in research and programming [12]. In particular, Somali women appear to have unique barriers to engaging in PA such as cultural practices related to modesty and limited exposure to intentional physical activity in Somalia [13], al...

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Telephone versus print delivery of an individualized motivationally tailored physical activity intervention: Project STRIDE.

Abstract: Results suggest that both telephone and print enhance the adoption of physical activity among sedentary adults; however, print interventions may be particularly effective in maintaining physical activity in the longer term.

Cited by 164 publications

References 44 publications

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

Exploring the Efficacy and Moderators of Two Computer-Tailored Physical Activity Interventions for Older Adults: A Randomized Controlled Trial

A Randomized Clinical Trial of a Tailored Lifestyle Intervention for Obese, Sedentary, Primary Care Patients

Culturally adapting a physical activity intervention for Somali women: the need for theory and innovation to promote equity

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