Developing Long-Term Physical Activity Participation: A Grounded Theory Study With African American Women

2006 ◽  
Vol 36 (1) ◽  
pp. 97-112 ◽  
Author(s):  
Amy E. Harley ◽  
Janet Buckworth ◽  
Mira L. Katz ◽  
Sharla K. Willis ◽  
Angela Odoms-Young ◽  
...  
2017 ◽  
Vol 27 (4) ◽  
pp. 411 ◽  
Author(s):  
Melicia C. Whitt-Glover ◽  
Moses V. Goldmon ◽  
Ziya Gizlice ◽  
Marie Sillice ◽  
Lyndsey Hornbuckle ◽  
...  

<p><strong>Objective: </strong>The Learning and Developing Individual Exercise Skills (L.A.D.I.E.S.) for a Better Life study compared a faith-integrated (FI) and a secular (SEC) intervention for increasing physical activity with a self-guided (SG) control group among African American women. <strong></strong></p><p><strong>Design/Setting/Participants: </strong>L.A.D.I.E.S. was a cluster randomized, controlled trial. Churches (n=31) were randomized and women within each church (n=12 – 15) received the same intervention. <strong></strong></p><p><strong>Interventions: </strong>FI and SEC participants received 24 group-based sessions, delivered over 10 months. SG participants received printed materials to review independently for 10 months. Participants were followed for 12-months post-intervention to assess long-term intervention impact. </p><p><strong>Main Outcome Measures: </strong>Data on participant characteristics, physical activity, and intervention-related constructs were collected at baseline, 10 months, and 22 months. <strong></strong></p><p><strong>Results: </strong>Intervention session attendance was greater for FI compared with SEC participants (15.7 + 5.7 vs 12.4 + 7.3 sessions, respectively, P&lt;.01). After 10 months, FI and SEC participants significantly increased daily walking (+1,451 and +1,107 steps/ day, respectively) compared with SG participants (-128 steps/day). Increases were maintained after 22 months in the FI group compared with the SG group (+1092 vs. +336 daily steps, P&lt;.01). Between-group changes in accelerometer-assessed physical activity were not statistically significant at any time point. <strong></strong></p><p><strong>Conclusions: </strong>The FI intervention is a feasible strategy for short- and long-term increases in physical activity among African American women. Additional dissemination and evaluation of the strategy could be useful for reducing chronic disease in this high-risk population. <em></em></p><p><em>Ethn Dis.</em>2017;27(4):411- 420; doi:10.18865/ed.27.4.411. </p>


2019 ◽  
Vol 6 (3) ◽  
pp. 603-617
Author(s):  
Amber W. Kinsey ◽  
Michelle L. Segar ◽  
Daheia J. Barr-Anderson ◽  
Melicia C. Whitt-Glover ◽  
Olivia Affuso

2009 ◽  
Vol 64B (2) ◽  
pp. 304-311 ◽  
Author(s):  
E. J. Tan ◽  
G. W. Rebok ◽  
Q. Yu ◽  
C. E. Frangakis ◽  
M. C. Carlson ◽  
...  

Nursing Forum ◽  
2019 ◽  
Vol 55 (2) ◽  
pp. 227-235
Author(s):  
Annette M. Hubbell ◽  
Elaine C. Hardy ◽  
Kim S. Astroth ◽  
Sheryl H. Jenkins ◽  
Wendy M. Woith ◽  
...  

2021 ◽  
Author(s):  
Donna J. Biederman ◽  
Valerie K. Sabol ◽  
Julie Thompson ◽  
Quiana Duncan ◽  
Katherine C. Pereira

2018 ◽  
Author(s):  
Joniqua Nashae Ceasar ◽  
Sophie Elizabeth Claudel ◽  
Marcus R Andrews ◽  
Kosuke Tamura ◽  
Valerie Mitchell ◽  
...  

BACKGROUND Community-based participatory research is an effective tool for improving health outcomes in minority communities. Few community-based participatory research studies have evaluated methods of optimizing smartphone apps for health technology-enabled interventions in African Americans. OBJECTIVE This study aimed to utilize focus groups (FGs) for gathering qualitative data to inform the development of an app that promotes physical activity (PA) among African American women in Washington, DC. METHODS We recruited a convenience sample of African American women (N=16, age range 51-74 years) from regions of Washington, DC metropolitan area with the highest burden of cardiovascular disease. Participants used an app created by the research team, which provided motivational messages through app push notifications and educational content to promote PA. Subsequently, participants engaged in semistructured FG interviews led by moderators who asked open-ended questions about participants’ experiences of using the app. FGs were audiorecorded and transcribed verbatim, with subsequent behavioral theory-driven thematic analysis. Key themes based on the Health Belief Model and emerging themes were identified from the transcripts. Three independent reviewers iteratively coded the transcripts until consensus was reached. Then, the final codebook was approved by a qualitative research expert. RESULTS In this study, 10 main themes emerged. Participants emphasized the need to improve the app by optimizing automation, increasing relatability (eg, photos that reflect target demographic), increasing educational material (eg, health information), and connecting with community resources (eg, cooking classes and exercise groups). CONCLUSIONS Involving target users in the development of a culturally sensitive PA app is an essential step for creating an app that has a higher likelihood of acceptance and use in a technology-enabled intervention. This may decrease health disparities in cardiovascular diseases by more effectively increasing PA in a minority population.


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