Rationale and design of Smart Walk: A randomized controlled pilot trial of a smartphone-delivered physical activity and cardiometabolic risk reduction intervention for African American women.
Adult
Black or African American
Blood Glucose
Blood Pressure
Body Mass Index
Body Weights and Measures
Cardiorespiratory Fitness
Cardiovascular Diseases
/ ethnology
Cultural Competency
Diabetes Mellitus, Type 2
/ ethnology
Exercise
Female
Health Promotion
/ organization & administration
Humans
Inflammation Mediators
/ blood
Insulin Resistance
/ physiology
Lipids
/ blood
Middle Aged
Pilot Projects
Research Design
Smartphone
Telemedicine
Randomized Controlled Trials as Topic
Cardiometabolic health
Exercise
Interventions
Minority health
eHealth
mHealth
Journal
Contemporary clinical trials
ISSN: 1559-2030
Titre abrégé: Contemp Clin Trials
Pays: United States
ID NLM: 101242342
Informations de publication
Date de publication:
02 2019
02 2019
Historique:
received:
26
10
2018
revised:
07
12
2018
accepted:
16
12
2018
pubmed:
24
12
2018
medline:
14
4
2020
entrez:
22
12
2018
Statut:
ppublish
Résumé
African American (AA) women perform low levels of physical activity (PA) and are disproportionally burdened by cardiometabolic disease conditions when compared to White women and the U.S. population as a whole. These disparities emphasize the need for innovative and effective interventions to increase PA and reduce cardiometabolic disease risk among AA women. Recent evidence suggests that mobile health (mHealth) interventions have the potential to increase PA and reduce cardiometabolic disease risk factors. Few studies have examined the efficacy of mHealth PA interventions among racial/ethnic minorities, including AA women. This represents a missed opportunity given the reported success of technology-delivered PA interventions in predominately White populations and the high use of technology among AA women. To describe the design, theoretical rationale, and cultural relevance of Smart Walk, a culturally sensitive smartphone-delivered PA intervention for AA women. Smart Walk is an 8-month, randomized controlled pilot trial designed to increase PA and reduce cardiometabolic disease risk among AA women. Sixty physically inactive AA women with obesity will be assigned to receive either a culturally relevant intervention designed to increase PA (by targeting leisure-time, household chore/task-related, and occupational PA) or a culturally relevant wellness attention-matched control condition. Outcomes will be assessed at baseline, 4 months, and 8 months, and include feasibility and acceptability of the PA intervention and evaluation of effects on PA and cardiometabolic risk factors. Smart Walk represents a culturally relevant, theory-based approach to promote PA and reduce cardiometabolic disease risk in AA women.
Sections du résumé
BACKGROUND
African American (AA) women perform low levels of physical activity (PA) and are disproportionally burdened by cardiometabolic disease conditions when compared to White women and the U.S. population as a whole. These disparities emphasize the need for innovative and effective interventions to increase PA and reduce cardiometabolic disease risk among AA women. Recent evidence suggests that mobile health (mHealth) interventions have the potential to increase PA and reduce cardiometabolic disease risk factors. Few studies have examined the efficacy of mHealth PA interventions among racial/ethnic minorities, including AA women. This represents a missed opportunity given the reported success of technology-delivered PA interventions in predominately White populations and the high use of technology among AA women.
OBJECTIVE
To describe the design, theoretical rationale, and cultural relevance of Smart Walk, a culturally sensitive smartphone-delivered PA intervention for AA women.
DESIGN AND METHODS
Smart Walk is an 8-month, randomized controlled pilot trial designed to increase PA and reduce cardiometabolic disease risk among AA women. Sixty physically inactive AA women with obesity will be assigned to receive either a culturally relevant intervention designed to increase PA (by targeting leisure-time, household chore/task-related, and occupational PA) or a culturally relevant wellness attention-matched control condition. Outcomes will be assessed at baseline, 4 months, and 8 months, and include feasibility and acceptability of the PA intervention and evaluation of effects on PA and cardiometabolic risk factors.
SUMMARY
Smart Walk represents a culturally relevant, theory-based approach to promote PA and reduce cardiometabolic disease risk in AA women.
Identifiants
pubmed: 30576840
pii: S1551-7144(18)30607-4
doi: 10.1016/j.cct.2018.12.011
pmc: PMC6344046
mid: NIHMS1517533
pii:
doi:
Substances chimiques
Blood Glucose
0
Inflammation Mediators
0
Lipids
0
Types de publication
Clinical Trial Protocol
Journal Article
Research Support, N.I.H., Extramural
Langues
eng
Sous-ensembles de citation
IM
Pagination
46-60Subventions
Organisme : NHLBI NIH HHS
ID : K99 HL129012
Pays : United States
Organisme : NHLBI NIH HHS
ID : R00 HL129012
Pays : United States
Informations de copyright
Copyright © 2018 Elsevier Inc. All rights reserved.
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