The Together Everyone Achieves More Physical Activity Trial (TEAM-PA)

“大家一起实现更多体育活动”试验 (TEAM-PA)

• 批准号: 10551222
• 负责人: Allison Marie Sweeney
• 金额: $ 73.52万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-01-15 至 2026-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10551222
• 关键词: Accelerometer; Address; Adult; African American; Belief; Blood Pressure; Body mass index; Cardiovascular Diseases; Cessation of life; Chronic Disease; Communities; Data; Disparity; Elements; Feeling; Goals; Guidelines; Health Promotion; Health behavior change; Individual; Intervention; Intervention Studies; Interview; Light; Longevity; Maintenance; Mediating; Mediator; Motivation; Outcome; Participant; Physical activity; Play; Process; Randomized; Recommendation; Research; Risk Reduction; Role; Self Determination; Self Efficacy; South Carolina; Woman; cohesion; cohort; community center; community setting; cultural values; design; effective intervention; efficacy evaluation; exercise intervention; experience; follow-up; health inequalities; improved; innovation; intervention effect; meetings; member; moderate-to-vigorous physical activity; mortality; novel; peer; post intervention; premature; process evaluation; programs; protective factors; secondary outcome; sedentary lifestyle; social; social cognitive theory; social culture; social learning; theories; therapy design

Project Summary/Abstract African American (AA) women experience disproportionately higher rates of chronic diseases compared to White women, including being twice as likely to die from cardiovascular disease. Physical activity (PA) is a key protective factor for reducing risk for chronic diseases, yet only 35% of AA women meet national PA guidelines. Persistent disparities in chronic disease and pre-mature death among African American women across the adult lifespan highlight the need for developing effective interventions for increasing PA among AA women. We propose that community settings hold tremendous promise as an important context for reaching AA women, but the role of social affiliation has been understudied in past community-based interventions as a key mechanism for engaging AA women in long-term PA. A variety of theories have highlighted the importance of social affiliation for health promotion and have defined social affiliation through several distinct but related constructs. Social Cognitive Theory (SCT) proposes that the group context promotes social learning and collective efficacy, while Self-Determination Theory (SDT) and Group Dynamics Theory (GDT) have emphasized the importance of positive interactions between group members in order to promote relatedness, reciprocal support, and group cohesion. Social affiliation within group-based programs may be especially important to AA women, given that collectivism (belief in the importance of advancing the group over the individual) is a prominent cultural value for many AAs. Despite converging evidence highlighting the importance of social affiliation from a motivational and cultural perspective, this factor has been minimally integrated within intervention designs and rarely targeted as a central mechanism for increasing PA. Our investigative team provides strong preliminary data for expanding on previous community-based PA interventions for inactive AA women by targeting social affiliation through a combination of collaborative and competitive strategies. Drawing from SDT, SCT, GDT, and a cultural values framework, The Together Everyone Achieve More Physical Activity (TEAM-PA) trial evaluates the efficacy of a group-based social affiliation intervention (vs. a standard group-delivered PA comparison program) for increasing PA among inactive AA women. Using a group cohort randomized design implemented at community centers across five years, the primary aim of this study is to evaluate the efficacy of the 10-week TEAM-PA group-based intervention (vs. comparison program) on increasing accelerometry-assessed minutes per day of total PA (light to vigorous activities) from baseline to post-intervention and maintenance at a 6-month follow-up [Primary Aim 1]. Additionally, we will evaluate the impact of the TEAM-PA intervention on secondary outcomes (percentage meeting national recommendations for PA, light PA, sedentary behavior, body mass index, blood pressure) [Secondary Aims 1-2] and potential mediators of the intervention effect on changes in PA [Secondary Aim 3].

项目摘要/摘要 与白人相比 妇女，包括死于心血管疾病的可能性的两倍。体育活动（PA）是关键 降低慢性疾病风险的保护因素，但只有35％的AA妇女符合国家宾夕法尼亚州的准则。 成年人非洲裔美国妇女慢性疾病和成熟死亡的持续差异 生命周期强调需要开发有效的干预措施以增加AA妇女的PA。我们 建议社区环境具有巨大的希望，作为接触AA妇女的重要背景，但 在过去的基于社区的干预措施中，社会隶属关系的作用已被研究为关键机制 为了让AA妇女长期参与PA。各种理论强调了社会隶属关系的重要性 为了促进健康，并通过几种不同但相关的结构来定义社会隶属关系。社会的 认知理论（SCT）提出群体环境促进社会学习和集体效力，而 自决理论（SDT）和小组动态理论（GDT）强调了的重要性 小组成员之间的积极互动以促进相关性，相互支持和小组 凝聚。鉴于这一点 集体主义（相信将小组超越个人的重要性）是一个突出的文化价值 许多AA。尽管有证据表明从动机和 文化观点，该因素已被最小整合到干预设计中，很少针对 提高PA的中心机制。我们的调查团队提供了强大的初步数据来扩展 关于以前基于社区的PA干预措施，用于针对社会隶属关系的非活动AA妇女 合作和竞争策略的结合。从SDT，SCT，GDT和文化价值 框架，每个人共同获得更多的体育活动（Team-PA）试验评估了 基于团体的社会隶属干预措施（与标准组划分的PA比较计划）用于增加 PA在不活跃的AA妇女中。使用在社区中心实施的小组队列随机设计 在五年中，这项研究的主要目的是评估10周的基于Team-PA组的功效 干预措施（与比较计划）每天增加加速度计评估的分钟（光） 从基线到干预后的剧烈活动）进行6个月的随访[主要目的 1]。此外，我们将评估Team-PA干预对次级结果的影响（百分比 满足国家对PA，Light PA，久坐行为，体重指数，血压的建议） [次要目标1-2]和干预效果对PA变化的潜在介体[次要目标3]。