Intervening to reduce sedentary behavior among African American elders: the "Stand Up and Move More" intervention.

IF 2.4 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Health Promotion Perspectives Pub Date : 2024-07-29 eCollection Date: 2024-01-01 DOI:10.34172/hpp.42548
Brianna N Leitzelar, Neda E Almassi, Susan J Andreae, Rachelle Winkle-Wagner, Lisa Cadmus-Bertram, Luis Columna, Kevin M Crombie, Kelli F Koltyn
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引用次数: 0

Abstract

Background: Reducing sedentary behavior is a promising intervention target for improving health for older adults; however, few interventions include African American communities. The purpose of this research was to extend the reach of an effective sedentary behavior intervention to African American elders.

Methods: Two pilot studies assessed the feasibility (retention, adherence, and safety) and acceptability (participant and leader perspectives) of a 4-wk "Stand Up and Move More" (SUMM) intervention. Sedentary behavior (self-reported and monitor-derived), function (short physical performance battery), and quality of life (SF-36) were measured at baseline (wk0), postintervention (wk4), and follow up (wk12; study 1) to examine preliminary effectiveness of the intervention. Participants (N=26) attended SUMM or an attention-matched stress management intervention (study 2). The magnitude of treatment effects were determined using Hedge's g effect size calculations [small (g=0.20 to 0.49), moderate (g=0.50 to 0.79), large (g>0.80)].

Results: Retention and adherence rates ranged from 50%-100% and 80%-100%, respectively. There were no adverse events. Participants expressed high satisfaction, and the leader of the SUMM intervention indicated that the intervention content was beneficial. Hedges' g revealed negligible to small changes in sedentary behavior (g<0.50) following SUMM. There were moderate to large improvements in function (g=0.51-0.82) and quality of life (g=0.54-1.07) from wk0 to wk4 in study 1; and moderate to large improvements in function (g=0.51-0.88) from wk0 to wk4 in study 2. There was a moderate improvement in quality of life (SF-36 emotional role limitations g=0.54) in the SUMM group only.

Conclusion: Given its feasibility, safety, and acceptability, SUMM may be a promising intervention to improve functioning and well-being among African American elders.

减少非裔美国老人久坐不动行为的干预措施:"站起来,多走动 "干预措施。
背景:减少久坐行为是改善老年人健康状况的一个很有前景的干预目标;然而,很少有干预措施包括非裔美国人社区。本研究的目的是将有效的久坐行为干预措施推广到非裔美国老人:两项试点研究评估了为期 4 周的 "站起来,动起来"(SUMM)干预措施的可行性(保持率、坚持率和安全性)和可接受性(参与者和领导者的观点)。在基线(第 0 周)、干预后(第 4 周)和随访(第 12 周;研究 1)对久坐行为(自我报告和监测)、功能(短期体能表现电池)和生活质量(SF-36)进行了测量,以检查干预的初步效果。参与者(26 人)参加了 SUMM 或注意力匹配的压力管理干预(研究 2)。治疗效果的大小采用海杰效应大小计算法[小(g=0.20至0.49)、中(g=0.50至0.79)、大(g>0.80)]:保留率和坚持率分别为 50%-100%和 80%-100%。没有发生不良事件。参与者的满意度很高,SUMM 干预的领导者表示干预内容有益。赫奇斯 g 显示,在研究 1 中,从第 0 周到第 4 周,久坐行为(gg=0.51-0.82)和生活质量(gg=0.54-1.07)的变化微乎其微;在研究 2 中,从第 0 周到第 4 周,功能(gg=0.51-0.88)有中度到大幅改善。仅 SUMM 组的生活质量(SF-36 情感角色限制 g=0.54)有中度改善:鉴于其可行性、安全性和可接受性,SUMM 可能是一项很有前景的干预措施,可改善非裔美国老人的功能和福祉。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Health Promotion Perspectives
Health Promotion Perspectives PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
7.10
自引率
2.30%
发文量
27
审稿时长
13 weeks
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