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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.
- Source :
-
Contemporary clinical trials [Contemp Clin Trials] 2019 Feb; Vol. 77, pp. 46-60. Date of Electronic Publication: 2018 Dec 18. - Publication Year :
- 2019
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Abstract
- 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.<br />Objective: To describe the design, theoretical rationale, and cultural relevance of Smart Walk, a culturally sensitive smartphone-delivered PA intervention for AA women.<br />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.<br />Summary: Smart Walk represents a culturally relevant, theory-based approach to promote PA and reduce cardiometabolic disease risk in AA women.<br /> (Copyright © 2018 Elsevier Inc. All rights reserved.)
- Subjects :
- Adult
Blood Glucose
Blood Pressure
Body Mass Index
Body Weights and Measures
Cardiorespiratory Fitness
Cardiovascular Diseases ethnology
Cultural Competency
Diabetes Mellitus, Type 2 ethnology
Female
Humans
Inflammation Mediators blood
Insulin Resistance physiology
Lipids blood
Middle Aged
Pilot Projects
Research Design
Telemedicine
Randomized Controlled Trials as Topic
Black or African American
Cardiovascular Diseases prevention & control
Diabetes Mellitus, Type 2 prevention & control
Exercise
Health Promotion organization & administration
Smartphone
Subjects
Details
- Language :
- English
- ISSN :
- 1559-2030
- Volume :
- 77
- Database :
- MEDLINE
- Journal :
- Contemporary clinical trials
- Publication Type :
- Academic Journal
- Accession number :
- 30576840
- Full Text :
- https://doi.org/10.1016/j.cct.2018.12.011