Results from "Developing Real Incentives and Volition for Exercise" (DRIVE): A pilot randomized controlled trial for promoting physical activity in African American women.
Results from "Developing Real Incentives and Volition for Exercise" (DRIVE): A pilot randomized controlled trial for promoting physical activity in African American women.
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“开发真正的激励措施和运动意志”（驱动器）的结果：一项试验随机对照试验，用于促进非裔美国人妇女的体育锻炼。
DOI：
10.1037/ccp0000740
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发表时间：
2022-10
影响因子：
5.9
通讯作者：
Gadson, Barney
中科院分区：
文献类型：
--
作者：
Sweeney, Allison M;Wilson, Dawn K;Van Horn, M Lee;Zarrett, Nicole;Resnicow, Kenneth;Brown, Asia;Quattlebaum, Mary;Gadson, Barney
动机是非裔美国人（AA）妇女身体活动（PA）的障碍，但过去的研究已经实施了一个“一刀切”的方法，并没有解决自主动机的差异。这项试点随机对照试验评估了“发展真实的激励和意志力以促进健康”的初步疗效，这是一项基于社区和理论的干预措施，评估了动机匹配（与非匹配）的干预措施是否会增加每日总PA。68名AA女性（50.72 ±13.66岁; 86.8%肥胖）被随机分配到一个为期8周的以奖励为重点的计划（针对高自主动机）或以奖励为重点的计划（针对低自主动机）。根据基线自主动机对随机分组进行分层。在干预期间使用FitBits来促进自我监控（两个项目）和社会联系（仅挑战项目）。两个项目均保留了≥ 80%的参与者。过程评估显示高出勤率，剂量和保真度（两个程序）。然而，与预期相反，在所有动机水平（低自主性和高自主性）中，以奖励为重点的干预导致每日总PA（主要结局）增加更多，以奖励为重点的干预平均增加17.9分钟，而以奖励为重点的干预平均减少8.55分钟。一项探索性随访分析显示，使用FitBit移动的应用程序可预测在以健康为重点的计划中，干预后PA更大。一个以团队为基础的方法，针对社会联系，享受PA，积极的组内竞争是一个很有前途的方法，促进PA AA妇女。这些研究结果被用来指导AA妇女在未来的行为干预的最佳做法的讨论。
Motivation is a barrier to physical activity (PA) among African American (AA) women, but past studies have implemented a ‘one-size-fits-all’ approach and have not addressed differences in autonomous motivation. This pilot randomized controlled trial assessed the preliminary efficacy of ‘Developing Real Incentives and Volition for Exercise’, a community and theory-based intervention, which evaluated whether a motivationally-matched (vs. a non-matched) intervention increases daily total PA. 68 AA women (50.72 ±13.66 years; 86.8% with obesity) were randomized to an 8-week Challenge-focused program (targeted towards high autonomous motivation) or Rewards-focused program (targeted towards low autonomous motivation). Randomization was stratified by baseline autonomous motivation. FitBits were used during the intervention to promote self-monitoring (both programs) and social connectedness (Challenge program only). Both programs retained ≥ 80% of participants. Process evaluation revealed high attendance, dose, and fidelity (both programs). However, contrary to expectations, across all motivational levels (low and high autonomous), the Challenge-focused intervention resulted in a greater increase in total daily PA (primary outcome), with an average increase of 17.9 minutes in the Challenge-focused intervention vs. an average decrease of 8.55 minutes in the Rewards-focused intervention. An exploratory follow-up analysis revealed that engagement with the FitBit mobile app predicted greater PA at post-intervention in the Challenge-focused program. A team-based approach targeting social connectedness, enjoyment of PA, and positive intragroup competition is a promising approach for promoting PA among AA women. These findings are used to guide a discussion on best practices for engaging AA women in future behavioral interventions.
影响因子：
3.5
作者：
Smith-Ray, Renae L.;Mama, Scherezade;Reese-Smith, Jacqueline Y.;Estabrooks, Paul A.;Lee, Rebecca E.
通讯作者：
Lee, Rebecca E.