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6. Multi-country collaborative citizen science projects to co-design cardiovascular disease prevention strategies and advocacy: findings from Ethiopia, Malawi, Rwanda, and South Africa

Author

Okop, Kufre J., Kedir, Kiya, Kasenda, Stephen, Niyibizi, Jean Berchmans, Chipeta, Effie, Getachew, Hailemichael, Sell, Kerstin, Lambert, Estelle Victoria, Puoane, Thandi, Rulisa, Stephen, Bunn, Christopher, King, Abby C., Bavuma, Charlotte, Howe, Rawleigh, Crampin, Amelia C., and Levitt, Naomi S.

Published
2023
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7. “My Body, My Rhythm, My Voice”: a community dance pilot intervention engaging breast cancer survivors in physical activity in a middle-income country

Author

Rubio, María Alejandra, Mejía-Arbeláez, Carlos M., Wilches-Mogollon, Maria A., Moreno, Sergio, Finck, Carolyn, Rosas, Lisa G., Romero, Sol A., Guevara, Paula, Cabas, Santiago, Rubiano, Oscar, Flórez-Pregonero, Alberto, León, José G., Alarcón, Luis Fernando, Haile, Robert, Sarmiento, Olga L., and King, Abby C.

Published
2023
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9. An ecosystem service perspective on urban nature, physical activity, and health

Author

Remme, Roy P., Frumkin, Howard, Guerry, Anne D., King, Abby C., Mandle, Lisa, Sarabu, Chethan, Bratman, Gregory N., Giles-Corti, Billie, Hamel, Perrine, Han, Baolong, Hicks, Jennifer L., James, Peter, Lawler, Joshua J., Lindahl, Therese, Liu, Hongxiao, Lu, Yi, Oosterbroek, Bram, Paudel, Bibek, Sallis, James F., Schipperijn, Jasper, Sosič, Rok, de Vries, Sjerp, Wheeler, Benedict W., Wood, Spencer A., Wu, Tong, and Daily, Gretchen C.

Published
2021

12. Who Benefits? A Mixed Methods Study Assessing Community Use of a Major Metropolitan Park During the COVID-19 Pandemic.

Author

O'Connor, Áine, Resendiz, Eugen, Nason, Leah, Eyler, Amy A., Brownson, Ross C., Reis, Rodrigo S., Banchoff, Ann, King, Abby C., and Salvo, Deborah

Subjects
COVID-19 pandemic, PUBLIC spaces, POOR communities, YOUNG adults, URBAN parks
Abstract

By providing spaces for recreation, physical activity, social gatherings, and time in nature, urban parks offer physical, mental, and social benefits to users. However, many urban residents face barriers to park use. The COVID-19 pandemic introduced new potential barriers to urban park access and use, including changes to daily life and employment, closure of park amenities and restrictions to public movement, and risk from the coronavirus itself. The mixed-methods PARCS study measured use and perceptions of a large urban park in St. Louis, Missouri before, during, and after local COVID-19 contingency measures and restrictions. We examine data from 1,157 direct observation assessments of park usership, an online survey of park users (n=561), interviews with key stakeholders (n=27), four focus groups (n=30), and a community-based participatory research sub-study (n=66) to comprehensively characterize the effects of the COVID-19 pandemic on park use. Park users who felt unsafe from the coronavirus experienced 2.65 higher odds of reducing park use. However, estimated park visits during COVID-19 contingency measures (n=5,023,759) were twice as high as post-contingency (n=2,277,496). Participants reported using the park for physical activity, recreation, time in nature, and socializing during the contingency period. Black, Hispanic/Latino, and young people were less likely to visit the park than others, suggesting an additional, disproportionate impact of the pandemic on minoritized and socioeconomically disadvantaged communities. This study highlights the role of public spaces like parks as resources for health and sites where urban health inequities can be alleviated in times of public crisis. [ABSTRACT FROM AUTHOR]

Published
2024
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18. Engagement With Remote Delivery Channels in a Physical Activity Intervention for Senior Women in the US.

Author

Mendoza-Vasconez, Andrea S., King, Abby C., Chandler, Gabriel, Mackey, Sally, Follis, Shawna, and Stefanick, Marcia L.

Subjects
*PHYSICAL activity, *PHYSICAL mobility, *WOMEN'S health, *AMERICAN women, *REGRESSION analysis
Abstract

Purpose: Identify the effects of engagement with different intervention delivery channels on physical activity (PA), and the participant subgroups engaging with the different channels, among Women's Health Initiative Strong and Healthy (WHISH) PA trial participants. Design: Secondary analysis of data from WHISH, a pragmatic trial that used passive randomized consent. Setting: United States (remote intervention in all 50 states). Sample: 18,080 U.S. women, aged 68-99 years, assigned to the WHISH PA intervention arm. Measures: 6 dichotomous variables operationalized engagement: Engagement with Targeted Inserts, Email (opened), Email (clicked links), Website (logging in), Website (tracking), Interactive Voice Response (IVR). PA was measured using the CHAMPS PA questionnaire. Analysis: Linear regressions evaluated effects of engagement on PA. Conditional Inference Trees identified subgroups of participants engaging with different channels based on demographic and psychosocial variables. Results: Engagement with each channel, except IVR, was associated with significantly more hours/week of PA (square root coefficients.29 -.13, P values <.001). Consistently across channels, features that identified subgroups of participants with higher engagement included younger age, and higher levels of PA and physical function. Subgroups with the highest engagement differed from those with the lowest in most participant characteristics. Conclusions: For equitable population-level impact via large-scale remotely-delivered PA programs, it may be necessary to identify strategies to engage and target harder to reach subgroups more precisely. Clinical Trial Registration: The WHISH trial is registered at ClinicalTrials.gov (No. NCT02425345). [ABSTRACT FROM AUTHOR]

Published
2024
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19. Engaging Nigerian Older Persons in Neighborhood Environment Assessment for Physical Activity Participation: A Citizen Science Project.

Author

Odeyemi, Emmanuel, Chesser, Stephanie, King, Abby C, and Porter, Michelle M

Abstract

Background and Objectives Global organizations are advocating that older persons' voices should guide communities in age-friendly design. An important aspect of age friendliness to enable daily function and health is ensuring that physical activity can occur, regardless of age, within local neighborhoods. Research Design and Methods This study used a specific citizen science approach, Our Voice , to engage a sample (N = 13) of older adults (60 or older) in Festac Town, Nigeria. The citizen scientists' roles were to assess and identify how different aspects of the neighborhood environment act as supports or barriers to their physical activity participation. They were individually enabled using a tablet-based mobile application called the Stanford Healthy Neighborhood Discovery Tool to record a total of 156 geocoded photos and 151 commentaries of neighborhood environmental features that facilitate or hinder physical activity in and around their neighborhoods. In a guided process, the following occurred: collaborative discussions of findings with other citizen scientists to determine common targets, setting of priority targets for change, and brainstorming strategies and solutions. Results Facilitators of physical activity included: pedestrian and traffic facilities (e.g. traffic lights, walkways); green areas and parks; multigenerational community features (e.g. programs/facilities); opportunities for social connection (e.g. neighborhood associations, churches); safety of destinations and services; and public toilets. Barriers to physical activity included: hazardous walkways/traffic; noise pollution; refuse, selling of public parks; crime (e.g. kidnapping, criminal hideouts); no safe drinking water; and ageism. The priorities for changes were social connectivity; improved pedestrian and traffic facilities; and green and beautiful environments. Discussion and Implications In this study, both physical and social aspects of the environment were deemed important for older Nigerians to enable physical activity in their local community. This approach has a promise for age-friendly initiatives seeking local changes by meaningfully engaging older adults. [ABSTRACT FROM AUTHOR]

Published
2024
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22. Community-driven citizen science approach to explore cardiovascular disease risk perception, and develop prevention advocacy strategies in sub-Saharan Africa: a programme protocol

Author

Okop, Kufre Joseph, Murphy, Kathy, Lambert, Estelle Victoria, Kedir, Kiya, Getachew, Hailemichael, Howe, Rawleigh, Niyibizi, Jean Berchmans, Ntawuyirushintege, Selemani, Bavuma, Charlotte, Rulisa, Stephen, Kasenda, Stephen, Chipeta, Effie, Bunn, Christopher, Crampin, Amelia C., Chapotera, Gertrude, King, Abby C., Banchoff, Ann, Winter, Sandra J., and Levitt, Naomi S.

Published
2021
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24. The effect of digital physical activity interventions on daily step count: a randomised controlled crossover substudy of the MyHeart Counts Cardiovascular Health Study

Author

Shcherbina, Anna, Hershman, Steven G, Lazzeroni, Laura, King, Abby C, O'Sullivan, Jack W, Hekler, Eric, Moayedi, Yasbanoo, Pavlovic, Aleksandra, Waggott, Daryl, Sharma, Abhinav, Yeung, Alan, Christle, Jeffrey W, Wheeler, Matthew T, McConnell, Michael V, Harrington, Robert A, and Ashley, Euan A

Published
2019
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26. The selection of comparators for randomized controlled trials of health-related behavioral interventions: recommendations of an NIH expert panel

Author

Freedland, Kenneth E., King, Abby C., Ambrosius, Walter T., Mayo-Wilson, Evan, Mohr, David C., Czajkowski, Susan M., Thabane, Lehana, Collins, Linda M., Rebok, George W., Treweek, Shaun P., Cook, Thomas D., Edinger, Jack D., Stoney, Catherine M., Campo, Rebecca A., Young-Hyman, Deborah, and Riley, William T.

Published
2019
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29. Determining who responds better to a computer- vs. human-delivered physical activity intervention: results from the community health advice by telephone (CHAT) trial

Author

Hekler, Eric B, Buman, Matthew P, Otten, Jennifer, Castro, Cynthia M, Grieco, Lauren, Marcus, Bess, Friedman, Robert H, Napolitano, Melissa A, and King, Abby C

Abstract

Abstract Background Little research has explored who responds better to an automated vs. human advisor for health behaviors in general, and for physical activity (PA) promotion in particular. The purpose of this study was to explore baseline factors (i.e., demographics, motivation, interpersonal style, and external resources) that moderate intervention efficacy delivered by either a human or automated advisor. Methods Data were from the CHAT Trial, a 12-month randomized controlled trial to increase PA among underactive older adults (full trial N = 218) via a human advisor or automated interactive voice response advisor. Trial results indicated significant increases in PA in both interventions by 12 months that were maintained at 18-months. Regression was used to explore moderation of the two interventions. Results Results indicated amotivation (i.e., lack of intent in PA) moderated 12-month PA (d = 0.55, p  0.12). Conclusions Results provide preliminary evidence for generating hypotheses about pathways for supporting later clinical decision-making with regard to the use of either human- vs. computer-delivered interventions for PA promotion.

Published
2013

32. Outdoor physical activity and self rated health in older adults living in two regions of the U.S.

Author

Kerr, Jacqueline, Sallis, James F, Saelens, Brian E, Cain, Kelli L, Conway, Terry L, Frank, Lawrence D, and King, Abby C

Abstract

AbstractBackgroundOlder adults spend little time outdoors and many are physically inactive. The relationship between outdoor physical activity and self rated health has not been studied in older adults. This paper aimed to assess the relation of location of physical activity to self rated health and physical activity minutes. This was an observational study of ambulatory adults 66 years and older conducted in 2005–2008. Participants (N = 754) completed survey measures of physical activity location and self rated health, and wore an accelerometer to objectively assess physical activity. A mixed model linear regression procedure adjusted for neighborhood clustering effects. Differences in self rated health and physical activity minutes were compared across three physical activity settings (indoor only, outdoor only, both indoor and outdoor).ResultsMinutes of moderate to vigorous physical activity were significantly greater in those who were physically active at least once a week outdoors compared with those who were physically active indoors only. Self rated health was significantly related to being physically active but did not vary by location of activity.ConclusionsOlder adults who were physically active outdoors accumulated significantly more physical activity, but self-rated health was not significantly greater than those being physically active indoors.

Published
2012

34. Dynapenia and Metabolic Health in Obese and Nonobese Adults Aged 70 Years and Older: The LIFE Study

Author

Gill, Thomas, Fragoso, Carlos, Fielding, Roger, Hauser, Michelle E., Pahor, Marco, Guralnik, Jack M., Leeuwenburgh, Christiaan, Caudle, Connie, Crump, Lauren, Holmes, Latonia, Lee, Jocelyn, Lu, Ching-ju, Miller, Michael E., Espeland, Mark A., Ambrosius, Walter T., Applegate, William, Beavers, Daniel P., Byington, Robert P., Cook, Delilah, Furberg, Curt D., Harvin, Lea N., Henkin, Leora, Hepler, Med John, Hsu, Fang-Chi, Lovato, Laura, Roberson, Wesley, Rushing, Julia, Rushing, Scott, Stowe, Cynthia L., Walkup, Michael P., Hire, Don, Rejeski, W. Jack, Katula, Jeffrey A., Brubaker, Peter H., Mihalko, Shannon L., Jennings, Janine M., Hadley, Evan C., Romashkan, Sergei, Patel, Kushang V., Bonds, Denise, McDermott, Mary M., Spring, Bonnie, Hauser, Joshua, Kerwin, Diana, Domanchuk, Kathryn, Graff, Rex, Rego, Alvito, Church, Timothy S., Blair, Steven N., Myers, Valerie H., Monce, Ron, Britt, Nathan E., Harris, Melissa Nauta, McGucken, Ami Parks, Rodarte, Ruben, Millet, Heidi K., Tudor-Locke, Catrine, Butitta, Ben P., Donatto, Sheletta G., Cocreham, Shannon H., King, Abby C., Castro, Cynthia M., Haskell, William L., Stafford, Randall S., Pruitt, Leslie A., Berra, Kathy, Yank, Veronica, Fielding, Roger A., Nelson, Miriam E., Folta, Sara C., Phillips, Edward M., Liu, Christine K., McDavitt, Erica C., Reid, Kieran F., Kirn, Dylan R., Pasha, Evan P., Kim, Won S., Beard, Vince E., Tsiroyannis, Eleni X., Hau, Cynthia, Manini, Todd M., Anton, Stephen D., Nayfield, Susan, Buford, Thomas W., Marsiske, Michael, Sandesara, Bhanuprasad D., Knaggs, Jeffrey D., Lorow, Megan S., Marena, William C., Korytov, Irina, Morris, Holly L., Fitch, Margo, Singletary, Floris F., Causer, Jackie, Radcliff, Katie A., Newman, Anne B., Studenski, Stephanie A., Goodpaster, Bret H., Glynn, Nancy W., Lopez, Oscar, Nadkarni, Neelesh K., Williams, Kathy, Newman, Mark A., Grove, George, Bonk, Janet T., Rush, Jennifer, Kost, Piera, Ives, Diane G., Kritchevsky, Stephen B., Marsh, Anthony P., Brinkley, Tina E., Demons, Jamehl S., Sink, Kaycee M., Kennedy, Kimberly, Shertzer-Skinner, Rachel, Wrights, Abbie, Fries, Rose, Barr, Deborah, Gill, Thomas M., Axtell, Robert S., Kashaf, Susan S., de Rekeneire, Nathalie, McGloin, Joanne M., Wu, Karen C., Shepard, Denise M., Fennelly, Barbara, Iannone, Lynne P., Mautner, Raeleen, Barnett, Theresa Sweeney, Halpin, Sean N., Brennan, Matthew J., Bugaj, Julie A., Zenoni, Maria A., Mignosa, Bridget M., Williamson, Jeff, Hendrie, Hugh C., Rapp, Stephen R., Verghese, Joe, Woolard, Nancy, Espeland, Mark, Jennings, Janine, Wilson, Valerie K., Pepine, Carl J., Ariet, Mario, Handberg, Eileen, Deluca, Daniel, Hill, James, Szady, Anita, Chupp, Geoffrey L., Flynn, Gail M., Hankinson, John L., Vaz Fragoso, Carlos A., Groessl, Erik J., Kaplan, Robert M., Aubertin-Leheudre, Mylène, Anton, Stephen, Newman, Ann, Church, Tim, Conroy, David, and Botoseneanu, Anda

Published
2017
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47. Engaging diverse midlife and older adults in a multilevel participatory physical activity intervention: evaluating impacts using Ripple Effects Mapping.

Author

Espinosa, Patricia Rodriguez, King, Abby C, Blanco-Velazquez, Isela, Banchoff, Ann W, Campero, Maria Ines, Chen, Wei-ting, and Rosas, Lisa G

Abstract

Multilevel interventions are increasingly recommended to increase physical activity (PA) but can present evaluation challenges. Participatory qualitative evaluation methods can complement standard quantitative methods by identifying participant-centered outcomes and potential mechanisms of individual and community-level change. We assessed the feasibility and utility of Ripple Effects Mapping (REM), a novel qualitative method, within the context of a multi-level cluster randomized trial, Steps for Change. Housing sites with ethnically diverse, low-income aging adults were randomized to a PA behavioral intervention alone or in combination with a citizen science-based intervention (Our Voice) for promoting PA-supportive neighborhoods. Four REM sessions were conducted after 12 months of intervention and involved six housing sites (n = 35 participants) stratified by intervention arm. Interviews (n = 5) were also conducted with housing site staff. Sessions leaders engaged participants in visually mapping intended and unintended outcomes of intervention participation and participant-driven solutions to reported challenges. Maps were analyzed using Excel and Xmind 8 Pro and data were classified according to the socio-ecological model. Eight themes were identified for outcomes, challenges, and solutions. Most themes (6/8) were similar across intervention arms, including increasing PA and PA tracking, improving health outcomes, and increasing social connectedness. Groups (n = 2) engaged in Our Voice additionally identified increased community knowledge and activities directly impacting local environmental change (e.g. pedestrian infrastructure changes). Housing staff interviews revealed additional information to enhance future intervention recruitment, sustainability, and implementation. Such qualitative methodologies can aid in evaluating multi-level, multi-component interventions and inform future intervention optimization, implementation, and dissemination. [ABSTRACT FROM AUTHOR]

Published
2023
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