A Home Exercise Program (DVD) for Women with Infants and Young Children

适合有婴幼儿的妇女的家庭锻炼计划（DVD）

• 批准号: 7536127
• 负责人: Cheryl Lynn Albright
• 金额: $ 19.82万
• 依托单位: KLEIN BUENDEL, INC.
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-05 至 2010-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7536127
• 关键词: Adult; Aerobic; African American; Age; Attention; Behavioral; Body Weight Changes; Body mass index; Child; Childbirth; Chronic Disease; Cognitive; Colorado; Diabetes Mellitus; Disease; Effectiveness; Elements; Environmental Risk Factor; Ethnic group; Exercise; Feedback; Focus Groups; Future; Goals; Guidelines; Hawaii; Health behavior; Hispanics; Home environment; Household; Infant; Life; Marketing; Modeling; Mothers; Multimedia; Occupations; Outcome; Participant; Phase; Physical activity; Pilot Projects; Populations at Risk; Postpartum Depression; Postpartum Period; Postpartum Women; Pregnancy; Preparation; Principal Investigator; Production; Public Health; Randomized Controlled Trials; Range; Rate; Recruitment Activity; Research; Research Personnel; Risk; Sampling; Series; Small Business Technology Transfer Research; Social support; Testing; Theoretical model; Time; Toddler; Week; Weight; Weight Gain; Woman; base; behavior change; career; day; design; ethnic minority population; experience; fitness; health disparity; heart disease risk; impression; innovation; interest; maternal stress; model design; preference; programs; prototype; sedentary; skills; skills training; social; social cognitive theory; usability

DESCRIPTION (provided by applicant): Becoming a mother is a significant transition in a woman's life. It is associated with considerable social, personal, career/job, and financial changes. Such transitions can precipitate major changes in health behaviors, like physical activity (PA). Up to one-year postpartum 57 percent of women are rarely or never exercising. With subsequent pregnancies women often remain sedentary since it can be difficult for them to be regularly active with two or more children under the age of five. Thus, new mothers are at risk for future weight gain and the chronic diseases associated with a higher body mass index (BMI). Ethnic minorities have higher rates of pre-pregnancy inactivity and gain more weight following childbirth, which places them at increased risk for heart disease and other chronic diseases consistent with known health disparities in ethnic minorities. Over 80 percent of U.S. households have a DVD player. Exercise DVDs are a safe and convenient PA option for new mothers who have time and mobility constraints. None of the exercise DVDs currently on the market provides behavioral skills information or depicts ethnic minority mothers exercising with their baby. Current exercise DVDs also do not offer different exercise options women can pick and choose, over time, as their baby grows and his/her weight changes. A main goal of this STTR is to test the feasibility of an exercise DVD from which viewers can select a range of aerobic and strengthening exercises to create exercise sessions that change, over time, to meet their preferences related to exercise type, session duration, intensity, and format (e.g., exercising with/without their infant or a toddler). The conceptual model on which the DVD is based (e.g., exercise options) comes from formative research, including a pilot study, we conducted with mothers of infants. Multiethnic women with infants will be recruited from Hawaii and Colorado to participate in focus groups where they will validate the conceptual model for the DVD by providing input on the feasibility of the specific exercise choices depicted on the DVD. We will over-recruit African-American and Hispanic women for ethnic- specific groups. Focus groups will also review the narrator's advice on key personal, social, and environmental factors, derived from Social Cognitive Theory (SCT) and the Transtheoretical Model (TTM), that have been shown to be associated with the initiation of a regular PA in new mothers. Using the focus group results, Klein Buendel multimedia designers will develop a sample video segment, storyboards, and scripts that will serve as models of the exercise choices and menu options on the DVD including: 1) video of ethnic minority women exercising, 2) DVD multi-path branching of a menu, and 3) integration of graphic and multimedia designs. Usability tests and additional focus groups with new mothers will evaluate the DVD's features including the `look and feel' of PA formats (e.g., a split screen feature) and women's' preferences for navigating the DVD menu. Our innovative exercise DVD will serve as a model for the design of home-based multimedia exercise products for postpartum women, especially those from under-represented ethnic minorities. Public Health Relevance: Following childbirth, most women, especially ethnic minority women, rarely or never exercise; this can increase their chances of getting diabetes or other serious diseases in the future. Exercise DVDs are a safe and easy way for new mothers to become more active, thus the main goal of this STTR application is to determine the feasibility of an exercise DVD that provides advice on how to become more active and demonstrates different types of exercises women can pick and choose to create an exercise session that is personalized to their fitness level, interest in actively exercising with their baby, interest in exercising with another young child, or their interest in having the DVD capture the attention of a young child while they exercise. Multiethnic mothers of infants will be recruited in Hawaii and Colorado to participate in small group discussions about what exercises they would like to have demonstrated on a DVD, and how the DVD's menu or format should "look and feel" when they use it.

描述(申请人提供)：成为母亲是女性一生中的一个重大转变。它与相当大的社会、个人、职业和财务变化有关。这种转变可以促使健康行为发生重大变化，比如体力活动(PA)。在产后长达一年的时间里，57%的女性很少或从不锻炼。在随后怀孕时，妇女常常久坐不动，因为带着两个或两个以上五岁以下的孩子，她们很难经常活动。因此，新妈妈面临着未来体重增加和与较高体重指数(BMI)相关的慢性病的风险。少数民族孕前缺乏活动率较高，分娩后体重增加，这使他们患心脏病和其他慢性病的风险增加，这与少数民族已知的健康差距相一致。超过80%的美国家庭拥有DVD播放机。对于时间和行动受限的新妈妈来说，运动DVD是一个安全和方便的PA选择。目前市场上的锻炼DVD都没有提供行为技能信息，也没有描绘少数民族母亲带着孩子锻炼的画面。目前的运动DVD也没有提供不同的运动选项，随着时间的推移，女性可以随着婴儿的成长和体重的变化而挑选。这个STTR的主要目标是测试锻炼DVD的可行性，观众可以从中选择一系列有氧和强化练习来创建锻炼课程，这些锻炼课程随着时间的推移而改变，以满足他们与锻炼类型、课程持续时间、强度和形式相关的偏好(例如，有/没有他们的婴儿或幼儿锻炼)。DVD所基于的概念模型(例如，运动选项)来自形成性研究，包括我们对婴儿母亲进行的一项先导性研究。将从夏威夷和科罗拉多州招募带婴儿的多民族妇女参加焦点小组，她们将通过就DVD上描述的具体运动选择的可行性提供意见来验证DVD的概念模型。我们将为特定种族群体过度招募非裔美国人和西班牙裔女性。焦点小组还将审查叙述者关于关键的个人、社会和环境因素的建议，这些因素来自社会认知理论(SCT)和跨理论模型(TTM)，已被证明与新妈妈开始定期的PA有关。利用焦点小组的结果，Klein Buendel多媒体设计师将开发一个样本视频片段、故事板和脚本，作为DVD上锻炼选择和菜单选项的模型，其中包括：1)少数民族妇女锻炼的视频，2)菜单的DVD多路径分支，以及3)图形和多媒体设计的整合。可用性测试和新妈妈的其他焦点小组将评估DVD的功能，包括PA格式的“外观和感觉”(例如，分屏功能)以及女性在浏览DVD菜单时的偏好。我们的创新运动DVD将作为为产后妇女，特别是来自代表性不足的少数族裔的妇女设计家庭多媒体运动产品的典范。与公共卫生的相关性：大多数妇女，特别是少数民族妇女，在分娩后很少或从不锻炼身体；这可能会增加她们将来患糖尿病或其他严重疾病的机会。运动DVD对于新妈妈来说是一种安全而简单的变得更活跃的方式，因此这个STTR应用程序的主要目标是确定运动DVD的可行性，它提供关于如何变得更活跃的建议，并展示不同类型的练习，妇女可以挑选并选择创建个性化的运动课程，以适应她们的健康水平、与她们的婴儿积极锻炼的兴趣、与另一个幼儿一起锻炼的兴趣，或者她们在锻炼时让DVD吸引幼儿的兴趣。夏威夷和科罗拉多州的多民族婴儿母亲将被招募参加小组讨论，讨论她们希望在DVD上演示哪些练习，以及当她们使用DVD时，DVD的菜单或格式应该是什么样子和感觉。