Outcomes of a home-based walking program for African-American women

Details

• Personal Author:
  Briller J ; Dancy BL ; Ingram DLM ; Ju S ; Lee H ; McDevitt JH ; Miller AM ; Nicola TL ; Wang E ; Wilbur J
• Description:
  PURPOSE: As compared with minimal treatment (MT), to determine the effectiveness of a home-based walking intervention enhanced by behavioral strategies targeted and tailored to African-American women (enhanced treatment [ET]) on adherence, physical activity, fitness, and body composition at 24 and 48 weeks. DESIGN: Using a quasi-experimental design, treatments were randomly assigned to one of two community health centers. SETTING: The centers were in predominately African-American communities. PARTICIPANTS: Sedentary women (156 ET, 125 MT) 40 to 65 years were recruited within a 3-mile radius of each center. INTERVENTION: Both treatments had the same orientation. The ET group had four targeted workshops followed by weekly tailored telephone calls over 24 weeks. METHODS: Generalized linear mixed models were used to test effects of treatments on adherence, physical activity, aerobic fitness, and body composition. RESULTS: Adherence was significantly higher in the ET than the MT group and was related to the number of workshops attended (r = .58) and tailored calls (r = .25) received. On-treatment analysis showed significant postintervention improvement in waist circumference and fitness in the ET group; however, these improvements were not statistically different between the two groups. Intent to treat analysis showed a significant increase in fitness, decrease in waist circumference, and no change in body mass index in both treatments. CONCLUSION: Findings suggest the potential impact of workshop group support on adherence in African-American women. [Description provided by NIOSH]
• Subjects:
  Aging Demography Occupational Health Safety Women
• Keywords:
  Adherence Adults Age-groups Author Keywords: African-American Behavior Change Demographic-characteristics Health Focus Humans Intervention Testing Local Community Manuscript Format Physical-exercise Physical-fitness Physical Activity Physiological-effects Physiological-factors Prevention Research Quasi-experimental Race/Ethnicity Research Research Purpose Setting Strategy Study Design Target Population Age Target Population Circumstances

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• ISSN:
  0890-1171
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Illinois ; OSHA Region 5
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  307-317
• Volume:
  22
• Issue:
  5
• NIOSHTIC Number:
  nn:20039696
• Citation:
  Am J Health Promot 2008 May-Jun; 22(5):307-317
• Contact Point Address:
  JoEllen Wilbur, PhD, APN, FAAN, College of Nursing, University of Illinois at Chicago, 846 South Damen Avenue Chicago, IL 60612
• Email:
  jwilbur@uic.edu
• Federal Fiscal Year:
  2008
• NORA Priority Area:
  Agriculture, Forestry and Fishing
• Performing Organization:
  University of Illinois at Chicago
• Peer Reviewed:
  True
• Start Date:
  20050701
• Source Full Name:
  American Journal of Health Promotion
• End Date:
  20290630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:fe91318ee084663c56b917d54f7937b41ca06faf2fa55c7766053ac8c5819d833b19db7f3b5a68138aec981911865f4e65801f9ebe4c0b08cd9b3115236ab61e
• Download URL:
  https://stacks.cdc.gov/view/cdc/192846/cdc_192846_DS1.pdf
• File Type:
  [PDF - 999.46 KB ]