African American women are at increased risk for cardiometabolic diseases ~ conditions for which risk is reduced by regular physical activity. Unfortunately, they are also one of the least physically active population subgroups. Community settings are attractive places to conduct physical activity interventions because they reach people in comfortable surroundings. No trial has investigated conducting a physical activity intervention in beauty salons that cater to African American women, although this is a setting in which women regularly visit and a place that reinforces core cultural values. This trial will test the effects of a 4- month, culturally-sensitive social ecological intervention emphasizing social support, conducted in beauty salons, for increasing moderate to vigorous physical activity level in African American women compared with a comparison condition. Moderate to vigorous physical activity, measured from Actigraph accelerometers worn over 7 consecutive days, will be assessed at baseline and post-intervention. Weight, blood pressure, and selected psychosocial mediators will also be assessed. Generally healthy participants between the ages of 18 and 60 years will be recruited from beauty salons and barbershops in which they frequent. 16 salons (25 women per salon) will be randomized into a physical activity intervention or comparison intervention. The intervention will be conducted in the salons and incorporate core cultural values of African American women. It will enhance social support, physical activity behavioral skills, and create a normative environment for physical activity within the salons. The comparison intervention will focus on life affirmation and personal growth through a book club. Results will be analyzed using 2-stage hierarchical linear modeling. The trial will determine if culturally grounded interventions, focusing on social support among existing social networks, delivered in salons, can increase physical activity in African American women. This study will contribute to the evidence base of third generation health disparities research by testing a culturally sensitive physical activity intervention delivered in a community setting.
It is critical to identify and rigorously test interventions for effectiveness in increasing physical activity among African American women, who are at disproportionate cardiometabolic risk. Community settings are feasible venues, but have been insufficiently evaluated using randomized, controlled trials. We will test a physical activity intervention set in beauty salons that, if effective, may be generalizable to other commmunities.
|Sterling, Kymberle L; Fryer, Craig S; Fagan, Pebbles (2016) The Most Natural Tobacco Used: A Qualitative Investigation of Young Adult Smokers' Risk Perceptions of Flavored Little Cigars and Cigarillos. Nicotine Tob Res 18:827-33|
|Chae, David H; Epel, Elissa S; Nuru-Jeter, Amani M et al. (2016) Discrimination, mental health, and leukocyte telomere length among African American men. Psychoneuroendocrinology 63:10-6|
|Chen, Jie; Mullins, C Daniel; Novak, Priscilla et al. (2016) Personalized Strategies to Activate and Empower Patients in Health Care and Reduce Health Disparities. Health Educ Behav 43:25-34|
|Passmore, Susan R; Fryer, Craig S; Butler, James et al. (2016) Building a "Deep Fund of Good Will": Reframing Research Engagement. J Health Care Poor Underserved 27:722-40|
|Fryer, Craig S; Passmore, Susan R; Maietta, Raymond C et al. (2016) The Symbolic Value and Limitations of Racial Concordance in Minority Research Engagement. Qual Health Res 26:830-41|
|Dagher, Rada K; Chen, Jie; Thomas, Stephen B (2015) Gender Differences in Mental Health Outcomes before, during, and after the Great Recession. PLoS One 10:e0124103|
|King, Christopher J; Chen, Jie; Dagher, Rada K et al. (2015) Decomposing differences in medical care access among cancer survivors by race and ethnicity. Am J Med Qual 30:459-69|
|Sterling, Kymberle L; Fryer, Craig S; Majeed, Ban et al. (2015) Promotion of waterpipe tobacco use, its variants and accessories in young adult newspapers: a content analysis of message portrayal. Health Educ Res 30:152-61|
|Everett, Brendan M; Brooks, Maria Mori; Vlachos, Helen E A et al. (2015) Troponin and Cardiac Events in Stable Ischemic Heart Disease and Diabetes. N Engl J Med 373:610-20|
|Quinn, Sandra Crouse; Hilyard, Karen; Castaneda-Angarita, Nestor et al. (2015) Public acceptance of peramivir during the 2009 H1N1 influenza pandemic: implications for other drugs or vaccines under emergency use authorizations. Disaster Med Public Health Prep 9:166-74|
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