Walking Adherence and Health in African American Women

非裔美国女性的步行坚持与健康

基本信息

  • 批准号:
    6539356
  • 负责人:
  • 金额:
    $ 53.13万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    1996
  • 资助国家:
    美国
  • 起止时间:
    1996-07-01 至 2005-05-31
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): The purpose of this study is to test the efficacy of a 48-week home-based walking intervention for low-income midlife (45-65 years) African American (AA) women. The intervention is enhanced by behavior strategies tailored to a woman's community and personal characteristics (Enhanced treatment). The specific aims are (1) to describe the changes in adherence-enhancing factors (social influence, interpersonal characteristics-cognition, attitude and motivation) and health-status outcomes (cardiovascular [CV] health and symptoms) for both the Enhanced Treatment (ET) and a Standard Treatment (ST) without the behavioral strategies at baseline, 24, 48, and 72 weeks; (2) to compare women receiving the ET to the women in the ST on adherence-enhancing factor, exercise adherence indicators (frequency, duration, and intensity of exercise; patterns of adherence; energy expenditure) and health status at 24, 48 and 72 weeks; (3) to identify the relationships among adherence-enhancing factors, exercise adherence indicators, and health -status outcomes. The ET will be randomly assigned to one of two health centers in the Chicago Westside where heart disease is among the highest in the city. Subjects will include 240 sedentary women who have no major signs or symptoms of CV disease; no history of myocardial infarction, stroke, or Type 1 diabetes; and are not on a beta blocker, Ditiazem or Verapamil. Women will be recruited from low-income communities surrounding the two health centers. Women (both treatments) will be oriented to the walking prescription, which is moderate intensity, a minimum of three 30-minute sessions per week. During the 24-week active phase, the ET receives a combined behavioral package of community-focused strategies delivered by community workers via workshops tailored to the women's environmental characteristics, and individually-focused strategies delivered via phone tailored to each women's personal characteristics. During the 24-week maintenance phase, women in the ET receive phone calls monthly or bimonthly, depending on their adherence. Both treatment groups will self-monitor their performance with heart rate monitors, enter exercise-log data via a voice response system, and have three face-to-face visits with the community worker during each phase. During the 24-week follow-up phase, neither group receives behavior strategies. The Physical Activity Behavior Framework, derived from Cox's Interaction Model of Client Health Behavior, will guide the intervention. Analyses include descriptive statistics, change scores, and mixed-effects regression models for the longitudinal data.
描述(由申请人提供):本研究的目的是测试 低收入中年人48周居家步行干预的有效性 (45-65岁)非裔美国人(AA)女性。通过以下方式加强干预 针对女性社区和个人的行为策略 强化治疗(Enhanced Treatment)。具体目的是(1)描述 依从性增强因素(社会影响、人际关系)的变化 特征-认知、态度和动机)和健康状况结果 (心血管[CV]健康和症状) 以及在基线时没有行为策略的标准治疗(ST), 24、48和72周;(2)将接受ET的女性与接受ET的女性进行比较。 ST对依从性增强因子、运动依从性指标(频率, 持续时间和运动强度;坚持模式;能量消耗) 24、48和72周时的健康状况;(3)确定与 在增强依从性的因素中,运动依从性指标和健康 - 地位结果。ET将被随机分配到两个健康中心之一 在芝加哥的西区,心脏病是城市中最高的。 受试者将包括240名久坐不动的妇女,她们没有主要的体征或症状 无心肌梗死、卒中或1型糖尿病史; 没有服用β受体阻滞剂地硫卓或维拉帕米女性将被招募 来自两个健康中心周围的低收入社区。妇女(两者) 治疗)将面向步行处方,这是温和的 强度,每周至少三次30分钟的会议。在24周 在活动阶段,ET接收组合的行为包, 社区工作者通过讲习班提供以社区为重点的战略 针对女性的环境特点, 通过电话提供的战略,针对每个妇女的个人 特色在24周的维持阶段,ET中的女性接受 每月或每两个月打一次电话,这取决于他们的坚持。两个治疗 小组将用心率监测器自我监测他们的表现, 通过语音应答系统记录锻炼数据,并有三个面对面的 社区工作者在每一个阶段都要做好工作。在24周 在后续阶段,两组都没有接受行为策略。物理 活动行为框架,源自考克斯的客户互动模型 健康行为,将指导干预。分析包括描述性 统计数据、变化分数和混合效应回归模型, 纵向数据

项目成果

期刊论文数量(0)
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JoEllen Wilbur其他文献

JoEllen Wilbur的其他文献

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{{ truncateString('JoEllen Wilbur', 18)}}的其他基金

CORE--MULTI-ETHNIC EMPHASIS CORE
核心——多民族强调核心
  • 批准号:
    6976691
  • 财政年份:
    2004
  • 资助金额:
    $ 53.13万
  • 项目类别:
Walking Adherence and Health in African American Women
非裔美国女性的步行坚持与健康
  • 批准号:
    6751202
  • 财政年份:
    1996
  • 资助金额:
    $ 53.13万
  • 项目类别:
Reducing Health Disparity in AA Women: Physical Activity Adherence
减少 AA 女性的健康差距:坚持体育活动
  • 批准号:
    7736484
  • 财政年份:
    1996
  • 资助金额:
    $ 53.13万
  • 项目类别:
Reducing Health Disparity in AA Women: Physical Activity Adherence
减少 AA 女性的健康差距:坚持体育活动
  • 批准号:
    8117269
  • 财政年份:
    1996
  • 资助金额:
    $ 53.13万
  • 项目类别:
NURSING INTERVENTION FOR MIDLIFE WOMEN--WALKING PROGRAM
中年妇女的护理干预——步行计划
  • 批准号:
    2258202
  • 财政年份:
    1996
  • 资助金额:
    $ 53.13万
  • 项目类别:
Reducing Health Disparity in AA Women: Physical Activity Adherence
减少 AA 女性的健康差距:坚持体育活动
  • 批准号:
    8514421
  • 财政年份:
    1996
  • 资助金额:
    $ 53.13万
  • 项目类别:
Reducing Health Disparity in AA Women: Physical Activity Adherence
减少 AA 女性的健康差距:坚持体育活动
  • 批准号:
    7922155
  • 财政年份:
    1996
  • 资助金额:
    $ 53.13万
  • 项目类别:
NURSING INTERVENTION FOR MIDLIFE WOMEN--WALKING PROGRAM
中年妇女的护理干预——步行计划
  • 批准号:
    2431048
  • 财政年份:
    1996
  • 资助金额:
    $ 53.13万
  • 项目类别:
NURSING INTERVENTION FOR MIDLIFE WOMEN--WALKING PROGRAM
中年妇女的护理干预——步行计划
  • 批准号:
    2891244
  • 财政年份:
    1996
  • 资助金额:
    $ 53.13万
  • 项目类别:
Walking Adherence and Health in African American Women
非裔美国女性的步行坚持与健康
  • 批准号:
    6640863
  • 财政年份:
    1996
  • 资助金额:
    $ 53.13万
  • 项目类别:
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