Outcomes of a home-based walking program for African-American women

Jo Ellen Wilbur, Judith H. McDevitt, Edward Wang, Barbara L. Dancy, Arlene M. Miller, Joan Briller, Diana L.M. Ingram, Terry L. Nicola, Su Kyung Ju, Hyeonkyeong Lee

Research output: Contribution to journalArticle

37 Citations (Scopus)

Abstract

Purpose. As compared with minimal treatment (MT), to determine the effectiveness of a home-based walking intervention enhanced by behavioral strategies targeted and tailored to African-American women (enhanced treatment [ET]) on adherence, physical activity, fitness, and body composition at 24 and 48 weeks. Design. Using a quasi-experimental design, treatments were randomly assigned to one of two community health centers. Setting. The centers were in predominately African-American communities. Participants. Sedentary women (156ET, 125 MT) 40 to 65 years were recruited within a 3-mile radius of each center. Intervention. Both treatments had the same orientation. The ET group had four targeted workshops followed by weekly tailored telephone calls over 24 weeks. Methods. Generalized linear mixed modeh were used to test effects of treatments on adherence, physical activity, aerobic fitness, and body composition. Results. Adherence was significantly higher in the ET than the MT group and was related to the number of workshops attended (r = .58) and tailored calls (r = .25) received. On-treatment analysis showed significant postintervention improvement in waist circumference and fitness in the ET group; however, these improvements were not statistically different between the two groups. Intent to treat analysis showed a significant increase in fitness, decrease in waist circumference, and no change in body mass index in both treatments. Conclusion. Findings suggest the potential impact of workshop group support on adherence in African-American women.

Original languageEnglish
Pages (from-to)307-317
Number of pages11
JournalAmerican Journal of Health Promotion
Volume22
Issue number5
DOIs
Publication statusPublished - 2008 Jan 1

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African Americans
Walking
fitness
Group
Therapeutics
Waist Circumference
community
telephone
Body Composition
Education
American
Exercise
Community Health Centers
health
Physical Fitness
Telephone
Body Mass Index
Research Design

All Science Journal Classification (ASJC) codes

  • Health(social science)
  • Public Health, Environmental and Occupational Health

Cite this

Wilbur, J. E., McDevitt, J. H., Wang, E., Dancy, B. L., Miller, A. M., Briller, J., ... Lee, H. (2008). Outcomes of a home-based walking program for African-American women. American Journal of Health Promotion, 22(5), 307-317. https://doi.org/10.4278/ajhp.22.5.307
Wilbur, Jo Ellen ; McDevitt, Judith H. ; Wang, Edward ; Dancy, Barbara L. ; Miller, Arlene M. ; Briller, Joan ; Ingram, Diana L.M. ; Nicola, Terry L. ; Ju, Su Kyung ; Lee, Hyeonkyeong. / Outcomes of a home-based walking program for African-American women. In: American Journal of Health Promotion. 2008 ; Vol. 22, No. 5. pp. 307-317.
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Wilbur, JE, McDevitt, JH, Wang, E, Dancy, BL, Miller, AM, Briller, J, Ingram, DLM, Nicola, TL, Ju, SK & Lee, H 2008, 'Outcomes of a home-based walking program for African-American women', American Journal of Health Promotion, vol. 22, no. 5, pp. 307-317. https://doi.org/10.4278/ajhp.22.5.307

Outcomes of a home-based walking program for African-American women. / Wilbur, Jo Ellen; McDevitt, Judith H.; Wang, Edward; Dancy, Barbara L.; Miller, Arlene M.; Briller, Joan; Ingram, Diana L.M.; Nicola, Terry L.; Ju, Su Kyung; Lee, Hyeonkyeong.

In: American Journal of Health Promotion, Vol. 22, No. 5, 01.01.2008, p. 307-317.

Research output: Contribution to journalArticle

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Wilbur JE, McDevitt JH, Wang E, Dancy BL, Miller AM, Briller J et al. Outcomes of a home-based walking program for African-American women. American Journal of Health Promotion. 2008 Jan 1;22(5):307-317. https://doi.org/10.4278/ajhp.22.5.307