A Culturally Adapted Physical Activity Intervention for Latinas: a Randomized Controlled Trial

Overview

Journal Am J Prev Med

Specialty Public Health

Date 2009 Dec 1

PMID 19944914

Citations 69

Authors

Dorothy W Pekmezi

Charles J Neighbors

Christina S Lee

Kim M Gans

Beth C Bock

Kathleen M Morrow

Becky Marquez

Shira Dunsiger

Bess H Marcus

Affiliations

Soon will be listed here.

Abstract

Background: In the U.S., Latinos report particularly high levels of inactivity and related chronic illnesses and are in need of intervention. Thus, the purpose of the current study was to culturally and linguistically adapt an empirically supported, individually tailored physical activity print intervention for Latinos and then conduct an RCT of the modified program.

Design: An RCT was conducted.

Setting/participants: The sample included 93 overweight/obese (80%) Latinas with low income and acculturation.

Intervention: Data were collected in 2007-2008 and analyzed by intent-to-treat in 2009. Participants were randomly assigned to either (1) a culturally and linguistically adapted physical activity intervention (Seamos Activas) or (2) a wellness contact control condition.

Main Outcome Measures: Self-report physical activity, as measured pre- and post-intervention (6 months, 87% retention) by the 7-Day Physical Activity Recall.

Results: Moderate-intensity (or greater) physical activity increased from an average of 16.56 minutes/week (SD=25.76) at baseline to 147.27 (SD=241.55) at 6 months in the intervention arm (n=45), and from 11.88 minutes/week (SD=21.99) to 96.79 (SD=118.49) in the wellness contact control arm (n=48). No between-group differences were seen in overall physical activity. Intervention participants reported significantly greater increases in cognitive (F[1, 91]=9.53, p=0.003) and behavioral processes of change (F[1, 91]=8.37, p=0.005) and available physical activity supplies and equipment at home (F[1, 91]=4.17, p=0.04) than control participants.

Conclusions: Results supported the hypothesized feasibility, acceptability, and preliminary efficacy of individually tailored physical activity print interventions among Latinas. Although more research is needed to corroborate these findings, such high-reach, low-cost approaches have great potential to positively affect public health.

Trial Registration: NCT00724165.

Citing Articles

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Salinas J, Valenzuela R Int J Environ Res Public Health. 2024; 21(8).

PMID: 39200661 PMC: 11354848. DOI: 10.3390/ijerph21081051.

Six-Month Outcomes of a Theory- and Technology-Enhanced Physical Activity Intervention for Latina Women (Pasos Hacia La Salud II): Randomized Controlled Trial.

Bohlen L, Dunsiger S, von Ash T, Larsen B, Pekmezi D, Marquez B J Med Internet Res. 2024; 26:e51708.

PMID: 38842930 PMC: 11190618. DOI: 10.2196/51708.

Pasos Hacia La Salud II: A Superiority RCT Utilizing Technology to Promote Physical Activity in Latinas.

von Ash T, Dunsiger S, Williams D, Larsen B, Bohlen L, Pekmezi D Am J Prev Med. 2024; 67(2):220-230.

PMID: 38490284 PMC: 11869993. DOI: 10.1016/j.amepre.2024.03.006.

Body image and physical activity in Latinas.

Marquez B, Zhang X, Huang X, Mendoza-Vasconez A, Benitez T, Marcus B J Behav Med. 2024; 47(3):531-536.

PMID: 38393444 PMC: 11234904. DOI: 10.1007/s10865-024-00472-8.

Active Moms: a feasibility study of a community-based and home-based physical activity intervention for low-income, ethnic-minority mothers.

Arevalo W, Caicedo B, Urizar Jr G, Schroeder J Pilot Feasibility Stud. 2023; 9(1):187.

PMID: 37978576 PMC: 10655306. DOI: 10.1186/s40814-023-01378-z.

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