A Mixed Methods Study on Engagement and Satisfaction with a Digitally-Enhanced Pilot Intervention Among African American and Hispanic Women.

A Mixed Methods Study on Engagement and Satisfaction with a Digitally-Enhanced Pilot Intervention Among African American and Hispanic Women.
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DOI:
10.1007/s10903-020-01095-2
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发表时间:
2021-10
影响因子:
1.9
通讯作者:
Strong LL
Strong LL
中科院分区:
医学4区
文献类型:
--
作者:
John JC;Wang J;McNeill LHM;Basen-Engquist K;Hoover DS;Daniel CR;Strong LL

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非裔美国人和西班牙裔女性报告的体力活动(PA)比非西班牙裔白人女性要少。因此,进行了为期16周的数字增强社会支持试点干预,以在非裔美国人和西班牙裔女性二人组中推广PA。这项研究定量和定性地调查了分配给干预的参与者(N=30;15个二元)的敬业度和满意度。干预参与者收到基于励志访谈和Jawbone Up活动监测器的电话咨询电话。干预参与度和满意度数据来自Jawbone UP、通话记录、16周随访时进行的自我报告问卷和两个干预后焦点小组。非参数检验评估了参与度和满意度测量的群体差异,并使用了手动驱动的编码方案来评估定性文本中的新兴主题。参与者在电话咨询过程中表现出高度参与度,对Jawbone Up表现出适度的参与度。朋友/同事和45岁及以上的参与者更有可能使用这款设备。定性结果强调了参与者对咨询电话、Jawbone Up和研究的整体二元框架的欣赏,以共同培养对PA的社会支持和责任。总体而言,干预组对研究内容的反应是积极的。需要进行更多的研究,以了解技术在通过少数群体的社会支持促进PA长期变化方面的作用。
African American and Hispanic women report less physical activity (PA) than non-Hispanic White women. As such, a digitally-enhanced 16-week social support pilot intervention was conducted to promote PA among African American and Hispanic women dyads. This study quantitatively and qualitatively examined the engagement and satisfaction of participants (N=30; 15 dyads) assigned to the intervention. Intervention participants received telephone counseling calls based on motivational interviewing and a Jawbone UP activity monitor. Intervention engagement and satisfaction data were collected from the Jawbone UP, call logs, self-report questionnaires conducted at the 16-week follow-up, and two post-intervention focus groups. Nonparametric tests assessed group differences across engagement and satisfaction measures, and a manually-driven coding scheme was used to evaluate emerging themes from qualitative text. Participants demonstrated high engagement in the telephone counseling sessions and moderate engagement with the Jawbone UP. Friend/co-worker dyads and participants who were 45 years and older were more likely to use the device. Qualitative results emphasized participants’ appreciation for the counseling calls, the Jawbone UP, and the overall dyadic framework of the study to collectively nurture social support and accountability for PA. Overall, the intervention group reacted positively to study components. Additional research is needed to understand the role of technology in facilitating long-lasting PA change via social support in minority populations.
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