Examination of print and telephone channels for physical activity promotion: Rationale, design, and baseline data from 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, C; Jakicic, John M.; Papandonatos, George D.

doi:10.1016/j.cct.2006.04.003

Cited by 40 publications

(45 citation statements)

References 59 publications

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“…These well-designed studies suggest that computer-assisted, individually tailored counseling for PA can increase PA at least in adolescent boys when it is supported by long-term counseling though mail and telephone. This finding is supported by evidence from PA interventions with adults that indicate that repetitive, individually tailored PA counseling can be effective, [122][123][124][125][126][127][128] but time spent in counseling by clinicians in these studies was longer than family physicians currently spend for all health education activities combined during typical visits. 92…”

Section: Primary Care Interventions For Promoting Physical Activitysupporting

confidence: 64%

Themed Review: Clinical Interventions to Promote Physical Activity in Youth

Meriwether

Lobelo

Pate

2008

American Journal of Lifestyle Medicine

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National recommendations call for children and adolescents to accumulate at least 60 minutes of moderate to vigorous physical activity on most days of the week and for physicians to counsel their patients about physical activity. Physical inactivity tracks from childhood into adulthood, and among youth, it is associated with unfavorable risk factor profiles that promote the development of cardiovascular and metabolic chronic diseases. Few studies of clinical interventions to promote physical activity in children and youth have been published, and the paucity of evidence describing effective interventions and significant barriers limit delivery of counseling. However, existing studies provide evidence about elements of counseling most likely to be effective to guide clinical interventions and inform future research. Based on a literature review, this article offers guidance for incorporating physical activity promotion into clinical care, identifies gaps in current evidence, and suggests methodologic considerations for future research.

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Section: Primary Care Interventions For Promoting Physical Activitysupporting

confidence: 64%

Themed Review: Clinical Interventions to Promote Physical Activity in Youth

Meriwether

Lobelo

Pate

2008

American Journal of Lifestyle Medicine

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“…21 Individually tailored, motivationally matched interventions have been shown to be cost-effective approaches to increasing physical activity in nonpregnant women in community settings. 22,23 These interventions are also readily translatable to clinical practice. However, whether these programs are effective at increasing physical activity during pregnancy is unknown.…”

mentioning

confidence: 99%

Impact of an Exercise Intervention on Physical Activity During Pregnancy: The Behaviors Affecting Baby and You Study

et al. 2014

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Objectives. We examined the impact of a prenatal exercise intervention on physical activity in 260 women at risk for gestational diabetes mellitus. Methods. We randomized participants in the Behaviors Affecting Baby and You (BABY) Study, which took place from 2007 to 2012, to either a 12-week individually tailored, motivationally matched exercise intervention (n = 132) or to a comparison health and wellness intervention (n = 128). We assessed physical activity with the Pregnancy Physical Activity Questionnaire. We used linear mixed models to evaluate the impact of the interventions on change in physical activity according to intensity and type, total walking, and sedentary behavior. Results. Compared with the health and wellness arm, the exercise arm had significantly greater increases in sports or exercise activity (0.3 vs 5.3 metabolic equivalent of task [MET] hours/week; P < .001), and smaller declines in total activity (–42.7 vs –2.1 MET hours/week; P = .02) and activities of moderate to vigorous intensity (–30.6 vs −10.6 MET hours/week; P = .05), and was more likely to achieve recommended guidelines for physical activity (odds ratio = 2.12; 95% confidence interval = 1.45, 3.10). Conclusions. These findings extend the previous literature by demonstrating the benefits of a clinically feasible exercise intervention in an ethnically and socio-economically diverse population. Given the increased risk of adverse maternal health outcomes in ethnic minority groups, these findings may have important implications for reducing health disparities.

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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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Examination of print and telephone channels for physical activity promotion: Rationale, design, and baseline data from Project STRIDE

Cited by 40 publications

References 59 publications

Themed Review: Clinical Interventions to Promote Physical Activity in Youth

Themed Review: Clinical Interventions to Promote Physical Activity in Youth

Impact of an Exercise Intervention on Physical Activity During Pregnancy: The Behaviors Affecting Baby and You Study

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

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