Effects of a Community-based Lifestyle Intervention on Change in Physical Activity Among Economically Disadvantaged Adults With Prediabetes

Hays, Laura M.; Hoen, Helena; Slaven, James E.; Finch, Emily; Marrero, David G.; Saha, Chandan; Ackermann, Ronald T.

doi:10.1080/19325037.2016.1203839

Cited by 10 publications

(28 citation statements)

References 47 publications

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“…There was also a sustained effect at ≥3 years with intervention group participants doing more minutes of weekly MVPA than controls: MD +25 (95% CI: 13 to 37; I 2 =0%; participants=1458; three studies). Sensitivity analyses including Hays et al 23 Figures 4 and 5 demonstrate very clearly the consistency of effect over time within each study both for steps (figure 4) and MVPA (figure 5). This consistency is reinforced by the multivariate meta-analysis (online supplementary additional file 8), where MVPA estimates are essentially unchanged, but confidence limits are narrower.…”

Section: Difference In Mean Change In Steps/daymentioning

confidence: 78%

“…We used the I² statistic to measure statistical heterogeneity among the studies in each analysis; we used the cut offs <30%, 30%-60%, 61%-75% and >75% suggesting low, moderate, substantial and considerable heterogeneity, respectively. 28 No intervention effects were seen at 12 months for both Varma 2016 (step-count) and Hays et al 23 (MVPA). As this review focused on PA maintenance beyond 12 months, these studies were excluded from our final meta-analysis, but included in a sensitivity analysis.…”

Section: Discussionmentioning

confidence: 93%

“…We contacted three investigators to verify key study characteristics and obtain missing numerical outcome data, obtaining additional unpublished data from two. 22 23 Newman et al 24 were unable to provide estimated treatment effects at different time points. We did not contact Suguira et al 25 authors as it was a small study (n=48) conducted 17 years ago.…”

Section: Data Extractionmentioning

confidence: 99%

“…All studies were judged to be at high risk of performance bias, as the interventions made blinding unlikely. Hays et al 23 were judged to have a low risk of bias for participant performance bias, but a high risk for personnel, therefore, we assigned a high overall risk of performance bias. Given the objective outcome measures, seven studies were judged to be at low risk of detection bias, as they measured PA using an accelerometer or sealed pedometer.…”

Section: Study Characteristicsmentioning

confidence: 99%

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Effectiveness of adult community-based physical activity interventions with objective physical activity measurements and long-term follow-up: a systematic review and meta-analysis

et al. 2020

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ObjectiveTo identify randomised controlled trials (RCTs) of physical activity (PA) interventions with objective PA outcomes in adults and to evaluate whether intervention effects were sustained beyond 12 months.DesignSystematic review and meta-analysis.Data sourcesSeven databases (Medline, Embase, PsycINFO, Web of Science, Cochrane library, CINAHL (Cumulative Index of Nursing and Allied Health Literature) and ASSIA (Applied Social Sciences Index and Abstracts)) were searched from January 2000 until December 2019.Eligibility criteriaRCTs reporting objective PA outcomes beyond 12 months with community-based participants aged ≥18 years were included; those where controls received active interventions, including advice to increase PA levels, were excluded.Data extraction and synthesisTwo independent reviewers completed extraction of aggregate data and assessed risk of bias. Meta-analyses used random-effects models at different follow-up points. Primary outcomes were daily steps and weekly minutes of moderate-to-vigorous PA (MVPA).ResultsOf 33 282 records identified, nine studies (at generally low risk of bias) were included, five in meta-analyses with 12 months to 4 year follow-up. We observed 12 month increases for intervention vs control participants in steps/day (mean difference (MD)=554 (95% CIs: 384 to 724) p<0.0001, I2=0%; 2446 participants; four studies) and weekly MVPA minutes (MD=35 (95% CI: 27 to 43) p<0.0001, I2=0%; 2647 participants; four studies). Effects were sustained up to 4 years for steps/day (MD=494 (95% CI: 251 to 738) p<0.0001, I2=0%; 1944 participants; four studies) and weekly MVPA minutes (MD=25 (95% CI: 13 to 37) p<0.0001, I2=0%; 1458 participants; three studies).ConclusionsThere are few PA interventions with objective follow-up beyond 12 months, more studies are needed. However, this review provided evidence of PA intervention effects beyond 12 months and sustained up to 4 years for both steps/day and MVPA. These findings have important implications for potential long-term health benefits.PROSPERO registration numberCRD42017075753.

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Section: Difference In Mean Change In Steps/daymentioning

confidence: 78%

Section: Discussionmentioning

confidence: 93%

Section: Data Extractionmentioning

confidence: 99%

Section: Study Characteristicsmentioning

confidence: 99%

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Effectiveness of adult community-based physical activity interventions with objective physical activity measurements and long-term follow-up: a systematic review and meta-analysis

et al. 2020

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“…The most notable trial published in dissemination and implementation research is the Diabetes Prevention Program (Y-DPP), which has been widely implemented in YMCAs across the country. Interestingly, the dissemination of the Y-DPP into traditionally minority communities has not resulted in the same behavior change as the original trial [ 27 ]. Along with our results, this points to future directions for research to investigate the causes for this drift.…”

Section: Discussionmentioning

confidence: 99%

Scale-out of a community-based behavioral intervention for childhood obesity: pilot implementation evaluation

Heerman¹,

Schludnt²,

Harris³

et al. 2018

BMC Public Health

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BackgroundExpanding the use of evidence-based behavioral interventions in community settings has met with limited success in various health outcomes as fidelity and dose of clinical interventions are often diluted when translated to communities. We conducted a pilot implementation study to examine adoption of the rigorously evaluated Healthier Families Program by Parks and Recreation centers in 3 cities across the country (MI, GA, NV) with diverse socio-cultural environments.MethodsUsing the RE-AIM framework, we evaluated the program both quantitatively (pre/post surveys of health behavior change; attendance & fidelity) and qualitatively (interviews with Parks and Recreation staff and participants following the program).ResultsThe 3 partner sites recruited a total of 26 parent-child pairs. REACH: Among the 24 participants who completed pre/post surveys, 62.5% were 25–34 years old, and average child age was 3.6 (SD 0.7) years. The distribution of self-reported race/ethnicity was 54% non-Hispanic White, 38% non-Hispanic Black, and 8% Latino. EFFECTIVENESS: Qualitative interviews with participants demonstrated increased use of the built environment for physical activity and continued use of key strategies for health behavior change. ADOPTION: Three of five (60%) collaborating sites proceeded with implementation of the program. IMPLEMENTATION: The average attendance for the 12-week program was 7.6 (SD 3.9) sessions, with 71% attending > 50% of sessions. Average fidelity for the 12 weekly sessions was 25.2 (SD 1.2; possible range 9–27). MAINTENANCE: All 3 partner sites continued offering the program after grant funding was complete.ConclusionsThis pilot is among the first attempts to scale-out an evidence-based childhood obesity intervention in community Parks and Recreation centers. While this pilot was not intended to confirm the efficacy of the original trial on Body Mass Index (BMI) reduction, the effective and sustained behavior change among a geographically and ethnically diverse population with high attendance and fidelity demonstrates an effective approach on which to base future large-scale implementation efforts to reduce childhood obesity in community settings.Electronic supplementary materialThe online version of this article (10.1186/s12889-018-5403-z) contains supplementary material, which is available to authorized users.

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What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map

Price

Bell

Shaw

et al. 2022

Campbell Systematic Reviews

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Background: Peer support interventions involve people drawing on shared personal experience to help one another improve their physical or mental health, or reduce social isolation. If effective, they may also lessen the demand on health and social care services, reducing costs. However, the design and delivery of peer support varies greatly, from the targeted problem or need, the setting and mode of delivery, to the number and content of sessions. Robust evidence is essential for policymakers commissioning peer support and practitioners delivering services in health care and community settings. This map draws together evidence on different types of peer support to support the design and delivery of interventions.Objectives: The aim of this map was to provide an overview of the volume, diversity and nature of recent, high quality evidence on the effectiveness and costeffectiveness of the use of peer support in health and social care. Search Methods: We searched MEDLINE, seven further bibliographic databases, and Epistemonikos for systematic reviews (in October 2020), randomised controlled trials (in March 2021) and economic evaluations (in May 2021) on the effectiveness of peer support interventions in health and social care. We also conducted searches of Google Scholar, two trial registers, PROSPERO, and completed citation chasing on included studies.Selection Criteria: Systematic reviews, randomised controlled trials and economic evaluations were included in the map. Included studies focused on adult populations with a defined health or social care need, were conducted in high-income countries, and published since 2015. Any measure of effectiveness was included, as was any form of peer support providing the peer had shared experience with the participant and a formalised role.

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Effects of a Community-based Lifestyle Intervention on Change in Physical Activity Among Economically Disadvantaged Adults With Prediabetes

Cited by 10 publications

References 47 publications

Effectiveness of adult community-based physical activity interventions with objective physical activity measurements and long-term follow-up: a systematic review and meta-analysis

Effectiveness of adult community-based physical activity interventions with objective physical activity measurements and long-term follow-up: a systematic review and meta-analysis

Scale-out of a community-based behavioral intervention for childhood obesity: pilot implementation evaluation

What is the volume, diversity and nature of recent, robust evidence for the use of peer support in health and social care? An evidence and gap map

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