Feasibility and acceptability of an online program to promote physical activity among black women

促进黑人女性身体活动的在线计划的可行性和可接受性

• 批准号: 10895042
• 负责人: Robert Lee Newton
• 金额: $ 39.05万
• 依托单位: GRAMERCY RESEARCH GROUP, LLC
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-30 至 2026-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10895042
• 关键词: Address; Adult; Advertising; Advisory Committees; Black Populations; Cessation of life; Child Care; Chronic Disease; Clinical Markers; Communication; Coronary heart disease; Data; Data Collection; Development; Disease Marker; Educational Curriculum; Effectiveness; Eligibility Determination; Enrollment; Evaluation; Evidence based program; Exercise; Faith; Feedback; Focus Groups; Goals; Group Meetings; Guidelines; Health; Home; Household; Hypertension; Individual; Internet; Intervention; Knowledge; Life Expectancy; Location; Methods; Modeling; Non-Insulin-Dependent Diabetes Mellitus; Participant; Persons; Phase; Physical activity; Population; Premature Mortality; Prevention; Principal Investigator; Public Health; Radio; Randomized; Recommendation; Religion; Reporting; Research; Risk Reduction; Sampling; Schedule; Self Efficacy; Social support; Spirituality; Stroke; Target Populations; Television; Testing; Translations; Woman; Work; acceptability and feasibility; black women; effective intervention; efficacy study; ethnic minority population; exercise intervention; exercise program; faith-based intervention; feasibility testing; field study; flexibility; high risk population; improved; interest; intervention delivery; member; online course; online delivery; post intervention; premature; primary outcome; programs; public health relevance; racial minority population; recruit; secondary outcome; social media

ABSTRACT Research demonstrates the health-related benefits of participation in daily physical activity (PA), including prevention and treatment of chronic diseases. Despite this knowledge, the majority of US adults, particularly black women, do not achieve recommended levels of PA and, consequently, have higher rates of related chronic disease. An efficacy study led by the proposed Principal Investigator developed and tested an in person, 10-month group-based faith-integrated (FI) or secular (SEC) PA intervention, compared with a self- guided control (SG) for black women. Both FI and SEC were superior to SG for increasing daily steps after 10 months, and FI was superior to SG for increasing daily steps 12 months post intervention. Barriers to program participation noted by participants included childcare and work responsibilities and proximity to the group meeting location. The 2018 PA Guidelines Advisory Committee Scientific Report highlighted the need for effective strategies to promote PA, including internet-delivered interventions which have demonstrated strong evidence for effectiveness at increasing PA levels. Limited data exist regarding the efficacy of internet- delivered interventions in racial/ethnic minority groups. Online delivery of our evidence-based program may increase reach and address known barriers to PA program participation in black women. We therefore propose to explore strategies for adapting the program for web-based delivery of the existing curriculum. R21 phase aims are: Aim 1: Solicit input from individuals representative of the population of focus to inform the translation of the FI curriculum for online use; Aim 2: Use the knowledge gathered in Aim 1 to adapt existing FI and SG curricula for online use; Aim 3: Assess acceptability of the online curricula in an advisory group similar to the target population. We will conduct focus groups with black women to understand factors that would influence online delivery of the curriculum. We will identify a group of a 12 member advisory group to assist with developing materials/strategies to adapt the curriculum for online delivery. In an iterative approach where material is tested, refined, and retested until complete, we will engage the advisory group in feasibility testing of the online curriculum. Data collected from the R21 phase will be used to inform the R33 phase that will: Aim 4: Conduct a randomized pilot intervention to field test the modified online curricula in a sample (n=60) representative of participants who would meet eligibility criteria for enrollment in a full scale trial. We will assess change in PA, acceptability of the modified interventions including intervention delivery methods, online materials, recruitment, enrollment, and data collection methods, online engagement, and clinical markers of disease. The proposed project is directly responsive to PAR-18-307. The intervention is informed by the socio- ecological model and addresses PA at the intrapersonal (individual) and interpersonal (social support through online group-based interaction) levels. The project will further enhance our current knowledge of successful strategies to increase PA and reduce inactivity in high risk populations.

抽象的 研究表明，参与日常体育活动 (PA) 具有与健康相关的益处，包括 慢性病的预防和治疗。尽管知道这一点，大多数美国成年人，特别是 黑人女性未达到推荐的 PA 水平，因此相关的相关比率较高 慢性疾病。由拟议的首席研究员领导的一项功效研究开发并测试了一项in 个人，为期 10 个月的基于团体的信仰整合 (FI) 或世俗 (SEC) PA 干预，与自我干预相比 针对黑人女性的引导控制（SG）。 FI 和 SEC 在每日 10 步后增加步数方面均优于 SG 个月，并且在干预后 12 个月增加每日步数方面，FI 优于 SG。编程的障碍 参与者指出的参与包括儿童保育和工作责任以及与团体的亲近程度 会议地点。 2018 年 PA 指南咨询委员会科学报告强调了 促进 PA 的有效策略，包括互联网提供的干预措施，这些干预措施已被证明是强有力的 增加 PA 水平的有效性的证据。关于互联网有效性的数据有限 对少数种族/族裔群体进行干预。在线交付我们的循证计划可能会 扩大影响范围并解决黑人妇女参与 PA 计划的已知障碍。因此我们建议 探索调整该方案以基于网络提供现有课程的策略。 R21相 目标是： 目标 1：征求代表重点人群的个人的意见，为翻译提供信息 供在线使用的 FI 课程；目标 2：利用目标 1 中收集的知识来调整现有的 FI 和 SG 在线使用的课程；目标 3：在一个类似于咨询小组中评估在线课程的可接受性 目标人群。我们将与黑人女性进行焦点小组讨论，以了解影响的因素 在线交付课程。我们将确定一个由 12 名成员组成的咨询小组来协助 开发材料/策略以使课程适合在线授课。在迭代方法中，其中 材料经过测试、完善和重新测试直至完成，我们将让咨询小组参与可行性测试 的在线课程。从 R21 阶段收集的数据将用于通知 R33 阶段： 4：进行随机试点干预，以对样本中修改后的在线课程进行现场测试（n = 60） 符合全面试验注册资格标准的参与者代表。我们将 在线评估 PA 的变化、修改干预措施的可接受性，包括干预实施方法 材料、招募、登记和数据收集方法、在线参与和临床标记 疾病。拟议项目直接响应 PAR-18-307。干预措施是由社会 生态模型并解决个人内部（个人）和人际（通过社会支持）的 PA 基于在线群组的互动）水平。该项目将进一步增强我们目前对成功的知识 增加高危人群 PA 和减少不活动的策略。