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Promoting Physical Activity in a Spanish-Speaking Latina Population of Low Socioeconomic Status With Chronic Neurological Disorders: Proof-of-Concept Study.
Garbin, Alexander; Díaz, Jesús; Bui, Vy; Morrison, Janina; Fisher, Beth E; Palacios, Carina; Estrada-Darley, Ingrid; Haase, Danielle; Wing, David; Amezcua, Lilyana; Jakowec, Michael W; Kaplan, Charles; Petzinger, Giselle.
Afiliação
  • Garbin A; Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, United States.
  • Díaz J; Veterans Affairs Eastern Colorado Geriatric Research, Education, and Clinical Center, Veterans Affairs Eastern Colorado Health Care System, Aurora, CO, United States.
  • Bui V; Physical Therapy Program, Department of Physical Medicine and Rehabilitation, University of Colorado Anschutz Medical Campus, Aurora, CO, United States.
  • Morrison J; Chan Division of Occupational Science and Occupational Therapy, University of Southern California, Los Angeles, CA, United States.
  • Fisher BE; Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, United States.
  • Palacios C; Primary Care Internal Medicine, The Wellness Center, Los Angeles County + University of Southern California Medical Center, Los Angeles, CA, United States.
  • Estrada-Darley I; Division of Biokinesiology and Physical Therapy, University of Southern California, Los Angeles, CA, United States.
  • Haase D; Department of Neurology, University of Southern California, Los Angeles, CA, United States.
  • Wing D; Suzanne Dworak-Peck School of Social Work, University of Southern California, Los Angeles, CA, United States.
  • Amezcua L; Pardee RAND Graduate School, Santa Monica, CA, United States.
  • Jakowec MW; Department of Neurology, University of Southern California, Los Angeles, CA, United States.
  • Kaplan C; Exercise and Physical Activity Resource Center, University of California at San Diego, San Diego, CA, United States.
  • Petzinger G; Department of Neurology, University of Southern California, Los Angeles, CA, United States.
JMIR Form Res ; 6(4): e34312, 2022 Apr 20.
Article em En | MEDLINE | ID: mdl-35442197
ABSTRACT

BACKGROUND:

Physical activity (PA) is known to improve quality of life (QoL) as well as reduce mortality and disease progression in individuals with chronic neurological disorders. However, Latina women are less likely to participate in recommended levels of PA due to common socioeconomic barriers, including limited resources and access to exercise programs. Therefore, we developed a community-based intervention with activity monitoring and behavioral coaching to target these barriers and facilitate sustained participation in an exercise program promoting PA.

OBJECTIVE:

The aim of this study was to determine the feasibility and efficacy of a community-based intervention to promote PA through self-monitoring via a Fitbit and behavioral coaching among Latina participants with chronic neurological disorders.

METHODS:

We conducted a proof-of-concept study among 21 Spanish-speaking Latina participants recruited from the Los Angeles County and University of Southern California (LAC+USC) neurology clinic; participants enrolled in the 16-week intervention at The Wellness Center at The Historic General Hospital in Los Angeles. Demographic data were assessed at baseline. Feasibility was defined by participant attrition and Fitbit adherence. PA promotion was determined by examining change in time spent performing moderate-to-vigorous PA (MVPA) over the 16-week period. The effect of behavioral coaching was assessed by quantifying the difference in MVPA on days when coaching occurred versus on days without coaching. Change in psychometric measures (baseline vs postintervention) and medical center visits (16 weeks preintervention vs during the intervention) were also examined.

RESULTS:

Participants were of low socioeconomic status and acculturation. A total of 19 out of 21 (90%) participants completed the study (attrition 10%), with high Fitbit wear adherence (mean 90.31%, SD 10.12%). Time performing MVPA gradually increased by a mean of 0.16 (SD 0.23) minutes per day (P<.001), which was equivalent to an increase of approximately 18 minutes in MVPA over the course of the 16-week study period. Behavioral coaching enhanced intervention effectiveness as evidenced by a higher time spent on MVPA on days when coaching occurred via phone (37 min/day, P=.02) and in person (45.5 min/day, P=.01) relative to days without coaching (24 min/day). Participants improved their illness perception (effect size g=0.30) and self-rated QoL (effect size g=0.32). Additionally, a reduction in the number of medical center visits was observed (effect size r=0.44), and this reduction was associated with a positive change in step count during the study period (P.=04).

CONCLUSIONS:

Self-monitoring with behavioral coaching is a feasible community-based intervention for PA promotion among Latina women of low socioeconomic status with chronic neurological conditions. PA is known to be important for brain health in neurological conditions but remains relatively unexplored in minority populations. TRIAL REGISTRATION ClinicalTrials.gov NCT04820153; https//clinicaltrials.gov/ct2/show/NCT04820153.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Aspecto: Determinantes_sociais_saude / Patient_preference Idioma: En Revista: JMIR Form Res Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Aspecto: Determinantes_sociais_saude / Patient_preference Idioma: En Revista: JMIR Form Res Ano de publicação: 2022 Tipo de documento: Article País de afiliação: Estados Unidos