John B Jemmott1, Loretta S Jemmott2, Zolani Ngwane3, Jingwen Zhang4, G Anita Heeren5, Larry D Icard6, Ann O'Leary7, Xoliswa Mtose8, Anne Teitelman2, Craig Carty5. 1. University of Pennsylvania, Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA; University of Pennsylvania, Annenberg School for Communication, Philadelphia, PA, USA. Electronic address: jjemmott@asc.upenn.edu. 2. University of Pennsylvania, School of Nursing, Philadelphia, PA, USA. 3. Haverford College, Department of Anthropology, Haverford, PA, USA. 4. University of Pennsylvania, Annenberg School for Communication, Philadelphia, PA, USA. 5. University of Pennsylvania, Perelman School of Medicine, Department of Psychiatry, Philadelphia, PA, USA. 6. Temple University, College of Health Professions and Social Work, Philadelphia, PA, USA. 7. Centers for Disease Control and Prevention, Atlanta, GA, USA. 8. University of Fort Hare, Faculty of Education, East London, South Africa.
Abstract
OBJECTIVE: To determine whether a health-promotion intervention increases South African men's adherence to physical-activity guidelines. METHOD: We utilized a cluster-randomized controlled trial design. Eligible clusters, residential neighborhoods near East London, South Africa, were matched in pairs. Within randomly selected pairs, neighborhoods were randomized to theory-based, culturally congruent health-promotion intervention encouraging physical activity or attention-matched HIV/STI risk-reduction control intervention. Men residing in the neighborhoods and reporting coitus in the previous 3 months were eligible. Primary outcome was self-reported individual-level adherence to physical-activity guidelines averaged over 6-month and 12-month post-intervention assessments. Data were collected in 2007-2010. Data collectors, but not facilitators or participants, were blind to group assignment. RESULTS: Primary outcome intention-to-treat analysis included 22 of 22 clusters and 537 of 572 men in the health-promotion intervention and 22 of 22 clusters and 569 of 609 men in the attention-control intervention. Model-estimated probability of meeting physical-activity guidelines was 51.0% in the health-promotion intervention and 44.7% in attention-matched control (OR=1.34; 95% CI, 1.09-1.63), adjusting for baseline prevalence and clustering from 44 neighborhoods. CONCLUSION:A theory-based culturally congruent intervention increased South African men's self-reported physical activity, a key contributor to deaths from non-communicable diseases in South Africa. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01490359.
RCT Entities:
OBJECTIVE: To determine whether a health-promotion intervention increases South African men's adherence to physical-activity guidelines. METHOD: We utilized a cluster-randomized controlled trial design. Eligible clusters, residential neighborhoods near East London, South Africa, were matched in pairs. Within randomly selected pairs, neighborhoods were randomized to theory-based, culturally congruent health-promotion intervention encouraging physical activity or attention-matched HIV/STI risk-reduction control intervention. Men residing in the neighborhoods and reporting coitus in the previous 3 months were eligible. Primary outcome was self-reported individual-level adherence to physical-activity guidelines averaged over 6-month and 12-month post-intervention assessments. Data were collected in 2007-2010. Data collectors, but not facilitators or participants, were blind to group assignment. RESULTS: Primary outcome intention-to-treat analysis included 22 of 22 clusters and 537 of 572 men in the health-promotion intervention and 22 of 22 clusters and 569 of 609 men in the attention-control intervention. Model-estimated probability of meeting physical-activity guidelines was 51.0% in the health-promotion intervention and 44.7% in attention-matched control (OR=1.34; 95% CI, 1.09-1.63), adjusting for baseline prevalence and clustering from 44 neighborhoods. CONCLUSION: A theory-based culturally congruent intervention increased South African men's self-reported physical activity, a key contributor to deaths from non-communicable diseases in South Africa. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01490359.
Keywords:
Binge drinking; Fruits and vegetables; Intervention study; Men; Physical activity; Randomized controlled trial; Social cognitive theory; South Africa; Theory of planned behavior
Authors: M K Campbell; W Demark-Wahnefried; M Symons; W D Kalsbeek; J Dodds; A Cowan; B Jackson; B Motsinger; K Hoben; J Lashley; S Demissie; J W McClelland Journal: Am J Public Health Date: 1999-09 Impact factor: 9.308
Authors: Jacob Sattelmair; Jeremy Pertman; Eric L Ding; Harold W Kohl; William Haskell; I-Min Lee Journal: Circulation Date: 2011-08-01 Impact factor: 29.690
Authors: Bongani M Mayosi; Alan J Flisher; Umesh G Lalloo; Freddy Sitas; Stephen M Tollman; Debbie Bradshaw Journal: Lancet Date: 2009-08-24 Impact factor: 79.321
Authors: Mihaela Tanasescu; Michael F Leitzmann; Eric B Rimm; Walter C Willett; Meir J Stampfer; Frank B Hu Journal: JAMA Date: 2002 Oct 23-30 Impact factor: 56.272
Authors: Bongani M Mayosi; Joy E Lawn; Ashley van Niekerk; Debbie Bradshaw; Salim S Abdool Karim; Hoosen M Coovadia Journal: Lancet Date: 2012-11-30 Impact factor: 79.321
Authors: I-Min Lee; Eric J Shiroma; Felipe Lobelo; Pekka Puska; Steven N Blair; Peter T Katzmarzyk Journal: Lancet Date: 2012-07-21 Impact factor: 79.321
Authors: John B Jemmott; Alisa Stephens-Shields; Ann O'Leary; Loretta Sweet Jemmott; Anne Teitelman; Zolani Ngwane; Xoliswa Mtose Journal: Prev Med Date: 2015-01-04 Impact factor: 4.018
Authors: G Anita Heeren; John B Jemmott; C Show Marange; Arnold Rumosa Gwaze; Jesca Mercy Batidzirai; Zolani Ngwane; Andrew Mandeya; Joanne C Tyler Journal: Behav Med Date: 2017-08-04 Impact factor: 3.104
Authors: Jingwen Zhang; John B Jemmott; Ann O'Leary; Robin Stevens; Loretta Sweet Jemmott; Larry D Icard; Janet Hsu; Scott E Rutledge Journal: Ann Behav Med Date: 2017-02
Authors: John B Jemmott; Jingwen Zhang; Loretta S Jemmott; Larry D Icard; Zolani Ngwane; Monde Makiwane; Ann O'Leary Journal: J Adolesc Health Date: 2019-04-23 Impact factor: 7.830
Authors: Joan L Bottorff; Cherisse L Seaton; Steve T Johnson; Cristina M Caperchione; John L Oliffe; Kimberly More; Haleema Jaffer-Hirji; Sherri M Tillotson Journal: Sports Med Date: 2015-06 Impact factor: 11.136
Authors: John B Jemmott; Loretta Sweet Jemmott; Ann O'Leary; Larry D Icard; Scott E Rutledge; Robin Stevens; Janet Hsu; Alisa J Stephens Journal: AIDS Behav Date: 2015-07
Authors: Dandan Mo; Mi Xiang; Mengyun Luo; Yuanyuan Dong; Yue Fang; Shunxing Zhang; Zhiruo Zhang; Huigang Liang Journal: Int J Environ Res Public Health Date: 2019-03-08 Impact factor: 3.390