Feasibility and acceptability of an online program to promote physical activity among black women

促进黑人女性身体活动的在线计划的可行性和可接受性

• 批准号: 10303836
• 负责人: Robert Lee Newton
• 金额: $ 26.03万
• 依托单位: GRAMERCY RESEARCH GROUP, LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-30 至 2023-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10303836
• 关键词: Address; Adult; Advertising; Advisory Committees; Cessation of life; Chronic Disease; Clinical Markers; Communication; Conflict (Psychology); Coronary heart disease; Data; Data Collection; Development; Disease Marker; Educational Curriculum; Effectiveness; Eligibility Determination; Enrollment; Evaluation; Evidence based program; Exercise; Feedback; Focus Groups; Goals; Group Meetings; Guidelines; Health; Home; Household; Hypertension; Individual; Internet; Intervention; Knowledge; Life Expectancy; Location; Methods; Minority Groups; Modeling; Non-Insulin-Dependent Diabetes Mellitus; Online Systems; Participant; Persons; Phase; Physical activity; Population; Premature Mortality; Prevention; Principal Investigator; Public Health; Radio; Randomized; Religion; Reporting; Research; Risk; Sampling; Schedule; Self Efficacy; Social support; Spirituality; Stroke; Target Populations; Television; Testing; Translations; Woman; Work; acceptability and feasibility; base; black women; effective intervention; efficacy study; exercise intervention; exercise program; faith-based intervention; feasibility testing; field study; flexibility; high risk population; improved; interest; member; online course; online delivery; post intervention; premature; primary outcome; programs; public health relevance; racial and ethnic; recruit; secondary outcome; social media

ABSTRACT Research demonstrates the health-related benefits of participation in daily physical activity (PA), including prevention and treatment of chronic diseases. Despite this knowledge, the majority of US adults, particularly black women, do not achieve recommended levels of PA and, consequently, have higher rates of related chronic disease. An efficacy study led by the proposed Principal Investigator developed and tested an in person, 10-month group-based faith-integrated (FI) or secular (SEC) PA intervention, compared with a self- guided control (SG) for black women. Both FI and SEC were superior to SG for increasing daily steps after 10 months, and FI was superior to SG for increasing daily steps 12 months post intervention. Barriers to program participation noted by participants included childcare and work responsibilities and proximity to the group meeting location. The 2018 PA Guidelines Advisory Committee Scientific Report highlighted the need for effective strategies to promote PA, including internet-delivered interventions which have demonstrated strong evidence for effectiveness at increasing PA levels. Limited data exist regarding the efficacy of internet- delivered interventions in racial/ethnic minority groups. Online delivery of our evidence-based program may increase reach and address known barriers to PA program participation in black women. We therefore propose to explore strategies for adapting the program for web-based delivery of the existing curriculum. R21 phase aims are: Aim 1: Solicit input from individuals representative of the population of focus to inform the translation of the FI curriculum for online use; Aim 2: Use the knowledge gathered in Aim 1 to adapt existing FI and SG curricula for online use; Aim 3: Assess acceptability of the online curricula in an advisory group similar to the target population. We will conduct focus groups with black women to understand factors that would influence online delivery of the curriculum. We will identify a group of a 12 member advisory group to assist with developing materials/strategies to adapt the curriculum for online delivery. In an iterative approach where material is tested, refined, and retested until complete, we will engage the advisory group in feasibility testing of the online curriculum. Data collected from the R21 phase will be used to inform the R33 phase that will: Aim 4: Conduct a randomized pilot intervention to field test the modified online curricula in a sample (n=60) representative of participants who would meet eligibility criteria for enrollment in a full scale trial. We will assess change in PA, acceptability of the modified interventions including intervention delivery methods, online materials, recruitment, enrollment, and data collection methods, online engagement, and clinical markers of disease. The proposed project is directly responsive to PAR-18-307. The intervention is informed by the socio- ecological model and addresses PA at the intrapersonal (individual) and interpersonal (social support through online group-based interaction) levels. The project will further enhance our current knowledge of successful strategies to increase PA and reduce inactivity in high risk populations.

抽象的 研究表明，参与日常体育锻炼（PA）的健康相关好处，包括 预防和治疗慢性疾病。尽管有这些知识，但我们大多数成年人，特别是 黑人妇女，不要达到建议的PA水平，因此，相关率较高 慢性病。拟议的首席研究人员领导的一项功效研究开发并测试了 与自我相比 黑人妇女的指导控制（SG）。 FI和SEC都优于SG，在10之后增加每日步骤 几个月，在干预后12个月的每日步骤增加了每天的步骤，而FI优于SG。程序的障碍 参与者指出的参与包括育儿和工作责任以及与小组的接近 会议地点。 2018年PA指南咨询委员会科学报告强调了对 促进PA的有效策略，包括互联网交付的干预措施，这些干预措施表现出强大 证据证明PA水平提高的有效性。关于互联网功效的数据有限 在种族/族裔少数群体中提供了干预措施。在线交付我们的循证计划可能 增加覆盖范围并解决PA计划参与黑人妇女的已知障碍。因此，我们提出 探索适应该计划的策略，以基于Web的现有课程提供。 R21相 目的是：目标1：征求代表重点人口的个人的意见，以告知翻译 用于在线使用的FI课程；目标2：使用AIM 1中收集的知识来适应现有的FI和SG 在线使用课程； AIM 3：在类似的咨询组中评估在线课程的可接受性 目标人群。我们将与黑人妇女进行焦点小组，以了解会影响的因素 课程的在线交付。我们将确定一个12个会员咨询小组的小组，以协助 制定材料/策略以适应课程以进行在线交付。在迭代方法中 材料经过测试，完善和重新测试，直到完成为止，我们将与咨询小组进行可行性测试 在线课程。从R21阶段收集的数据将用于通知R33阶段，该阶段将：AIM 4：进行随机试验干预以现场测试样品中修改的在线课程（n = 60） 参与者的代表，他们将符合参加完整试验的资格标准。我们将 评估PA的变化，修改干预措施的可接受性，包括干预交付方法，在线 材料，招聘，注册和数据收集方法，在线参与度以及临床标记 疾病。拟议的项目直接响应PAR-18-307。干预措施由社会告知 生态模型并在人际（个人）和人际关系上探讨PA（通过 基于在线组的互动）级别。该项目将进一步增强我们目前的成功知识 增加PA并减少高风险人群的无效策略。