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
{"title":"Intervening to reduce sedentary behavior among African American elders: the \"Stand Up and Move More\" intervention.","authors":"Brianna N Leitzelar, Neda E Almassi, Susan J Andreae, Rachelle Winkle-Wagner, Lisa Cadmus-Bertram, Luis Columna, Kevin M Crombie, Kelli F Koltyn","doi":"10.34172/hpp.42548","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>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.</p><p><strong>Methods: </strong>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 <i>g</i> effect size calculations [small (<i>g</i>=0.20 to 0.49), moderate (<i>g</i>=0.50 to 0.79), large (<i>g</i>>0.80)].</p><p><strong>Results: </strong>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' <i>g</i> revealed negligible to small changes in sedentary behavior (<i>g</i><0.50) following SUMM. There were moderate to large improvements in function (<i>g</i>=0.51-0.82) and quality of life (<i>g</i>=0.54-1.07) from wk0 to wk4 in study 1; and moderate to large improvements in function (<i>g</i>=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 <i>g</i>=0.54) in the SUMM group only.</p><p><strong>Conclusion: </strong>Given its feasibility, safety, and acceptability, SUMM may be a promising intervention to improve functioning and well-being among African American elders.</p>","PeriodicalId":46588,"journal":{"name":"Health Promotion Perspectives","volume":"14 2","pages":"148-160"},"PeriodicalIF":2.4000,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11403339/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Health Promotion Perspectives","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.34172/hpp.42548","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q2","JCRName":"PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH","Score":null,"Total":0}
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。
求助全文
约1分钟内获得全文 求助全文
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
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信