JoEllen Wilbur1, Arlene Michaels Miller2, Louis Fogg2, Judith McDevitt3, Cynthia M Castro4, Michael E Schoeny2, Susan W Buchholz5, Lynne T Braun5, Diana M Ingram2, Annabelle S Volgman6, Barbara L Dancy7. 1. Women, Children, and Family Nursing, College of Nursing, Rush University, Chicago, IL, USA JoEllen_Wilbur@rush.edu. 2. Community, Systems, and Mental Health Nursing, College of Nursing, Rush University, Chicago, IL, USA. 3. Women, Children, and Family Nursing, College of Nursing, Rush University, Chicago, IL, USA. 4. Stanford Prevention Research Center, Stanford University School of Medicine, Stanford, CA, USA. 5. Adult Health/Gerontological Nursing, College of Nursing, Rush University, Chicago, IL, USA. 6. Rush College of Medicine, and Rush Heart Center for Women, Chicago, IL, USA. 7. College of Nursing, University of Illinois at Chicago, Chicago, IL, USA.
Abstract
PURPOSE: To compare the effects of a physical activity (PA) intervention of group meetings versus group meetings supplemented by personal calls or automated calls on the adoption and maintenance of PA and on weight stability among African-American women. DESIGN: Randomized clinical trial with three conditions randomly assigned across six sites. SETTING: Health settings in predominately African-American communities. SUBJECTS: There were 288 women, aged 40 to 65, without major signs/symptoms of pulmonary/cardiovascular disease. INTERVENTION: Six group meetings delivered over 48 weeks with either 11 personal motivational calls, 11 automated motivational messages, or no calls between meetings. MEASURES: Measures included PA (questionnaires, accelerometer, aerobic fitness), weight, and body composition at baseline, 24 weeks, and 48 weeks. ANALYSIS: Analysis of variance and mixed models. RESULTS: Retention was 90% at 48 weeks. Adherence to PA increased significantly (p < .001) for questionnaire (d = .56, 128 min/wk), accelerometer (d = .37, 830 steps/d), and aerobic fitness (d = .41, 7 steps/2 min) at 24 weeks and was maintained at 48 weeks (p < .001), with no differences across conditions. Weight and body composition showed no significant changes over the course of the study. CONCLUSION: Group meetings are a powerful intervention for increasing PA and preventing weight gain and may not need to be supplemented with telephone calls, which add costs and complexity.
RCT Entities:
PURPOSE: To compare the effects of a physical activity (PA) intervention of group meetings versus group meetings supplemented by personal calls or automated calls on the adoption and maintenance of PA and on weight stability among African-American women. DESIGN: Randomized clinical trial with three conditions randomly assigned across six sites. SETTING: Health settings in predominately African-American communities. SUBJECTS: There were 288 women, aged 40 to 65, without major signs/symptoms of pulmonary/cardiovascular disease. INTERVENTION: Six group meetings delivered over 48 weeks with either 11 personal motivational calls, 11 automated motivational messages, or no calls between meetings. MEASURES: Measures included PA (questionnaires, accelerometer, aerobic fitness), weight, and body composition at baseline, 24 weeks, and 48 weeks. ANALYSIS: Analysis of variance and mixed models. RESULTS: Retention was 90% at 48 weeks. Adherence to PA increased significantly (p < .001) for questionnaire (d = .56, 128 min/wk), accelerometer (d = .37, 830 steps/d), and aerobic fitness (d = .41, 7 steps/2 min) at 24 weeks and was maintained at 48 weeks (p < .001), with no differences across conditions. Weight and body composition showed no significant changes over the course of the study. CONCLUSION: Group meetings are a powerful intervention for increasing PA and preventing weight gain and may not need to be supplemented with telephone calls, which add costs and complexity.
Authors: Susan W Buchholz; JoEllen Wilbur; Michael E Schoeny; Louis Fogg; Diana M Ingram; Arlene Miller; Lynne Braun Journal: West J Nurs Res Date: 2015-10-15 Impact factor: 1.967
Authors: Malcolm Bevel; Oluwole A Babatunde; Sue P Heiney; Heather M Brandt; Michael D Wirth; Thomas G Hurley; Samira Khan; Hiluv Johnson; Cassandra M Wineglass; Tatiana Y Warren; E Angela Murphy; Erica Sercy; Amanda S Thomas; James R Hébert; Swann Arp Adams Journal: Ethn Dis Date: 2018-04-26 Impact factor: 1.847
Authors: Lynne T Braun; JoEllen Wilbur; Susan W Buchholz; Michael E Schoeny; Arlene M Miller; Louis Fogg; Annabelle S Volgman; Judith McDevitt Journal: J Cardiovasc Nurs Date: 2016 Jul-Aug Impact factor: 2.083
Authors: Sharmilee M Nyenhuis; Nida Shah; Hajwa Kim; David X Marquez; JoEllen Wilbur; Lisa K Sharp Journal: J Allergy Clin Immunol Pract Date: 2021-07-29