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Rationale and design of Smart Walk: A randomized controlled pilot trial of a smartphone-delivered physical activity and cardiometabolic risk reduction intervention for African American women
Institution:1. Center for Health Promotion and Disease Prevention, College of Nursing and Health Innovation, Arizona State University, 500 N 3rd St, Phoenix, AZ 85004, USA;2. College of Health Solutions, Arizona State University, 550 N 3rd St, Phoenix, AZ 85004, USA;3. College of Health Solutions and Southwest Interdisciplinary Research Center, Arizona State University, 550 N 3rd St, Phoenix, AZ 85004, USA;4. College of Health and Human Services, San Diego State University, 5500 Campanile Drive, San Diego, CA 92182, USA;5. College of Nursing and Health Innovation, Arizona State University, 500 N 3rd St, Phoenix, AZ 85004, USA;1. Department of Medical Research, Bærum Hospital, Vestre Viken Hospital Trust, Norway;2. Department of Cardiology, Oslo University Hospital Rikshospitalet, Oslo, Norway;3. K.G. Jebsen Cardiac Research Centre and Center for Heart Failure Research, Faculty of Medicine, University of Oslo, Oslo, Norway;4. Department of Endocrinology, Morbid Obesity, and Preventive Medicine, Oslo University Hospital Aker, Oslo, Norway;5. Unit of Biostatistics and Epidemiology, Oslo University Hospital, Oslo, Norway;1. Center for Clinical Management Research Ann Arbor VA, HSR&D, Ann Arbor, MI, United States;2. Department of Internal Medicine, University of Michigan School of Medicine, Ann Arbor, MI, United States;3. John D. Dingell VA Medical Center, Detroit, MI, United States
Abstract:BackgroundAfrican American (AA) women perform low levels of physical activity (PA) and are disproportionally burdened by cardiometabolic disease conditions when compared to White women and the U.S. population as a whole. These disparities emphasize the need for innovative and effective interventions to increase PA and reduce cardiometabolic disease risk among AA women. Recent evidence suggests that mobile health (mHealth) interventions have the potential to increase PA and reduce cardiometabolic disease risk factors. Few studies have examined the efficacy of mHealth PA interventions among racial/ethnic minorities, including AA women. This represents a missed opportunity given the reported success of technology-delivered PA interventions in predominately White populations and the high use of technology among AA women.ObjectiveTo describe the design, theoretical rationale, and cultural relevance of Smart Walk, a culturally sensitive smartphone-delivered PA intervention for AA women.Design and methodsSmart Walk is an 8-month, randomized controlled pilot trial designed to increase PA and reduce cardiometabolic disease risk among AA women. Sixty physically inactive AA women with obesity will be assigned to receive either a culturally relevant intervention designed to increase PA (by targeting leisure-time, household chore/task-related, and occupational PA) or a culturally relevant wellness attention-matched control condition. Outcomes will be assessed at baseline, 4 months, and 8 months, and include feasibility and acceptability of the PA intervention and evaluation of effects on PA and cardiometabolic risk factors.SummarySmart Walk represents a culturally relevant, theory-based approach to promote PA and reduce cardiometabolic disease risk in AA women.
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