A culturally adapted physical activity intervention for Latinas: a randomized controlled trial.

作者: Dorothy W. Pekmezi , Charles J. Neighbors , Christina S. Lee , Kim M. Gans , Beth C. Bock

DOI: 10.1016/J.AMEPRE.2009.08.023

关键词: Clinical trialIntervention (counseling)ObesityPsychological interventionAffect (psychology)Physical therapyOverweightGerontologyRandomized controlled trialMedicineBody mass index

摘要: Background In the U.S., Latinos report particularly high levels of inactivity and related chronic illnesses are in need intervention. Thus, purpose current study was to culturally linguistically adapt an empirically supported, individually tailored physical activity print intervention for then conduct RCT modified program. Design An conducted. Setting/participants The sample included 93 overweight/obese (80%) Latinas with low income acculturation. Intervention Data were collected 2007–2008 analyzed by intent-to-treat 2009. Participants randomly assigned either (1) a adapted (Seamos Activas) or (2) wellness contact control condition. Main outcome measures Self-report activity, as measured pre- post-intervention (6 months, 87% retention) 7-Day Physical Activity Recall. Results Moderate-intensity (or greater) increased from average 16.56 minutes/week (SD=25.76) at baseline 147.27 (SD=241.55) 6 months arm ( n =45), 11.88 (SD=21.99) 96.79 (SD=118.49) =48). No between-group differences seen overall activity. participants reported significantly greater increases cognitive F [1, 91]=9.53, p =0.003) behavioral processes change 91]=8.37, =0.005) available supplies equipment home 91]=4.17, =0.04) than participants. Conclusions supported hypothesized feasibility, acceptability, preliminary efficacy interventions among Latinas. Although more research is needed corroborate these findings, such high-reach, low-cost approaches have great potential positively affect public health. Trial registration NCT00724165

参考文章(33)
Refilwe Moeti, Michelle M. Yore, Gregory W. Heath, Judy Kruger, Sandra A. Ham, Physical activity patterns among Latinos in the United States: putting the pieces together. Preventing Chronic Disease. ,vol. 4, ,(2007)
Rina Alcalay, Matilde Alvarado, Hector Balcazar, Eileen Newman, Elmer Huerta, Salud para su Corazón: a community-based Latino cardiovascular disease prevention and outreach model. Journal of Community Health. ,vol. 24, pp. 359- 379 ,(1999) , 10.1023/A:1018734303968
Mary Ann Sevick, Andrea L Dunn, Melba S Morrow, Bess H Marcus, G.John Chen, Steven N Blair, Cost-effectiveness of lifestyle and structured exercise interventions in sedentary adults11The full text of this article is available via AJPM Online at http://www.elsevier.com/locate/ajpmonline. American Journal of Preventive Medicine. ,vol. 19, pp. 1- 8 ,(2000) , 10.1016/S0749-3797(00)00154-9
JAMES F. SALLIS, WILLIAM L. HASKELL, PETER D. WOOD, STEPHEN P. FORTMANN, TODD ROGERS, STEVEN N. BLAIR, RALPH S. PAFFENBARGER, PHYSICAL ACTIVITY ASSESSMENT METHODOLOGY IN THE FIVE-CITY PROJECT American Journal of Epidemiology. ,vol. 121, pp. 91- 106 ,(1985) , 10.1093/OXFORDJOURNALS.AJE.A113987
J. M. Zmuda, M. L. Joswiak, E. W. Gregg, Mark A Pereira, R. R. Suminski, S. J. FitzerGerald, A. C. Utter, W. J. Ryan, A collection of Physical Activity Questionnaires for health-related research. Medicine and Science in Sports and Exercise. ,vol. 29, ,(1997)
STEVEN N. BLAIR, WILLIAM L. HASKELL, PING HO, RALPH S. PAFFENBARGER, KAREN M. VRANIZAN, JOHN W. FARQUHAR, PETER D. WOOD, Assessment of habitual physical activity by a seven-day recall in a community survey and controlled experiments. American Journal of Epidemiology. ,vol. 122, pp. 794- 804 ,(1985) , 10.1093/OXFORDJOURNALS.AJE.A114163
Latrice C. Pichon, Elva M. Arredondo, Scott Roesch, James F. Sallis, Guadalupe X. Ayala, John P. Elder, The relation of acculturation to latinas’ perceived neighborhood safety and physical activity: A structural equation analysis Annals of Behavioral Medicine. ,vol. 34, pp. 295- 303 ,(2007) , 10.1007/BF02874554
Bess H. Marcus, Melissa A. Napolitano, Abby C. King, Beth A. Lewis, Jessica A. Whiteley, Anna Albrecht, Alfred Parisi, Beth Bock, Bernardine Pinto, Christopher Sciamanna, John Jakicic, George D. Papandonatos, Telephone versus print delivery of an individualized motivationally tailored physical activity intervention: Project STRIDE. Health Psychology. ,vol. 26, pp. 401- 409 ,(2007) , 10.1037/0278-6133.26.4.401
Barbara A. Zsembik, Dana Fennell, Ethnic variation in health and the determinants of health among Latinos Social Science & Medicine. ,vol. 61, pp. 53- 63 ,(2005) , 10.1016/J.SOCSCIMED.2004.11.040
Melinda Garcia, Gary Marks, Depressive symptomatology among Mexican-American adults: An examination with the CES-D scale Psychiatry Research. ,vol. 27, pp. 137- 148 ,(1989) , 10.1016/0165-1781(89)90129-7