Dori Pekmezi1, Cole Ainsworth, Rodney P Joseph, Victoria Williams, Renee Desmond, Karen Meneses, Bess Marcus, Wendy Demark-Wahnefried. 1. 1School of Public Health, University of Alabama at Birmingham, Birmingham, AL; 2College of Nursing and Health Innovation, Arizona State University, Phoenix, AZ; 3Division of Preventive Medicine, University of Alabama at Birmingham, Birmingham, AL; 4School of Nursing, University of Alabama at Birmingham, Birmingham, AL; 5School of Public Health, Brown University, Providence, RI; and 6Comprehensive Cancer Center, University of Alabama at Birmingham, Birmingham, AL.
Abstract
PURPOSE: This study aimed to assess the feasibility of a Home-based, Individually-tailored Physical activity Print (HIPP) intervention for African American women in the Deep South. METHODS: A pilot randomized trial of the HIPP intervention (N = 43) versus wellness contact control (N = 41) was conducted. Recruitment, retention, and adherence were examined, along with physical activity (7-d physical activity recalls, accelerometers) and related psychosocial variables at baseline and 6 months. RESULTS: The sample included 84 overweight/obese African American women 50-69 yr old in Birmingham, AL. Retention was high at 6 months (90%). Most participants reported being satisfied with the HIPP program and finding it helpful (91.67%). There were no significant between-group differences in physical activity (P = 0.22); however, HIPP participants reported larger increases (mean of +73.9 min·wk (SD 90.9)) in moderate-intensity or greater physical activity from baseline to 6 months compared with the control group (+41.5 min·wk (64.4)). The HIPP group also reported significantly greater improvements in physical activity goal setting (P = 0.02) and enjoyment (P = 0.04) from baseline to 6 months compared with the control group. There were no other significant between-group differences (6-min walk test, weight, physical activity planning, behavioral processes, stage of change); however, trends in the data for cognitive processes, self-efficacy, outcome expectations, and family support for physical activity indicated small improvements for HIPP participants (P > 0.05) and declines for control participants. Significant decreases in decisional balance (P = 0.01) and friend support (P = 0.03) from baseline to 6 months were observed in the control arm and not the intervention arm. CONCLUSIONS: The HIPP intervention has great potential as a low-cost, high-reach method for reducing physical activity-related health disparities. The lack of improvement in some domains may indicate that additional resources are needed to help this target population reach national guidelines.
RCT Entities:
PURPOSE: This study aimed to assess the feasibility of a Home-based, Individually-tailored Physical activity Print (HIPP) intervention for African American women in the Deep South. METHODS: A pilot randomized trial of the HIPP intervention (N = 43) versus wellness contact control (N = 41) was conducted. Recruitment, retention, and adherence were examined, along with physical activity (7-d physical activity recalls, accelerometers) and related psychosocial variables at baseline and 6 months. RESULTS: The sample included 84 overweight/obese African American women 50-69 yr old in Birmingham, AL. Retention was high at 6 months (90%). Most participants reported being satisfied with the HIPP program and finding it helpful (91.67%). There were no significant between-group differences in physical activity (P = 0.22); however, HIPP participants reported larger increases (mean of +73.9 min·wk (SD 90.9)) in moderate-intensity or greater physical activity from baseline to 6 months compared with the control group (+41.5 min·wk (64.4)). The HIPP group also reported significantly greater improvements in physical activity goal setting (P = 0.02) and enjoyment (P = 0.04) from baseline to 6 months compared with the control group. There were no other significant between-group differences (6-min walk test, weight, physical activity planning, behavioral processes, stage of change); however, trends in the data for cognitive processes, self-efficacy, outcome expectations, and family support for physical activity indicated small improvements for HIPP participants (P > 0.05) and declines for control participants. Significant decreases in decisional balance (P = 0.01) and friend support (P = 0.03) from baseline to 6 months were observed in the control arm and not the intervention arm. CONCLUSIONS: The HIPP intervention has great potential as a low-cost, high-reach method for reducing physical activity-related health disparities. The lack of improvement in some domains may indicate that additional resources are needed to help this target population reach national guidelines.
Authors: Mary Ann Sevick; Melissa A Napolitano; George D Papandonatos; Adam J Gordon; Lorraine M Reiser; Bess H Marcus Journal: Prev Med Date: 2007-04-25 Impact factor: 4.018
Authors: Lawrence H Kushi; Tim Byers; Colleen Doyle; Elisa V Bandera; Marji McCullough; Anne McTiernan; Ted Gansler; Kimberly S Andrews; Michael J Thun Journal: CA Cancer J Clin Date: 2006 Sep-Oct Impact factor: 508.702
Authors: Bess H Marcus; Beth A Lewis; David M Williams; Shira Dunsiger; John M Jakicic; Jessica A Whiteley; Anna E Albrecht; Melissa A Napolitano; Beth C Bock; Deborah F Tate; Christopher N Sciamanna; Alfred F Parisi Journal: Arch Intern Med Date: 2007-05-14
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: Jacob K Kariuki; Bethany B Gibbs; Kirk I Erickson; Andrea Kriska; Susan Sereika; David Ogutu; Heather Milton; La'Vette Wagner; Neel Rao; Ray Peralta; Jennifer Bobb; Adrian Bermudez; Sabina Hirshfield; Timothy Goetze; Lora E Burke Journal: Contemp Clin Trials Date: 2021-03-31 Impact factor: 2.226
Authors: Alexander Hodkinson; Evangelos Kontopantelis; Charles Adeniji; Harm van Marwijk; Brian McMillan; Peter Bower; Maria Panagioti Journal: JAMA Netw Open Date: 2019-10-02
Authors: Alexander Hodkinson; Evangelos Kontopantelis; Charles Adeniji; Harm van Marwijk; Brian McMillian; Peter Bower; Maria Panagioti Journal: JAMA Netw Open Date: 2021-07-01