A culturally adapted physical activity intervention for Latinas: a randomized controlled trial.

A culturally adapted physical activity intervention for Latinas: a randomized controlled trial.
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DOI:
10.1016/j.amepre.2009.08.023
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发表时间:
2009-12
影响因子:
5.5
通讯作者:
Marcus BH
Marcus BH
中科院分区:
医学2区
文献类型:
--
作者:
Pekmezi DW;Neighbors CJ;Lee CS;Gans KM;Bock BC;Morrow KM;Marquez B;Dunsiger S;Marcus BH

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在美国,拉丁美洲人报告的不活动和相关慢性疾病的水平特别高,需要干预。因此,本研究的目的是在文化和语言上适应经验支持,为拉丁美洲人量身定制的身体活动打印干预,然后进行修改后的程序的随机对照试验。随机对照试验样本包括93名超重/肥胖(80%)的拉丁裔低收入和文化适应。数据收集于2007-2008年,并在2009年按意向治疗进行分析。参与者被随机分配到:(1)文化和语言适应的体力活动干预(Activas),或(2)健康接触控制条件。自我报告身体活动,通过7天身体活动回忆在干预前和干预后(6个月,87%的保留率)进行测量。干预组(n= 45)的中等强度(或更高强度)体力活动从基线时的平均16.56分钟/周(SD=25.76)增加到6个月时的147.27分钟/周(SD=241.55),健康接触对照组(n= 48)从11.88分钟/周(SD=21.99)增加到96.79分钟/周(SD=118.49)。在总体体力活动方面没有观察到组间差异。干预参与者报告认知[F(1,91)= 9.53,p = .003]和行为变化过程[F(1,91)= 8.37,p = .005]以及家中可用的体力活动用品和设备[F(1,91)=4.17,p=.04]比对照参与者显著增加。结果支持假设的可行性,可接受性,并在拉丁美洲个体定制的身体活动打印干预的初步疗效。虽然还需要更多的研究来证实这些发现,但这种高覆盖率、低成本的方法有很大的潜力对公共卫生产生积极影响。
In the U.S., Latinos report particularly high levels of inactivity and related chronic illnesses and are in need of intervention. Thus, the purpose of the current study was to culturally and linguistically adapt an empirically supported, individually tailored physical activity print intervention for Latinos and then conduct an RCT of the modified program. RCT The sample included 93 overweight/obese (80%) Latinas with low income and acculturation. Data were collected in 2007–2008 and analyzed by intent-to-treat in 2009. Participants were randomly assigned to either: (1) a culturally and linguistically adapted physical activity intervention (Seamos Activas), or (2) a wellness contact control condition. Self report physical activity, as measured pre- and post- intervention (6 months, 87% retention) by the 7-Day Physical Activity Recall. Moderate-intensity (or greater) physical activity increased from an average of 16.56 minutes/week (SD=25.76) at baseline to 147.27 (SD=241.55) at 6 months in the intervention arm (n=45) and from 11.88 minutes/week (SD=21.99) to 96.79 (SD=118.49) in the wellness contact control arm (n=48). No between-group differences were seen in overall physical activity. Intervention participants reported significantly greater increases in cognitive [F(1,91)= 9.53, p = .003] and behavioral processes of change [F(1,91)= 8.37, p = .005] and available physical activity supplies and equipment at home [F(1,91)=4.17, p=.04] than control participants. Results supported the hypothesized feasibility, acceptability, and preliminary efficacy of individually tailored physical activity print interventions among Latinas. While more research is needed to corroborate these findings, such high-reach, low-cost approaches have great potential to positively affect public health.
DOI: 10.1037/0278-6133.11.6.386
发表时间: 1992-01-01
期刊: HEALTH PSYCHOLOGY
影响因子: 4.2
作者:
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通讯作者: ABRAMS, DB
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发表时间: 2006-02-01
影响因子: 5.9
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DOI: 10.1007/bf02884958
发表时间: 1998-06-01
影响因子: 3.8
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通讯作者: Traficante, RM
DOI: 10.1093/oxfordjournals.aje.a114163
发表时间: 1985-01-01
影响因子: 5
作者:
BLAIR, SN;HASKELL, WL;WOOD, PD
通讯作者: WOOD, PD
DOI: 10.4278/0890-1171-12.4.246
发表时间: 1998-03-01
影响因子: 2.7
作者:
Marcus, BH;Emmons, KM;Abrams, DB
通讯作者: Abrams, DB