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Results From "Developing Real Incentives and Volition for Exercise" (DRIVE): A Pilot Randomized Controlled Trial for Promoting Physical Activity in African American Women.
- Source :
-
Journal of Consulting & Clinical Psychology . Oct2022, Vol. 90 Issue 10, p747-759. 13p. - Publication Year :
- 2022
-
Abstract
- Objective: Motivation is a barrier to physical activity (PA) among African American (AA) women, but past studies have implemented a "one-size-fits-all" approach and have not addressed differences in autonomous motivation. This pilot randomized controlled trial assessed the preliminary efficacy of "Developing Real Incentives and Volition for Exercise," a community- and theory-based intervention, which evaluated whether a motivationally matched (vs. a nonmatched) intervention increases daily total PA. Method: In total, 68 AA women (50.72 ± 13.66 years; 86.8% with obesity) were randomized to an 8-week challenge-focused program (targeted toward high autonomous motivation) or rewards-focused program (targeted toward low autonomous motivation). Randomization was stratified by baseline autonomous motivation. FitBits were used during the intervention to promote self-monitoring (both programs) and social connectedness (challenge program only). Results: Both programs retained ≥80% of participants. Process evaluation revealed high attendance, dose, and fidelity (both programs). However, contrary to expectations, across all motivational levels (low and high autonomous), the challenge-focused intervention resulted in a greater increase in total daily PA (primary outcome), with an average increase of 17.9 min in the challenge-focused intervention versus an average decrease of 8.55 min in the rewards-focused intervention. An exploratory follow-up analysis revealed that engagement with the FitBit mobile app predicted greater PA at postintervention in the challenge-focused program. Conclusions: A team-based approach targeting social connectedness, enjoyment of PA, and positive intragroup competition is a promising approach for promoting PA among AA women. These findings are used to guide a discussion on best practices for engaging AA women in future behavioral interventions. What is the public health significance of this article?: Across differences in motivation, a team-based model is a promising approach for promoting PA among AA women. Delivering programs within community-based setting, using positive group competition, and a mobile app to promote social connectedness are suggested best practices for engaging AA women in future interventions. [ABSTRACT FROM AUTHOR]
Details
- Language :
- English
- ISSN :
- 0022006X
- Volume :
- 90
- Issue :
- 10
- Database :
- Academic Search Index
- Journal :
- Journal of Consulting & Clinical Psychology
- Publication Type :
- Academic Journal
- Accession number :
- 161851800
- Full Text :
- https://doi.org/10.1037/ccp0000740