scholarly journals Perceived Neighborhood Environmental Factors That Maximize the Effectiveness of a Multilevel Intervention Promoting Physical Activity Among Latinas

2017 ◽  
Vol 32 (2) ◽  
pp. 334-343 ◽  
Author(s):  
Lilian G. Perez ◽  
J. Kerr ◽  
J. F. Sallis ◽  
D. Slymen ◽  
T. L. McKenzie ◽  
...  
Keyword(s):  
Physical Activity ◽  
Controlled Trial ◽  
Vigorous Physical Activity ◽  
Attention Control ◽  
Neighborhood Environment ◽  
Self Report ◽  
Environment Variables ◽  
Active Lifestyles ◽  
Cluster Randomized

Purpose: This study tested whether a multilevel physical activity (PA) intervention had differential effects on PA according to participants’ perceptions of their neighborhood environment. Design: Two-group cluster randomized controlled trial. Setting: San Diego, California. Subjects: Analytical sample included 319 Latinas (18-65 years) from churches randomized to the following conditions: PA (n = 8 churches, n = 157 participants) or attention control (n = 8 churches, n = 162 participants). Intervention: Over 12 months, PA participants were offered free PA classes (6/wk), while attention control participants were offered cancer prevention workshops. Measures: Baseline and 12-month follow-up measures included self-report and accelerometer-based moderate to vigorous physical activity (MVPA), sociodemographics, and perceived neighborhood environment variables. Analysis: Mixed-effects models examined each PA outcome at 12-month follow-up, adjusted for church clustering, baseline PA, and sociodemographics. We tested interactions between 7 baseline perceived environment variables and study condition. Results: Neighborhood esthetics was the only significant moderator of intervention effects on accelerometer-based MVPA and self-report leisure-time MVPA. Participants in the PA intervention had significantly higher PA at follow-up than attention control participants, only when participants evaluated their neighborhood esthetics favorably. Conclusion: Perceived neighborhood esthetics appeared to maximize the effectiveness of a multilevel PA intervention among Latinas. For sustainable PA behavior change, the environments in which Latinas are encouraged to be active may need to be evaluated prior to implementing an intervention to ensure they support active lifestyles.

scholarly journals Implementation of a School Physical Activity Policy Improves Student Physical Activity Levels: Outcomes of a Cluster-Randomized Controlled Trial

2020 ◽  
Vol 17 (10) ◽  
pp. 1009-1018
Author(s):  
Nicole K. Nathan ◽  
Rachel L. Sutherland ◽  
Kirsty Hope ◽  
Nicole J. McCarthy ◽  
Matthew Pettett ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Vigorous Physical Activity ◽  
Cluster Randomized Controlled Trial ◽  
Randomized Controlled ◽  
School Day ◽  
Cluster Randomized ◽  
The Impact

Aim: To assess the impact of a multistrategy intervention designed to improve teachers’ implementation of a school physical activity (PA) policy on student PA levels. Methods: A cluster-randomized controlled trial was conducted in 12 elementary schools. Policy implementation required schools to deliver 150 minutes of organized PA for students each week via physical education, sport, or class-based activities such as energizers. Schools received implementation support designed using the theoretical domains framework to help them implement the current policy. Results: A total of 1,502 children in kindergarten to grade 6 participated. At follow-up compared with control, students attending intervention schools had, measured via accelerometer, significantly greater increases in school day counts per minute (97.5; 95% confidence interval [CI], 64.5 to 130.4; P < .001) and moderate to vigorous physical activity (MVPA) (3.0; 95% CI, 2.2–3.8, P < .001) and a greater decrease in sedentary time (−2.1; 95% CI, −3.9 to −0.4, P = .02) per school day. Teachers in intervention schools delivered significantly more minutes (36.6 min) of PA to their students at follow-up (95% CI, 2.7–70.5, P = .04). Conclusions: Supporting teachers to implement a PA policy improves student PA. Additional strategies may be needed to support teachers to implement activities that result in larger gains in student MVPA.

Accelerometry and Self-Report Are Congruent for Children’s Moderate-to-Vigorous and Higher Intensity Physical Activity

2021 ◽  
pp. 1-8
Author(s):  
Claudio R. Nigg ◽  
Xanna Burg ◽  
Barbara Lohse ◽  
Leslie Cunningham-Sabo
Keyword(s):  
Physical Activity ◽  
Repeated Measures ◽  
Vigorous Physical Activity ◽  
Fourth Grade ◽  
Assessment Method ◽  
Self Report ◽  
Upper Elementary ◽  
Upper Elementary School ◽  
Intensity Physical Activity

Purpose: This study used different analytic approaches to compare physical activity (PA) metrics from accelerometers (ACC) and a self-report questionnaire in upper elementary youth participating in the Fuel for Fun intervention. Methods: The PA questionnaire and ACC were assessed at baseline/preintervention (fall fourth grade), Follow-up 1/postintervention (spring fourth grade), and Follow-up 2 (fall fifth grade) of 564 fourth grade students from three elementary schools (50% females, 78% White, and 28% overweight or obese). Different analytic approaches identified similarities and differences between the two methods. Results: On average, self-report was higher than ACC for vigorous PA (range = 9–15 min/day), but lower than ACC for moderate PA (range = 24–30 min/day), light PA (range = 30–36 min/day), and moderate-to-vigorous physical activity (MVPA; range = 9–21 min/day). Spearman’s correlations for vigorous PA (.30, .26, and .32); moderate PA (.12, .13, and .14); and MVPA (.25, .25, and .24) were significant at each time point (all ps ≤ .01), whereas correlations for light PA were not significant (.06, .04, and .07; all ps > .05). In repeated-measures analyses, ACC and questionnaire measures were significantly different from each other across the three time points; however, change difference of the two measures over time was only 5.5 MVPA min/day. Conclusions: The PA questionnaire and ACC validated each other and can be used to assess MVPA in upper elementary school children in a similar population to the current study. However, each assessment method captures unique information, especially for light-intensity PA. Multiple PA measurement methods are recommended to be used in research and application to provide a more comprehensive understanding of children’s activity.

scholarly journals Leisure-Time Physical Activity and Characteristics of Social Network Support for Exercise Among Latinas

2017 ◽  
Vol 32 (2) ◽  
pp. 432-439 ◽  
Author(s):  
Sandra H. Soto ◽  
Elva M. Arredondo ◽  
Jessica Haughton ◽  
Holly Shakya
Keyword(s):  
Physical Activity ◽  
Leisure Time ◽  
Leisure Time Physical Activity ◽  
Controlled Trial ◽  
Cross Sectional Study ◽  
Self Report ◽  
San Diego County ◽  
Cross Sectional ◽  
Multiple Observations ◽  
Cluster Randomized

Purpose: To examine the association between characteristics of social support for exercise and moderate-to-vigorous leisure-time physical activity (LTPA) among Latinas. Design: This cross-sectional study used baseline data from a cluster randomized controlled trial. Setting: The study was conducted in 16 churches located in San Diego County. Participants: Participants (N = 436) were Latinas between 18 and 65 years old who did not self-report >150 minutes or did not exceed 250 minutes of moderate-to-vigorous PA per week measured by accelerometer. Measures: Latinas listed up to 6 individuals who had provided support for exercise within the past 6 months, including their gender, relationship with the respondent, types of support provided, and respondent’s satisfaction with support. Self-reported LTPA was dichotomized (none vs any). Analyses: We generated dyads between Latinas who named ≥1 supporter (n = 323) and each supporter they named (n = 569 dyads). Logistic regression analyses were conducted using generalized estimating equations to adjust for multiple observations per participant. Results: Having an exercise partner (odds ratio [OR]: 2.16; 95% confidence interval [CI]: 1.01-4.62), help with household duties (OR: 2.70; 95% CI: 1.35-3.38), being “very much” satisfied with support (OR: 2.33; 95% CI: 1.26-4.30), and naming >2 supporters (OR: 2.57; 95% CI: 1.06-6.25) was positively associated with LTPA. Conclusions: Findings suggest specific aspects of support for exercise that should be targeted in future interventions to promote LTPA.

scholarly journals A Clinician Referral and 12-Week Exercise Training Program for Men With Prostate Cancer: Outcomes to 12 Months of the ENGAGE Cluster Randomized Controlled Trial

2017 ◽  
Vol 14 (5) ◽  
pp. 353-359 ◽  
Author(s):  
Cadeyrn J. Gaskin ◽  
Melinda Craike ◽  
Mohammadreza Mohebbi ◽  
Kerry S. Courneya ◽  
Patricia M. Livingston
Keyword(s):  
Physical Activity ◽  
Prostate Cancer ◽  
Exercise Training ◽  
Training Program ◽  
Controlled Trial ◽  
Vigorous Physical Activity ◽  
Randomized Controlled ◽  
Exercise Training Program ◽  
Cluster Randomized

Background:The ENGAGE (efficacy of a referral and physical activity program for survivors of prostate cancer) study established that a clinician referral and 12-week exercise training program increased vigorous physical activity at 12 weeks among men with prostate cancer. Here, we report the 6- and 12-month outcomes.Methods:In this multicenter cluster randomized controlled trial, we compared a clinician referral and exercise training program to usual care. Discounted gym membership was offered to men in the intervention condition on completion of the 12-week exercise program. Self-reported physical activity at 6 and 12 months was the primary outcome. Quality of life, anxiety, and depressive symptoms were secondary outcomes.Results:A total of 147 men meeting eligibility criteria agreed to participate (54 intervention, 93 control). A positive interaction effect for vigorous physical activity was observed at 6 months, but not 12 months. No significant effects for the secondary outcomes were found.Conclusions:A clinician referral and community-based supervised and unsupervised exercise training program, along with discounted gym membership, had a positive short-term effect on vigorous physical activity levels, but did not improve quality of life, in men with prostate cancer.

scholarly journals Can a simple measure of vigorous physical activity predict future mortality? Results from the OXCHECK study

2004 ◽  
Vol 7 (4) ◽  
pp. 557-562 ◽  
Author(s):  
Melvyn Hillsdon ◽  
Margaret Thorogood ◽  
Mike Murphy ◽  
Lesley Jones
Keyword(s):  
Physical Activity ◽  
Cox Regression ◽  
Vigorous Physical Activity ◽  
Previous History ◽  
Self Report ◽  
Moderate Intensity ◽  
Risk Of Death ◽  
All Cause Mortality ◽  
Intensity Physical Activity

AbstractBackground:As epidemiological studies have become more complex, demands for short, easily administered measures of risk factors have increased. This study investigates whether such a measure of physical activity is associated with the risk of death from all causes and death from specific causes.Methods:A prospective follow-up study of 11 090 men and women, aged 35–64 years, recruited from five UK general practices who responded to a postal questionnaire in 1989. Self-reported frequency of vigorous-intensity physical activity and data on confounding factors were collected at baseline survey. Death notifications up to 31 December 2001 were provided by the Office for National Statistics. The relative risk (and 95% confidence interval) of dying associated with each level of exposure to physical activity was estimated by the hazard ratio in a series of Cox regression models.Results:After > 10 years' follow-up there were 825 deaths among the 10 522 subjects with no previous history of angina or myocardial infarction. Participation in vigorous exercise was associated with a significantly lower risk of all-cause mortality. Similar associations were found for ischaemic heart disease and cancer mortality, although the relationships were not significant at the 5% level.Conclusions:Simple measures of self-reported vigorous physical activity are associated with the risk of future mortality, at least all-cause mortality in a somewhat selected group. Interpretation of the finding should be treated with caution due to the reliance on self-report and the possibility that residual confounding may underlie the associations. Because moderate-intensity physical activity is also beneficial to health, short physical activity questionnaires should include measures of such physical activity in the future.

scholarly journals The Effect of Organized Versus Supervised Recess on Elementary School Children’s Participation, Physical Activity, Play, and Social Behavior: A Cluster Randomized Controlled Trial

2018 ◽  
Vol 15 (10) ◽  
pp. 747-754 ◽  
Author(s):  
Rosalie Coolkens ◽  
Phillip Ward ◽  
Jan Seghers ◽  
Peter Iserbyt
Keyword(s):  
Physical Activity ◽  
Social Behavior ◽  
Controlled Trial ◽  
Vigorous Physical Activity ◽  
Cluster Randomized Trial ◽  
Systematic Observation ◽  
Challenging Tasks ◽  
Children’S Participation ◽  
Children's Participation ◽  
Cluster Randomized

Background: Recess strategies that increase children’s physical activity and contribute to the daily 60 minutes of moderate to vigorous physical activity (MVPA) are recommended. Methods: A cluster randomized trial was conducted to examine the effect of supervised versus organized recess on children’s participation, physical activity, play, and social behavior. In supervised recess, children were free to play, and physical education (PE) teachers ensured safety. In organized recess, PE teachers provided challenging tasks. Data were collected using systematic observation. Children (N = 281; 8–10 y) from 14 schools received a 6-day parkour unit in PE and three opportunities to participate in a 20-minute parkour recess. Schools were randomized over a supervised and organized parkour recess condition. Results: The majority of children participated in parkour recess (range = 56%–85%), with more boys participating in all 3 organized versus supervised recess sessions (57% vs 35%, P = .01). Boys spent more time in MVPA during organized recess (79% vs 71%, P = .02). Boys and girls spent more time in activity games during organized recess (59% vs 46%, P = .01; 59% vs 47%, P = .001). Conclusion: Organized recess attracted more children and made the largest contribution to daily MVPA.

Efficacy of Computerized Health Risk Appraisal as Part of a Periodic Health Examination at the Worksite

1995 ◽  
Vol 9 (6) ◽  
pp. 462-466 ◽  
Author(s):  
Donald H. Gemson ◽  
Richard P. Sloan
Keyword(s):  
Physical Activity ◽  
Blood Pressure ◽  
Health Risk ◽  
Controlled Trial ◽  
Self Report ◽  
Health Examination ◽  
Periodic Health Examination ◽  
Risk Appraisal ◽  
Health Risk Appraisal

Purpose. To evaluate the efficacy of computerized health risk appraisal (HRA) when it is incorporated into a periodic health examination at the worksite. Design. A randomized, controlled trial comparing change in health behaviors for a 6-month follow-up period was conducted. Setting. A large financial services firm in New York City. Subjects. A total of 161 employees who volunteered for a worksite periodic health examination. Intervention. All employees received a physician-based history and physical examination, including laboratory tests, and were counseled on the basis of the results. Half the employees were randomly assigned, to receive an HRA report, with counseling from the 1984 version of the Centers for Disease Control HRA, whereas the other half completed the HRA questionnaire but received no HRA report or counseling. Measures. Blood pressure, cholesterol, and weight were measured by project staff physical activity and seatbelt use were measured by self-report, and change in computerized appraised age was calculated by the HRA program. Results. Evaluation of the 90 participants who returned for follow-up revealed a statistically significant improvement in computerized appraised age and physical activity in those who had received the HRA report and counseling compared with those who had not (p <.05), and also showed trends toward greater improvement in blood pressure, weight, and seatbelt use. Conclusions. Results provide support for the efficacy of HRA when incorporated into a periodic health examination at the worksite.

Impact of integrating a physical activity counsellor into the primary health care team: physical activity and health outcomes of the Physical Activity Counselling randomized controlled trial

2011 ◽  
Vol 36 (4) ◽  
pp. 503-514 ◽  
Author(s):  
Michelle S. Fortier ◽  
William Hogg ◽  
Tracey L. O’Sullivan ◽  
Christopher Blanchard ◽  
Ronald J. Sigal ◽  
...  
Keyword(s):  
Physical Activity ◽  
Randomized Controlled Trial ◽  
Health Outcomes ◽  
Controlled Trial ◽  
Self Report ◽  
Additional Patient ◽  
Care Practice ◽  
Randomized Controlled ◽  
Physical Activity Counselling

The purpose of this paper was to report the physical activity and health outcomes results from the Physical Activity Counselling (PAC) trial. Patients (n = 120, mean age 47.3 ± 11.1 years, 69.2% female) who reported less than 150 min of physical activity per week were recruited from a large community-based Canadian primary care practice. After receiving brief physical activity counselling from their provider, they were randomized to receive 6 additional patient-centered counselling sessions over 3 months from a physical activity counsellor (intensive-counselling group; n = 61), or no further intervention (brief-counselling group; n = 59). Physical activity (self-reported and accelerometer) was measured every 6 weeks up to 25 weeks (12 weeks postintervention). Quality of life was also assessed, and physical and metabolic outcomes were evaluated in a randomly selected subset of patients (33%). In the intent-to-treat analyses of covariance, the intensive-counselling group self-reported significantly higher levels of physical activity at 6 weeks (p = 0.009) and 13 weeks (p = 0.01). There were no differences in self-reported physical activity between the groups after the intervention in the follow-up period, nor was there any increase in accelerometer-measured physical activity. Finally, the intensive-counselling patients showed greater decreases in percent body fat and total fat mass from 13 weeks to 25 weeks. Results for physical activity depended on the method used, with positive short-term results with self-report and no effects with the accelerometers. Between-group differences were found for body composition in that the intensive-counselling patients decreased more. A multisite randomized controlled trial with a longer intensive intervention and follow-up is warranted.

Tracking of Physical Activity With Accelerometers Over a 2-Year Time Period

2013 ◽  
Vol 10 (2) ◽  
pp. 241-248 ◽  
Author(s):  
Magnus Dencker ◽  
Tina Tanha ◽  
Per Wollmer ◽  
Magnus K. Karlsson ◽  
Lars Bo Andersen ◽  
...  
Keyword(s):  
Physical Activity ◽  
Rank Order ◽  
Vigorous Physical Activity ◽  
Self Report ◽  
Moderate Degree ◽  
Limited Data ◽  
Time Period ◽  
General Physical ◽  
Activity Variables

Background:Limited data exist of tracking and changes in accelerometer-measured physical activity in children.Methods:Physical activity was assessed by accelerometers for 4 days in 167 children (boys, n = 90; girls n = 77) age 9.8 ± 0.6 years. Follow-up measurement was made 2.0 ± 0.1 yrs later (range 1.9−2.1 yrs). General physical activity (GPA) was defined as mean count/minute. Minutes of inactivity; light, moderate, and vigorous physical activity (LMVPA); moderate and vigorous physical activity (MVPA); and vigorous physical activity (VPA) per day were calculated both as absolute values and as percentage of total registration time.Results:Spearman rank order correlation indicated low tracking of MVPA and VPA in girls (r = .25−0.33, P < .05), and low-moderate tracking of GPA, inactivity, LMVPA, MVPA and VPA in boys (r = .23−0.40, P < .05). Time in inactivity increased at follow-up by 5%−14%. Most of the assessed physical activity variables were decreased at follow-up by 6% to 30%.Conclusions:Physical activity tracks at a low-moderate degree from age 10−12 years, which confirm previous investigations that have used self-report assessments. The low-moderate tracking of physical activity variables indicate that those who were most active initially remained most active. Increasing inactive behavior was observed and that several other physical activity variables were decreased at follow-up.

scholarly journals Telephone-Based Coaching and Prompting for Physical Activity: Short- and Long-Term Findings of a Randomized Controlled Trial (Movingcall)

2019 ◽  
Vol 16 (14) ◽  
pp. 2626 ◽  
Author(s):  
Xenia Fischer ◽  
Jan-Niklas Kreppke ◽  
Lukas Zahner ◽  
Markus Gerber ◽  
Oliver Faude ◽  
...  
Keyword(s):  
Physical Activity ◽  
Controlled Trial ◽  
Vigorous Physical Activity ◽  
Structured Interview ◽  
Group Differences ◽  
Control Group ◽  
Short And Long Term ◽  
Telephone Coaching

This study analyzed the short- and long-term efficacy of telephone coaching and short message service (SMS) prompting for physical activity (PA) promotion. Two-hundred-and-eighty-eight adults (age: 42 ± 11 years) were assigned randomly to three intervention arms: The intervention groups received 12 bi-weekly telephone calls with (coaching and SMS group) or without (coaching group) additional SMS prompts (n = 48 SMS). The control group received a single written PA recommendation. Self-reported and objective moderate-to-vigorous physical activity (MVPA) levels were assessed by a structured interview and by accelerometer at baseline, after the intervention (6 months), as well as after a no-contact follow-up (12 months). At post-test, self-reported MVPA increased by 173 min/week (95% CI 95 to 252) in the coaching group and by 165 min/week (95% CI 84 to 246) in the coaching and SMS group compared to control. These group differences remained similar in the follow-up test. For the objectively assessed MVPA, the coaching group increased by 32 min/week (95% CI 0.1 to 63) and the coaching and SMS group by 34 min/week (95% CI 1.6 to 66) compared to the control group. In the follow-up test, the objective MVPA levels of the intervention groups no longer differed from baseline, but group differences persisted as the control group decreased below baseline. Additional SMS prompts did not result in a further increase in PA. Telephone coaching can be considered an effective tool for PA promotion.

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