The authors declare that they have no competing interests.
RPJ conceived the study, participated in the design and coordination, performed data collection and analysis, and helped to draft the manuscript. CK participated in the design of the study and helped draft the manuscript. MAA participated in the design of the study, data analysis, and helped draft the manuscript. BEA participated in the design of the study, data analysis, and helped draft the manuscript. All authors read and approved the final manuscript.
African American women report insufficient physical activity and are disproportionally burdened by associated disease conditions; indicating the need for innovative approaches to promote physical activity in this underserved population. Social media platforms (i.e. Facebook) and text messaging represent potential mediums to promote physical activity. This paper reports the results of a randomized pilot trial evaluating a theory-based (Social Cognitive Theory) multi-component intervention using Facebook and text-messages to promote physical activity among African American women.
Participants (N = 29) were randomly assigned to receive one of two multi-component physical activity interventions over 8 weeks: a culturally-relevant, Social Cognitive Theory-based, intervention delivered by Facebook and text message (FI) (n = 14), or a non-culturally tailored print-based intervention (PI) (n = 15) consisting of promotion brochures mailed to their home. The primary outcome of physical activity was assessed by ActiGraph GT3X+ accelerometers. Secondary outcomes included self-reported physical activity, physical activity-related psychosocial variables, and participant satisfaction.
All randomized participants (N = 29) completed the study. Accelerometer measured physical activity showed that FI participants decreased sedentary time (FI = −74 minutes/week vs. PI = +118 minute/week) and increased light intensity (FI = +95 minutes/week vs. PI = +59 minutes/week) and moderate-lifestyle intensity physical activity (FI = + 27 minutes/week vs. PI = −34 minutes/week) in comparison to PI participants (all P’s < .05). No between group differences for accelerometer measured moderate-to-vigorous intensity physical activity were observed (P > .05). Results of secondary outcomes showed that in comparison to the PI, FI participants self-reported greater increases in moderate-to-vigorous physical activity (FI = +62 minutes/week vs. PI = +6 minutes/week; P = .015) and had greater enhancements in self-regulation for physical activity (P < .001) and social support from family for physical activity (P = .044). Satisfaction with the FI was also high: 100% reported physical activity-related knowledge gains and 100% would recommend the program to a friend.
A culturally-relevant Facebook and text message delivered physical activity program was associated with several positive outcomes, including decreased sedentary behavior, increased light- and moderate-lifestyle intensity physical activity, enhanced psychosocial outcomes, and high participant satisfaction. Future studies with larger samples are warranted to further explore the efficacy of technology-based approaches to promote physical activity among African American women.
ClinicalTrials.gov NCT02372565. Registered 25 February 2015.
Centers for Disease Control and Prevention. U.S. Physical Activity Statistics. 2010 [ http://www.cdc.gov/physicalactivity/data/index.html]
U.S. Cancer Statistics Working Group: United States Cancer Statistics. 1999–2007 Incidence and Mortality Web-Based Report. In: United States Cancer Statistics. Atlanta, GA: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention and National Cancer Institute; 2010.
Smith A. Smartphone ownership- 2013 update [ http://pewinternet.org/Reports/2013/Smartphone-Ownership-2013.aspx]
Lenhart A. Cell phones and American adults [ http://pewinternet.org/Reports/2010/cell-phones-and-american-adults.aspx]
Duggan M, Brenner J. Demographics of social media users- 2012 [ http://pewinternet.org/Reports/2013/Social-media-users.aspx]
Duggan M. Cell phone activities 2013 [ http://pewinternet.org/Reports/2013/cell-activities.aspx]
Joseph RP, Pekmezi D, Dutton GR, Cherrington AL, Kim Y Allison JJ, Durant NH. Results of a culturally adapted Internet-enhanced physical activity pilot intervention for overweight and obese young adult African American women. J Transcult Nurs 2014, doi:10.1177/1043659614539176.
Joseph RP, Pekmezi DW, Lewis T, Dutton G, Turner LW, Durant NH. Physical activity and social cognitive theory outcomes of an internet-enhanced physical activity intervention for African American female college students. J Health Dispar Res Pract. 2013;6(2):18.
Pagan J, Joseph R, Kim Y, Allison J, Cherrington A, Durant NH. FIT HARRT plus: a study of participant informed text messages to promote physical activity in adolescent and young adult African american women [abstract]. J Adolescent Health. 2014;54(2):S45. CrossRef
Laranjo L, Arguel A, Neves AL, Gallagher AM, Kaplan R, Mortimer N et al. The influence of social networking sites on health behavior change: a systematic review and meta-analysis. J Am Med Inform Assoc 2014, doi:10.1136/amiajnl-2014-002841
Herring SJ, Cruice JF, Bennett GG, Davey A, Foster GD. Using technology to promote postpartum weight loss in urban, low-income mothers: a pilot randomized controlled trial. J Nutr Educ Behav 2014, doi:10.1016/j.jneb.2014.06.002
Bandura A. Social foundations of thought and action: a social cognitive framework. Prentice Hall: Englewood Cliffs, NJ; 1986.
Marcus BH, Dubbert PM, Sallis JF, King AC, Yancey AK, Franklin BA, et al. Physical activity intervention studies: what we know and what we need to know: a scientific statement from the American Heart Association Council on Nutrition, Physical Activity, and Metabolism (Subcommittee on Physical Activity); Council on Cardiovascular Disease in the Young; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research. Circulation. 2006;114:2739–52. PubMedCrossRef
Joseph RP, Ainsworth BE, Keller C, Dodgson JE. Barriers to physical activity among African American women: an integrative review of the literature. Women Health, in press.
U.S. Department of Health and Human Services. 2008 Physical Activity Guidelines for Americans. Hyattsville, MD: US Department of Health and Human Services; 2008.
Durant NH, Joseph RP, Cherrington A, Cuffee Y, Knight B, Lewis Jr D, et al. Recommendations for a culturally relevant internet-based tool to promote physical activity among overweight young African American women, Alabama, 2010–2011. Prev Chronic Dis. 2014;130169:1–11.
Fleury J, Lee SM. The social ecological model and physical activity in African American women. Am J Community Psychol. 2006;37(1–2):129–40. PubMed
Resnicow K, Baranowski T, Ahluwalia JS, Braithwaite RL. Cultural sensitivity in public health: defined and demystified. Ethn Dis. 1999;9(1):10–21. PubMed
Adams M, Sallis J, Norman G, Hovell M, Keckler E, Perata E. An adaptive physical activity intervention for overweight adults: a randomized controlled trial. PLoS One. 2013;8(12):11. CrossRef
American Heart Association. Commit To Be Fit. Lithographed in Canada: Krames StayWell; 2010.
American Heart Association. My Personal Health Tracker. USA: Krames StayWell; 2012.
American Heart Association. Just Move! USA: Krames StayWell; 2013.
American Heart Association. Walking for a Healthy Heart. USA: Krames StayWell; 2013.
Sallis JF, Pinski RB, Grossman RM, Patterson TL, Nader PR. The development of self-efficacy scales for health-related diet and exercise behaviors. Health Educ Res. 1988;3(3):283–92. CrossRef
Anderson ES, Winett RA, Wojcik JR, Williams DM. Social cognitive mediators of change in a group randomized nutrition and physical activity intervention: social support, self-efficacy, outcome expectations and self-regulation in the guide-to-health trial. J Health Psychol. 2010;15(1):21–32. PubMedCrossRef
Anderson ES, Wojcik JR, Winett RA, Williams DM. Social-cognitive determinants of physical activity: the influence of social support, self-efficacy, outcome expectations, and self-regulation among participants in a church-based health promotion study. Health Psychol. 2006;25(4):510–20. PubMedCrossRef
Pekmezi D, Dunsiger S, Gans K, Bock B, Gaskins R, Marquez B, et al. Rationale, design, and baseline findings from Seamos Saludables: a randomized controlled trial testing the efficacy of a culturally and linguistically adapted, computer- tailored physical activity intervention for Latinas. Contemp Clin Trials. 2012;33(6):1261–71. PubMedPubMedCentralCrossRef
Pekmezi D, Marcus B, Meneses K, Baskin ML, Ard JD, Martin MY, et al. Developing an intervention to address physical activity barriers for African-American women in the deep south (USA). Womens Health. 2013;9(3):301–12.
Resnicow K, Soler R, Braithwaite RL, Ahluwalia JS, Butler J. Cultural sensitivity in substance use prevention. J Community Psychol. 2000;28(3):271–90. CrossRef
Resnicow K, Braithwaite R, Dilorio C, Glanz K. Applying theory to culturally diverse and unique populations. In: Glanz K, Lewis F, Rimer B, editors. Health Behavior and Health Education: Theory, Research and Practice. San Francisco, CA: Jossey-Bass; 2002. p. 485–509.
- Print versus a culturally-relevant Facebook and text message delivered intervention to promote physical activity in African American women: a randomized pilot trial
Rodney P Joseph
Marc A Adams
Barbara E Ainsworth
- BioMed Central
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