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Grant Details

Grant Number: 5R01CA113828-04 Interpret this number
Primary Investigator: Norman, Gregory
Organization: University Of California San Diego
Project Title: Multilevel Mechanisms of Physical Activity Change
Fiscal Year: 2008
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Abstract

DESCRIPTION (provided by applicant): The benefits of physical activity are well-established for health promotion and disease prevention. Physical activity and sedentary behavior are contributing factors to multiple health problems in children and adults including obesity, cancer, diabetes and cardiovascular disease. However, there has been little systematic research on how hypothesized mechanisms of change work across intra-personal, interpersonal, and environmental levels. Understanding behavior change mechanisms and how they work together is crucial to developing effective behavior change interventions. The principal goal of this project is to evaluate mechanisms of physical activity and sedentary behavior change based on psychosocial and ecological models. We propose to analyze three longitudinal intervention trial datasets from the PACE Projects (Patient-centered Assessment & Counseling for Exercise plus nutrition, NCI funded) to determine the functions and interactions of multiple levels of theoretically based mechanisms of behavior change. The three PACE+ studies include samples of adolescents (n = 878), overweight women (n = 401), and overweight men (expected n = 400). These datasets include objective measures of physical activity and sedentary time as well as measures of psychosocial and perceived environment-constructs. One of the innovative features of this research is to expand these existing datasets by creating objective physical environment variables using Geographic Information Systems (GIS). State-of-the-science measures of urban design and access to utilitarian and recreational facilities will be developed for each dataset. Adding measures of the physical environment to our existing datasets will allow us to systematically analyze the interaction of intra-personal, interpersonal, and environmental mechanisms of physical activity and sedentary behavior. We will also determine how these mechanisms mediate and moderate the effects of behavior change interventions. A priori hypothesized mediator and moderator relationships will be tested using structural equation modeling. Exploratory analyses will examine mechanism interactions using segmentation analysis. This study will be the first true ecological analysis of physical activity and sedentary behavior mechanisms by integrating a systematic evaluation framework, multiple datasets that share common constructs and intervention strategies, and multiple levels of behavior change mechanisms. The research will be conducted by ah experienced and multidisciplinary team of experienced researchers with backgrounds in psychology, public health, urban planning, and exercise science. This research holds promise to advance both the underlying theory of physical activity research and the effectiveness of physical activity interventions.

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Publications

Longitudinal measurement invariance of psychosocial measures in physical activity research: An application to adolescent data.
Authors: Roesch SC, Norman GJ, Merz EL, Sallis JF, Patrick K
Source: J Appl Soc Psychol, 2013 Apr 1;43(4), p. 721-729.
PMID: 23734064
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Physical activity and dietary behavior change in Internet-based weight loss interventions: comparing two multiple-behavior change indices.
Authors: Carlson JA, Sallis JF, Ramirez ER, Patrick K, Norman GJ
Source: Prev Med, 2012 Jan;54(1), p. 50-4.
EPub date: 2011 Nov 3.
PMID: 22085706
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Adolescent screen time and rules to limit screen time in the home.
Authors: Ramirez ER, Norman GJ, Rosenberg DE, Kerr J, Saelens BE, Durant N, Sallis JF
Source: J Adolesc Health, 2011 Apr;48(4), p. 379-85.
EPub date: 2010 Oct 15.
PMID: 21402267
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Reliability and validity of the Sedentary Behavior Questionnaire (SBQ) for adults.
Authors: Rosenberg DE, Norman GJ, Wagner N, Patrick K, Calfas KJ, Sallis JF
Source: J Phys Act Health, 2010 Nov;7(6), p. 697-705.
PMID: 21088299
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A latent profile analysis of neighborhood recreation environments in relation to adolescent physical activity, sedentary time, and obesity.
Authors: Norman GJ, Adams MA, Kerr J, Ryan S, Frank LD, Roesch SC
Source: J Public Health Manag Pract, 2010 Sep-Oct;16(5), p. 411-9.
PMID: 20689390
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Examining the role of perceived susceptibility on colorectal cancer screening intention and behavior.
Authors: McQueen A, Vernon SW, Rothman AJ, Norman GJ, Myers RE, Tilley BC
Source: Ann Behav Med, 2010 Oct;40(2), p. 205-17.
PMID: 20658212
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Intervention-mediated effects for adult physical activity: A latent growth curve analysis.
Authors: Roesch SC, Norman GJ, Villodas F, Sallis JF, Patrick K
Source: Soc Sci Med, 2010 Aug;71(3), p. 494-501.
EPub date: 2010 May 20.
PMID: 20621747
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Do neighborhood environments moderate the effect of physical activity lifestyle interventions in adults?
Authors: Kerr J, Norman GJ, Adams MA, Ryan S, Frank L, Sallis JF, Calfas KJ, Patrick K
Source: Health Place, 2010 Sep;16(5), p. 903-8.
EPub date: 2010 May 11.
PMID: 20510642
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Validation of the Neighborhood Environment Walkability Scale (NEWS) items using geographic information systems.
Authors: Adams MA, Ryan S, Kerr J, Sallis JF, Patrick K, Frank LD, Norman GJ
Source: J Phys Act Health, 2009;6 Suppl 1, p. S113-23.
PMID: 19998857
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Translating physical activity recommendations for overweight adolescents to steps per day.
Authors: Adams MA, Caparosa S, Thompson S, Norman GJ
Source: Am J Prev Med, 2009 Aug;37(2), p. 137-40.
EPub date: 2009 Jun 12.
PMID: 19524391
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Reconceptualizing decisional balance in an adolescent sun protection intervention: mediating effects and theoretical interpretations.
Authors: Adams MA, Norman GJ, Hovell MF, Sallis JF, Patrick K
Source: Health Psychol, 2009 Mar;28(2), p. 217-25.
PMID: 19290714
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Latent growth curve modeling of adolescent physical activity: testing parallel process and mediation models.
Authors: Roesch SC, Norman GJ, Adams MA, Kerr J, Sallis JF, Ryan S, Calfas KJ, Patrick K
Source: J Health Psychol, 2009 Mar;14(2), p. 313-25.
PMID: 19237499
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Exercise aids, neighborhood safety, and physical activity in adolescents and parents.
Authors: Kerr J, Norman GJ, Sallis JF, Patrick K
Source: Med Sci Sports Exerc, 2008 Jul;40(7), p. 1244-8.
PMID: 18580403
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Validating stage of change measures for physical activity and dietary behaviors for overweight women.
Authors: Robinson AH, Norman GJ, Sallis JF, Calfas KJ, Rock CL, Patrick K
Source: Int J Obes (Lond), 2008 Jul;32(7), p. 1137-44.
EPub date: 2008 May 20.
PMID: 18490930
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Answering the "what works?". Question in health behavior change.
Authors: Norman GJ
Source: Am J Prev Med, 2008 May;34(5), p. 449-50.
PMID: 18407014
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Patterns and correlates of multiple risk behaviors in overweight women.
Authors: Sanchez A, Norman GJ, Sallis JF, Calfas KJ, Rock C, Patrick K
Source: Prev Med, 2008 Mar;46(3), p. 196-202.
EPub date: 2007 Oct 18.
PMID: 18022220
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A review of eHealth interventions for physical activity and dietary behavior change.
Authors: Norman GJ, Zabinski MF, Adams MA, Rosenberg DE, Yaroch AL, Atienza AA
Source: Am J Prev Med, 2007 Oct;33(4), p. 336-345.
PMID: 17888860
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A randomized trial of a multicomponent intervention for adolescent sun protection behaviors.
Authors: Norman GJ, Adams MA, Calfas KJ, Covin J, Sallis JF, Rossi JS, Redding CA, Cella J, Patrick K
Source: Arch Pediatr Adolesc Med, 2007 Feb;161(2), p. 146-52.
PMID: 17283299
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