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: 10826117
• 负责人: Allison Marie Sweeney
• 金额: $ 35.3万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-07-14 至 2026-12-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10826117
• 关键词: Accelerometer; Address; Adopted; African American; Cellular Phone; Communities; Cross-Sectional Studies; Evaluation; Family; Feeling; Frequencies; Friends; Goals; Individual; Intervention; Maintenance; Measures; Mediator; Methodology; Methods; Modeling; Parents; Participant; Pathway interactions; Persons; Physical activity; Process; Questionnaires; Reporting; Research; Sampling; Self Determination; Shapes; Source; Surveys; System; Testing; Time; Variant; Woman; cohesion; comparison group; efficacy evaluation; exercise intervention; experience; fitbit; improved; post intervention; programs; social cognitive theory; social norm; support network; theories; time use; treatment duration; treatment effect

Project Summary/Abstract The overall goal of this proposal is to expand upon the evaluation of interpersonal mechanisms in an ongoing group-based physical activity (PA) intervention for inactive African American women, the “Together Everyone Achieves More Physical Activity” trial (TEAM-PA; R01HL160618). Drawing from Social Cognitive Theory, Self- Determination Theory, Group Dynamics Theory, and research on an Afro-Centric Worldview, the TEAM-PA trial targets four group-based interpersonal factors, which are hypothesized to be key interpersonal mechanisms for promoting total minutes of physical activity per day: collective efficacy, group cohesion, and reciprocal support. The proposed supplement study aims to expand upon the parent R01 by evaluating in greater depth how interpersonal factors facilitate changes in physical activity across time using experience sampling methods. Past efforts to understand interpersonal mechanisms of change for physical activity among African American women have been limited by primarily using between-person approaches for assessing mediators (e.g., cross-sectional surveys), which do not fully capture African American women’s lived experiences and fluctuations across time and contexts. Furthermore, extensive research has demonstrated the importance of support for physical activity among family and friends among African American women, but such studies rarely adopt an ecological framework to evaluate the simultaneous impact of support for physical activity across multiple systems (e.g., group-based programs, family, friends, community), or the extent to which support for physical activity fluctuates across time and contexts. Thus, the proposed supplement study seeks to address these limitations by adding three 7-day waves of experience sampling methods across the 10-week treatment period to better understand how interpersonal factors (both within the group-based intervention and across participants’ broader support networks) fluctuate across time and contexts to impact daily physical activity. By evaluating within-person changes over time and contexts and adopting a systems-level focus, we propose that this approach will better capture African American women’s lived experiences and provide more comprehensive support for when and why interpersonal factors promote greater physical activity among African American women. The specific aims of the proposed supplement study are: to test whether fluctuations in the daily group-based interpersonal factors (collective efficacy, relatedness, group cohesion, reciprocal support) impact increases in daily total minutes of physical activity over time [Aim 1]; to evaluate whether fluctuations in the group-based interpersonal factors and fluctuations in support from one’s broader support network independently impact increases in daily PA across time [Aim 2]; and to determine whether contextual aspects of support (e.g., network source, type of support, physical proximity) act as moderators and help to explain when fluctuations in support from one’s broader support network are most impactful on daily total minutes of PA across time [Aim 3].

项目概要/摘要 该提案的总体目标是在持续的过程中扩展对人际机制的评估 针对不活跃的非洲裔美国女性的基于团体的身体活动 (PA) 干预，“大家一起 实现更多的身体活动”试验（TEAM-PA；R01HL160618）借鉴社会认知理论，自我 决定论、群体动力学理论以及非洲中心世界观研究、TEAM-PA 试验 针对四个基于群体的人际因素，将其发展为关键的人际机制 提高每天身体活动的总分钟数：集体效能、团队凝聚力和相互支持。 拟议的补充研究旨在通过更深入地评估如何扩展母版 R01 使用过去的经验抽样方法，人际关系因素会促进身体活动随时间的变化。 了解非洲裔美国女性身体活动改变努力的人际机制 由于主要使用人与人之间的方法来评估调解员（例如，横截面 调查），但没有完全捕捉非裔美国女性的生活经历和随时间的波动 此外，广泛的研究表明支持身体活动的重要性。 在非洲裔美国女性的家人和朋友中，但此类研究很少采用生态学的方法 框架来评估跨多个系统支持身体活动的同时影响（例如， 基于团体的计划、家庭、朋友、社区），或对体育活动的支持程度波动 因此，拟议的补充研究旨在通过添加内容来解决这些局限性。 跨越 10 周治疗期的 3 波 7 天经验采样方法，以更好地了解 人际因素（基于群体的干预和参与者更广泛的支持）如何 通过评估人体内的身体活动，网络）会随着时间和环境的变化而波动。 随着时间和环境的变化并采用系统级重点，我们建议这种方法会更好 捕捉非裔美国女性的生活经历，并在何时何地提供更全面的支持 为什么人际关系因素促进非裔美国女性进行更多的身体活动 具体目标。 拟议的补充研究是：测试基于日常群体的人际因素是否存在波动 （集体效能、关联性、团队凝聚力、相互支持）每日总分钟数的影响增加 身体活动随时间的变化[目标 1]；评估基于群体的人际因素和 来自更广泛的支持网络的支持波动会独立影响每日 PA 的增加 时间 [目标 2]；并确定支持的背景因素（例如网络来源、支持类型、 物理上的接近）充当调节者，并有助于解释何时支持率会因更广泛的支持而出现波动 网络对不同时间段内 PA 的每日总分钟数影响最大 [目标 3]。

项目成果

Results from "Developing Real Incentives and Volition for Exercise" (DRIVE): A pilot randomized controlled trial for promoting physical activity in African American women.

• DOI: 10.1037/ccp0000740
• 发表时间: 2022-10
• 期刊: JOURNAL OF CONSULTING AND CLINICAL PSYCHOLOGY
• 影响因子: 5.9
• 作者: Sweeney, Allison M;Wilson, Dawn K;Van Horn, M Lee;Zarrett, Nicole;Resnicow, Kenneth;Brown, Asia;Quattlebaum, Mary;Gadson, Barney
• 通讯作者: Gadson, Barney