Sisters in motion: a randomized controlled trial of a faith-based physical activity intervention.

Sisters in motion: a randomized controlled trial of a faith-based physical activity intervention.
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DOI:
10.1111/j.1532-5415.2010.03082.x
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发表时间:
2010-10
影响因子:
6.3
通讯作者:
Mangione CM
Mangione CM
中科院分区:
医学1区
文献类型:
--
作者:
Duru OK;Sarkisian CA;Leng M;Mangione CM

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评价旨在增加久坐的老年非裔美国妇女步行的基于信仰的干预(“运动中的姐妹篇”)。RCT,采用教会内随机化。三个洛杉矶教堂。62名年龄>60岁的非裔美国女性,报告每周活动<30分钟3次,每周步行<35,000步,通过基线计步器阅读测量。干预参与者接受了一个多组成部分的课程,包括经文阅读,祈祷,目标设定,社区资源指南和步行比赛。干预组和对照组的参与者都参加了体育活动。主要结果是通过计步器测量的每周步行步数的变化。次要结局包括收缩压(SBP)的变化。在基线和干预后6个月评估结果。85%的参与者至少参加了8次会议中的6次。干预参与者在基线时平均每周12,727步,而对照组为13,089步。干预组平均基线SBP为156 mmHg,对照组为147 mmHg(p=0.10)。在6个月时,干预参与者平均每周增加9,883步,而对照组增加2,426步(p=0.016);干预参与者的SBP平均下降12.5 mmHg,对照组仅下降1.5 mmHg(p=0.007)。运动中的姐妹篇干预导致6个月时行走增加和SBP降低。这是第一个基于信仰的身体活动计划的随机对照试验,以增加老年非裔美国妇女的身体活动,并代表了一种有吸引力的方法来刺激这一人群的生活方式的改变。
To evaluate a faith-based intervention (“Sisters in Motion”) intended to increase walking among older, sedentary African American women. RCT, using within-church randomization. Three Los Angeles churches. Sixty-two African American women >60 years who reported being active <30 minutes 3×/week and walked <35,000 steps/week as measured by a baseline pedometer reading. Intervention participants received a multi-component curriculum including Scripture readings, prayer, goal-setting, a community resource guide, and walking competitions. Both intervention and control participants participated in physical activity sessions. The primary outcome was change in weekly steps walked as measured by pedometer. Secondary outcomes included change in systolic blood pressure (SBP). Outcomes were assessed at baseline and 6 months post intervention. Eighty-five percent of participants attended at least 6 of 8 sessions. Intervention participants averaged 12,727 steps per week at baseline, compared to 13,089 steps among controls. Mean baseline SBP was 156 mmHg for intervention participants and 147 mmHg among controls (p=0.10). At 6 months, intervention participants had increased their weekly steps by 9,883 on average, compared to an increase of 2,426 for controls (p=0.016); SBP decreased on average by 12.5 mmHg among intervention participants and only 1.5 mmHg among controls (p=0.007). The Sisters in Motion intervention led to an increase in walking and a decrease in SBP at 6 months. This is the first RCT of a faith-based physical activity program to increase physical activity among older African American women, and represents an attractive approach to stimulate lifestyle change within this population.
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