|Grant Number:||5R01CA109403-05 Interpret this number|
|Primary Investigator:||Lee, Rebecca|
|Organization:||University Of Houston|
|Project Title:||Maintaining Physical Activity in Ethnic Minority Women|
inactivity contributes to health maladies including breast and colon cancers directly, and numerous other cancers indirectly, in part by contributing to obesity. Ethnic minorities report higher rates of physical inactivity and obesity. Individually-focused physical activity (PA) interventions are initially effective. Up to 50% drop out within 6 months, and maintenance continues to decline after this time. Ecological models posit that environments do not support PA impede PA maintenance. There have been few investigations testing the combined effects of supportive environments with individually focused interventions that increase PA. The purpose of the proposed study is (1) to determine whether a 24 week social cohesion intervention (SOCO) is more effective for adopting walking for leisure exercise and transport in comparison to a delayed control (CONT), (2) to determine whether walking is more effectively maintained by participants who reside in highly supportive PA areas (HIGH) in comparison to those who reside in low supportive PA areas (LOW), and (3) to determine whether this effect is transculturally replicable across 2 cultural groups from 2 cities. African American women in Houston and Hispanic women in Austin will be recruited from churches and community centers and randomized to either SOCO or CONT. Participants' neighborhoods will be classified as HIGH or LOW supportive. Participants will complete written socio demographic, walking (International Physical Activity Questionnaire), and health measures at baseline (T1), post intervention (T2), and 6 month follow-up (T3). Participants will complete accelerometer assessments as a validity check. It is hypothesized that (1) participants in SOCO will report more walking at T2 than CONT, (2) SOCO participants residing in HIGH neighborhoods will report greater minutes of walking than LOW at T3, and (3) this effect will be transculturally replicable. If supported, hypotheses will suggest that the sustained effect of SOCO strategies is moderated by environmental supports.
Individual, social and environmental correlates of physical activity in overweight and obese African American and Hispanic women: A structural equation model analysis.
Authors: Mama SK, Diamond PM, McCurdy SA, Evans AE, McNeill LH, Lee RE
Source: Prev Med Rep, 2015;2, p. 57-64.
Does social support mediate the relationship among neighborhood disadvantage, incivilities, crime and physical activity?
Authors: Soltero EG, Hernandez DC, O'Connor DP, Lee RE
Source: Prev Med, 2015 Jan 3;72C, p. 44-49.
EPub date: 2015 Jan 3.
Longitudinal analysis of minority women's perceptions of cohesion: the role of cooperation, communication, and competition.
Authors: Harden SM, Estabrooks PA, Mama SK, Lee RE
Source: Int J Behav Nutr Phys Act, 2014 Apr 29;11, p. 57.
EPub date: 2014 Apr 29.
Depression, stress and body fat are associated with binge eating in a community sample of African American and Hispanic women.
Authors: Adamus-Leach HJ, Wilson PL, O'Connor DP, Rhode PC, Mama SK, Lee RE
Source: Eat Weight Disord, 2013 Jun;18(2), p. 221-7.
EPub date: 2013 Apr 9.
Neighborhood street scale elements, sedentary time and cardiometabolic risk factors in inactive ethnic minority women.
Authors: Lee RE, Mama SK, Adamus-Leach HJ
Source: PLoS One, 2012;7(12), p. e51081.
EPub date: 2012 Dec 7.
Mediating effects of group cohesion on physical activity and diet in women of color: health is power.
Authors: Lee RE, O'Connor DP, Smith-Ray R, Mama SK, Medina AV, Reese-Smith JY, Banda JA, Layne CS, Brosnan M, Cubbin C, McMillan T, Estabrooks PA
Source: Am J Health Promot, 2012 Mar-Apr;26(4), p. e116-25.
Concordance and correlates of direct and indirect built environment measurement among minority women.
Authors: McAlexander KM, Mama SK, Medina AV, O'Connor DP, Lee RE
Source: Am J Health Promot, 2012 Mar-Apr;26(4), p. 239-44.
Relationship of fruit, vegetable, and fat consumption to binge eating symptoms in African American and Hispanic or Latina women.
Authors: Wilson PL, O'Connor DP, Kaplan CD, Bode S, Mama SK, Lee RE
Source: Eat Behav, 2012 Apr;13(2), p. 179-82.
EPub date: 2012 Jan 24.
Neighborhood factors influence physical activity among African American and Hispanic or Latina women.
Authors: Lee RE, Mama SK, Medina AV, Ho A, Adamus HJ
Source: Health Place, 2012 Jan;18(1), p. 63-70.
Body image and physical activity among Latina and African American women.
Authors: Mama SK, Quill BE, Fernandez-Esquer ME, Reese-Smith JY, Banda JA, Lee RE
Source: Ethn Dis, 2011 Summer;21(3), p. 281-7.
Improving participation rates for women of color in health research: the role of group cohesion.
Authors: Smith-Ray RL, Mama S, Reese-Smith JY, Estabrooks PA, Lee RE
Source: Prev Sci, 2012 Feb;13(1), p. 27-35.
Health is Power: an ecological, theory-based health intervention for women of color.
Authors: Lee RE, Medina AV, Mama SK, Reese-Smith JY, O'Connor DP, Brosnan M, Cubbin C, McMillan T, Estabrooks PA
Source: Contemp Clin Trials, 2011 Nov;32(6), p. 916-23.
EPub date: 2011 Jul 18.
The concordance of directly and indirectly measured built environment attributes and physical activity adoption.
Authors: McAlexander KM, Mama SK, Medina A, O'Connor DP, Lee RE
Source: Int J Behav Nutr Phys Act, 2011 Jul 7;8, p. 72.
EPub date: 2011 Jul 7.
Multiple measures of physical activity, dietary habits and weight status in African American and Hispanic or Latina women.
Authors: Lee RE, Mama SK, Medina AV, Reese-Smith JY, Banda JA, Layne CS, Baxter M, O'Connor DP, McNeill L, Estabrooks PA
Source: J Community Health, 2011 Dec;36(6), p. 1011-23.
Development of an ecologically valid approach to assess moderate physical activity using accelerometry in community dwelling women of color: a cross-sectional study.
Authors: Layne CS, Mama SK, Banda JA, Lee RE
Source: Int J Behav Nutr Phys Act, 2011 Mar 25;8, p. 21.
EPub date: 2011 Mar 25.
Striding toward social justice: the ecologic milieu of physical activity.
Authors: Lee RE, Cubbin C
Source: Exerc Sport Sci Rev, 2009 Jan;37(1), p. 10-7.