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

Journal Article (Journal Article)

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 (156 ET, 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 models 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.

Full Text

Duke Authors

Cited Authors

  • Wilbur, J; McDevitt, JH; Wang, E; Dancy, BL; Miller, AM; Briller, J; Ingram, DLM; Nicola, TL; Ju, S; Lee, H

Published Date

  • May 2008

Published In

Volume / Issue

  • 22 / 5

Start / End Page

  • 307 - 317

PubMed ID

  • 18517090

International Standard Serial Number (ISSN)

  • 0890-1171

Digital Object Identifier (DOI)

  • 10.4278/ajhp.22.5.307


  • eng

Conference Location

  • United States