Women's Lifestyle Physical Activity Program for African American Women: Fidelity Plan and Outcomes.

Women's Lifestyle Physical Activity Program for African American Women: Fidelity Plan and Outcomes.
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非裔美国女性的女性生活方式体育活动计划:忠诚计划和成果。

DOI:
10.1123/jpah.2015-0701
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发表时间:
2016
影响因子:
3.1
通讯作者:
Dancy,BarbaraL
Dancy,BarbaraL
中科院分区:
医学4区
文献类型:
--
作者:
Wilbur,JoEllen;Schoeny,MichaelE;Buchholz,SusanW;Fogg,Louis;Miller,ArleneMichaels;Braun,LynnedT;Halloway,Shannon;Dancy,BarbaraL

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背景:为了有效地实施干预措施,必须记录保真度。我们评估了48周妇女生活方式体育活动计划的交付、接收和实施情况,该计划旨在增加非裔美国妇女的体育活动和保持体重。方法3种研究条件均进行6次分组会议;我还收到了11个动机访谈个人电话(pc), 1个收到了11个自动动机信息电话(ac), 1个没有收到电话。评估小组会议交付的依从性和能力。使用动机性访谈治疗完整性规范评估PC交付。接收被定义为参加小组会议,完成个人电脑,并听取ac。设定加速度计佩戴的周数。结果小组会议交付的平均依从性为80.8%,平均能力为2.9(3.0)。个人电脑的交付没有达到能力标准。在小组会议中,84.9%的妇女获得了一半以上的剂量,pc为85.5%,ac为42.1%。较高的小组会议出席率与24周时较高的加速度计步数和24周和48周时较低的BMI相关。结论对干预措施的交付、接收和实施进行保真度测量和检查对于阐明干预措施成功的条件具有重要意义。
BackgroundFor interventions to be implemented effectively, fidelity must be documented. We evaluated fidelity delivery, receipt, and enactment of the 48-week Women’s Lifestyle Physical Activity Program conducted to increase physical activity and maintain weight in African American women.MethodsThree study conditions all received 6 group meetings; 1 also received 11 motivational interviewing personal calls (PCs), 1 received11 automated motivational message calls (ACs), and 1 received no calls. Group meeting delivery was assessed for adherence and competence. PC delivery was assessed with the Motivational Interviewing Treatment Integrity Code. Receipt was defined as group meeting attendance, completion of PCs, and listening to ACs. Enactment was number of weeks an accelerometer was worn.ResultsFor group meeting delivery, mean adherence was 80.8% and mean competence 2.9 of 3.0. Delivery of PCs did not reach criterion for competence. Receipt of more than one-half the dose was achieved for 84.9% of women for group meetings, 85.5% for PCs, and 42.1% for ACs. Higher group meeting attendance was associated with higher accelerometer steps at 24 weeks and lower BMI at 24 and 48 weeks.ConclusionsFidelity measurement and examination of intervention delivery, receipt, and enactment are important to explicate conditions in which interventions are successful.