Health is Power: An Ecological Theory-based Health Intervention for Women of Color
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 410
- 主要终点
- Change in Physical Activity as measured by accelerometry and the International Physical Activity Questionnaire (IPAQ)
研究概览
简要总结
Health Is Power (HIP) was a community based health intervention designed to increase physical activity among women of color. It was funded by a grant from the National Cancer Institute of the National Institutes of Health. The purposes of the study were (1) to determine whether a 6 month, group cohesion intervention is more effective for increasing physical activity compared to a 6 month, group cohesion comparison targeting improving dietary habits (2) to determine whether residence in a neighborhood supportive for physical activity helped women maintain their physical activity from 6 to , and (3) to determine whether this effect was transculturally replicable.
详细描述
Objective Physical inactivity and poor dietary habits plague Americans as health challenges, with women of color most vulnerable to their detrimental effects. Individually focused interventions have not demonstrated lasting success, possibly due to the lack of focus on sustainable social and physical environment factors. Health Is Power (HIP) was a transcultural, community based, randomized controlled trial that investigated the effectiveness of a group cohesion intervention to increase physical activity in African American and Hispanic or Latina women in Houston and Austin, Texas and then tested whether women living in more supportive areas maintained their physical activity over time. Intervention development was guided by group dynamics principles anchored within an ecologic model. Women participated in three health assessments and a six month face to face intervention that included evidence-based behavioral methods - integrated into strategies to promote group cohesion - framed to account for environmental factors contributing to health disparities. Women participated in team building activities, environmental mapping exercises, and supervised walks or taste tests. Neighborhood contextual and environmental measures were measured to test ecologic factors that may contribute to behavioral maintenance.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 26 Years 至 60 Years（Adult）
- 性别
- Female
- 接受健康志愿者
- 是
入选标准
- •African American or Hispanic/ Latina
- •Between the ages of 25 and 60 years old
- •Able to read, speak, and write in English or Spanish
- •Not pregnant or planning to become pregnant within the next 12 months
- •Resident of Harris or Travis County, Texas
- •Not planning on moving in the next 12 months
- •Physically inactive or did not do more than 30 min of physical activity per day on 3 or more days per week
- •No history of medical illness or currently taking medication (could have medical waiver from physician if did not meet this)
- •Willing to be randomized to either a physical activity group or a vegetable and fruit group
- •Available between 5:30 and 8:00 PM on meeting dates.
排除标准
- 未提供
研究组 & 干预措施
Fruit and Vegetable
Women completed a fruit and vegetable group cohesion intervention which involved six content intensive intervention sessions over a 24 week period that focused on specific group dynamics team building strategies to increase fruit and vegetable consumption. A small team structure was used for peer problem solving and support throughout. Teams were given weekly fruit and vegetable consumption goals at each session, with slowly increasing weekly servings milestones to gradually meet recommended amounts of fruit and vegetable consumption. Sessions included brief instructions, team-based activities, and discussion with the entire group lead by a trained health educator. The intervention sessions ended with the health educator leading the teams in a fruit and vegetable taste test.
干预措施: Group Cohesion (Behavioral)
Physical Activity
Women completed a physical activity group cohesion intervention which included six content intensive intervention sessions over a 24 week period that focused on specific group dynamics team building strategies to increase physical activity. A small team structure was used for peer problem solving and support throughout the intervention. Teams were given weekly physical activity goals, with slowly increasing weekly minutes milestones to gradually meet recommended amounts of physical activity. Sessions included brief instructions, team-based activities, and discussion with the entire group lead by a trained health educator. The intervention sessions ended with the health educator leading the teams in a brisk 15-minute walk.
干预措施: Group Cohesion (Behavioral)
结局指标
主要结局
Change in Physical Activity as measured by accelerometry and the International Physical Activity Questionnaire (IPAQ)
时间窗: 6 months
women were measured at baseline and 6 month
Maintenance in Physical Activity as measured by accelerometry and the International Physical Activity Questionnaire (IPAQ)
时间窗: 6 months
women were measured at 6 months and 12 months
次要结局
未报告次要终点
研究者
Rebecca Lee
Full Professor
Arizona State University