“The Feasibility of a Lifestyle Physical Activity Intervention for African American Women with Asthma”

Author(s):  
Sharmilee M. Nyenhuis ◽  
Nida Shah ◽  
Hajwa Kim ◽  
David X. Marquez ◽  
JoEllen Wilbur ◽  
...  
2017 ◽  
Vol 27 (3) ◽  
pp. 257 ◽  
Author(s):  
Melicia C. Whitt-Glover ◽  
Moses V. Goldmon ◽  
Ziya Gizlice ◽  
Daniel P. Heil ◽  
Njeri Karanja

<p><strong>Objective: </strong>Physical activity (PA) is beneficial for health, yet most African American women do not achieve recommended levels. Successful, sustainable strategies could help to address disparities in health outcomes associated with low levels of PA. The Learning and Developing Individual Exercise Skills (L.A.D.I.E.S.) for a Better Life study compared a faith-based and a secular intervention for increasing PA with a selfguided control group. </p><p><strong>Design Setting Participants: </strong>This cluster randomized, controlled trial was conducted from 2010 – 2011 in African American churches (n=31) in suburban North Carolina. Participants were 469 self-identified low active African American women. </p><p><strong>Measures: </strong>Baseline data were collected on participant demographics, objective and self-reported PA, and constructs related to social ecological theory and social cognitive theory. </p><p><strong>Results: </strong>Complete baseline data were available for 417 participants who were aged 51.4 ± 12.9 years, with average BMI (kg/ m2) 35.8 ± 9.9; 73% of participants were obese (BMI &gt;30). Participants averaged 3,990 ± 1,828 pedometer-assessed daily steps and 23.9 ± 37.7 accelerometer-assessed minutes of daily moderate-to-vigorous PA, and self-reported 25.4 ± 45.4 minutes of weekly walking and moderate- and vigorous-intensity PA. Baseline self-reported religiosity and social support were high. </p><p><strong>Conclusions: </strong>L.A.D.I.E.S. is one of the largest PA trials focused on individual behavior change in African American women. Baseline characteristics suggest participants are representative of the general population. Findings from the study will contribute toward understanding appropriate strategies for increasing PA in high-risk populations.</p><p><em>Ethn Dis. </em>2017;27(3):257-264; doi:10.18865/ed.27.3.257 </p>


2015 ◽  
Vol 38 (3) ◽  
pp. 369-385 ◽  
Author(s):  
Susan W. Buchholz ◽  
JoEllen Wilbur ◽  
Michael E. Schoeny ◽  
Louis Fogg ◽  
Diana M. Ingram ◽  
...  

2016 ◽  
Vol 13 (10) ◽  
pp. 1100-1109 ◽  
Author(s):  
JoEllen Wilbur ◽  
Michael E. Schoeny ◽  
Susan W. Buchholz ◽  
Louis Fogg ◽  
Arlene Michaels Miller ◽  
...  

Background:For interventions to be implemented effectively, fidelity must be documented. We evaluated fidelity delivery, receipt, and enactment of the 48-week Women’s Lifestyle Physical Activity Program conducted to increase physical activity and maintain weight in African American women.Methods:Three study conditions all received 6 group meetings; 1 also received 11 motivational interviewing personal calls (PCs), 1 received11 automated motivational message calls (ACs), and 1 received no calls. Group meeting delivery was assessed for adherence and competence. PC delivery was assessed with the Motivational Interviewing Treatment Integrity Code. Receipt was defined as group meeting attendance, completion of PCs, and listening to ACs. Enactment was number of weeks an accelerometer was worn.Results:For group meeting delivery, mean adherence was 80.8% and mean competence 2.9 of 3.0. Delivery of PCs did not reach criterion for competence. Receipt of more than one-half the dose was achieved for 84.9% of women for group meetings, 85.5% for PCs, and 42.1% for ACs. Higher group meeting attendance was associated with higher accelerometer steps at 24 weeks and lower BMI at 24 and 48 weeks.Conclusions:Fidelity measurement and examination of intervention delivery, receipt, and enactment are important to explicate conditions in which interventions are successful.


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