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].

项目摘要/摘要 该提案的总体目标是扩大对人际机制的评估 基于团体的体育活动（PA）干预非活动的非洲裔美国妇女，“每个人在一起 实现更多的体育活动”试验（Team-PA； R01HL160618）。从社会认知理论，自我 确定理论，小组动态理论以及以非洲为中心的世界观的研究，Team-PA试验 目标是四个基于群体的人际交往因素，这些因素被认为是关键的人际机制 促进每天的体育锻炼时间：集体效率，群体内聚力和相互支持。 拟议的补充研究旨在通过更深入地评估父母R01的扩展 人际关系因素促进了使用经验抽样方法在时间上随时间变化的变化。过去的 努力了解非洲裔美国妇女体育活动变化的人际交往机制 使用主要中间方法来评估介体（例如，横截面 调查），不会完全捕捉到跨时间的非洲裔美国妇女的现场经历和波动 和上下文。此外，广泛的研究表明了支持体育锻炼的重要性 在非洲裔美国妇女中的家人和朋友中，但是这样的研究很少适应生态 框架以评估支持多个系统的体育活动的简单影响（例如， 基于小组的计划，家人，朋友，社区）或支持体育锻炼的程度波动 跨时间和上下文。拟议的补充研究旨在通过添加来解决这些限制 在整个10周的治疗期间，三个7天的经验抽样方法可以更好地理解 人际交往因素（无论是在基于小组的干预措施和参与者的广泛支持中）如何 网络）在跨时间和环境中波动，以影响日常体育锻炼。通过评估人内部 随着时间和环境的变化，并采用系统级的重点，我们建议这种方法将更好 捕捉非裔美国妇女的现场经验，并为何时及 为什么人际关系因素促进非裔美国妇女的体育活动更大。具体目标 拟议的补充研究是：测试日常基于小组的人际因素的波动是否波动 （集体效率，相关性，群体凝聚力，相互支持）影响每日分钟的影响 随着时间的推移体育锻炼[AIM 1]；评估基于小组的人际交往因素和 一个人的广泛支持网络的支持波动独立影响每日PA的增加 时间[AIM 2]；并确定支持的上下文方面（例如，网络源，支持类型， 物理接近）充当主持人，并有助于解释何时在更广泛支持的支持下波动 网络对跨时间的每日PA的每日分钟最有影响[AIM 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