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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

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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Grant Numbers:
NCI NIH HHS - R01 CA098861-05 NCI NIH HHS - R01 CA085873-05 NCI NIH HHS - R01 CA113828-04

MeSH Terms:
Young Adult Humans Exercise
California Weight Reduction Programs Risk Factors
Adult Middle Aged Food Habits
Adolescent Female Internet
Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - U01 CA130771-02S1 NCI NIH HHS - R01 CA113828-04

MeSH Terms:
United States Video Games Adolescent Behavior
Questionnaires Housing Humans
Parent-Child Relations User-Computer Interface Television
Adolescent Urban Population Female
Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA113828

MeSH Terms:
Obesity Questionnaires Sex Factors
Humans Ergometry Adult
Health Behavior Exercise Male
Female

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA113828 NCI NIH HHS - R01 CA081495 NCI NIH HHS - R01 CA113828-04

MeSH Terms:
Obesity Regression Analysis Adolescent Behavior
Humans Exercise Sedentary Lifestyle
California Monitoring, Ambulatory Recreation
Population Density Residence Characteristics Adolescent
Time Factors Geographic Information Systems Female
Male

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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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Grant Numbers:
NCI NIH HHS - 5R01CA113828-04 NCI NIH HHS - R01CA097263 NCI NIH HHS - R25CA57712-11
NCI NIH HHS - 5R01CA052605-04

MeSH Terms:
Mass Screening Models, Psychological Disease Susceptibility
Humans Health Knowledge, Attitudes, Practice Health Behavior
Middle Aged Intention Male
Colorectal Neoplasms

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA113828 NCI NIH HHS - R01 CA113828-04

MeSH Terms:
Randomized Controlled Trials as Topic Questionnaires Humans
Overweight Exercise Health Promotion
Computer-Assisted Instruction Adult Self Efficacy
Program Evaluation Psychology, Social Female
Internet Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA098861-05 NCI NIH HHS - R01 CA085873-05 NCI NIH HHS - R01 CA113828-04

MeSH Terms:
Young Adult Environment Design Humans
Walking Body Mass Index California
Life Style Adult Motor Activity
Middle Aged Diet Adolescent
Residence Characteristics Female Male
Social Environment

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA113828

MeSH Terms:
Environment Design Reproducibility of Results Humans
Walking Child Exercise
California City Planning Adult
Data Collection Residence Characteristics Adolescent
Geographic Information Systems Female Male

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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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Grant Numbers:
NCI NIH HHS - R44 CA108300-01 NCI NIH HHS - R44 CA108300-02 NCI NIH HHS - R01 CA113228
NCI NIH HHS - R44 CA108300-03 NCI NIH HHS - R01 CA113828-03 NCI NIH HHS - R01 CA113828-02
NCI NIH HHS - R44 CA108300 NCI NIH HHS - R01 CA113828-01 NCI NIH HHS - R01 CA113828-04

MeSH Terms:
Area Under Curve ROC Curve Humans
Walking Child Overweight
Exercise Monitoring, Physiologic Health Promotion
Weight Loss Motor Activity Adolescent
Female Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - 1 R01 CA081495 NCI NIH HHS - R01 CA113828-01

MeSH Terms:
Software Models, Psychological Questionnaires
Motivation Humans Expert Systems
Child Sunbathing Skin Neoplasms
Decision Making Health Education Computer-Assisted Instruction
Sunscreening Agents Health Knowledge, Attitudes, Practice Neoplasms, Radiation-Induced
Sunlight Adolescent Female
Male

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA 113828

MeSH Terms:
Negotiating Questionnaires Psychology
Humans Motor Activity Child
Adolescent Male Female
Models, Theoretical

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA81495 NCI NIH HHS - R01 CA113828

MeSH Terms:
Environment Design Odds Ratio Questionnaires
Adolescent Behavior Humans Safety
Child Exercise Sports
Equipment and Supplies Logistic Models Motor Activity
Adult Confidence Intervals Health Behavior
Residence Characteristics Parents Adolescent
Play and Playthings Female Male

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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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Grant Numbers:
NCI NIH HHS - CA113828 NCI NIH HHS - CA85873 NCI NIH HHS - CA81495-01A2

MeSH Terms:
Vegetables Motivation Humans
Algorithms Predictive Value of Tests Overweight
Dietary Fiber Adult Motor Activity
Case-Control Studies Diet, Reducing Middle Aged
Food Habits Fruit Dietary Fats
Female

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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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Grant Numbers:
NCI NIH HHS - R01 CA113828-03

MeSH Terms:
United States Risk Reduction Behavior Humans
Health Behavior Research Design Health Promotion

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA098861-03S1 NCI NIH HHS - R01 CA085873-01A1 NCI NIH HHS - R01 CA113828
NCI NIH HHS - R01 CA85873

MeSH Terms:
Obesity Odds Ratio Risk-Taking
Psychology Humans Nutrition Surveys
California Life Style Cross-Sectional Studies
Adult Health Behavior Social Support
Middle Aged Female

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01 CA113828-02

MeSH Terms:
Humans Food Habits Exercise
Internet Health Promotion

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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
Related Citations

Grant Numbers:
NCI NIH HHS - R01CA085873 NCI NIH HHS - R01CA113828 NCI NIH HHS - R01CA081495

MeSH Terms:
Odds Ratio Adolescent Behavior Humans
Linear Models Primary Health Care Child
Skin Neoplasms Health Education Health Promotion
Sunburn Sunscreening Agents Health Knowledge, Attitudes, Practice
Confidence Intervals Health Behavior Adolescent
Female Male

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Last Updated: August 24, 2012
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