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Grant Details

Grant Number: 5R01CA109403-05 Interpret this number
Primary Investigator: Lee, Rebecca
Organization: University Of Houston
Project Title: Maintaining Physical Activity in Ethnic Minority Women
Fiscal Year: 2009


Abstract

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.



Publications

Recruitment and retention of underrepresented and vulnerable populations to research.
Authors: Langer S.L. , Castro F.G. , Chen A.C. , Davis K.C. , Joseph R.P. , Kim W.S. , Larkey L. , Lee R.E. , Petrov M.E. , Reifsnider E. , et al. .
Source: Public Health Nursing (boston, Mass.), 2021-07-08 00:00:00.0; , .
EPub date: 2021-07-08 00:00:00.0.
PMID: 34240459
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Health Is Power: Active Transportation, Physical Activity, and Cardiometabolic Health Among Ethnic Minority Women.
Authors: Lorenzo E. , Szeszulski J. , Todd M. , Mama S.K. , Lee R.E. .
Source: Journal Of Physical Activity & Health, 2020-02-08 00:00:00.0; , p. 1-8.
EPub date: 2020-02-08 00:00:00.0.
PMID: 32035414
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Association of Discrimination and Stress With Cardiometabolic Risk Factors in Ethnic Minority Women.
Authors: Shin C.N. , Soltero E. , Mama S.K. , Sunseri C. , Lee R.E. .
Source: Clinical Nursing Research, 2017 12; 26(6), p. 694-712.
EPub date: 2016-09-13 00:00:00.0.
PMID: 27625035
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Reach and representativeness of ethnic minority women in the Health Is Power Study: a longitudinal analysis.
Authors: Lee R.E. , Reese-Smith J.Y. , Mama S.K. , Medina A.V. , Wolfe K.L. , Estabrooks P.A. .
Source: Translational Behavioral Medicine, 2017 03; 7(1), p. 106-114.
PMID: 27256575
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The Impact Of Religiosity On Dietary Habits And Physical Activity In Minority Women Participating In The Health Is Power (hip) Study
Authors: Ansari S. , Soltero E.G. , Lorenzo E. , Lee R.E. .
Source: Preventive Medicine Reports, 2017 Mar; 5, p. 210-213.
PMID: 28070479
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An Exploratory Decision Tree Analysis To Predict Cardiovascular Disease Risk In African American Women
Authors: Leach H.J. , O'Connor D.P. , Simpson R.J. , Rifai H.S. , Mama S.K. , Lee R.E. .
Source: Health Psychology : Official Journal Of The Division Of Health Psychology, American Psychological Association, 2016 Apr; 35(4), p. 397-402.
PMID: 27018731
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Effectiveness Of Lifestyle Interventions To Reduce Binge Eating Symptoms In African American And Hispanic Women
Authors: Mama S.K. , Schembre S.M. , O'Connor D.P. , Kaplan C.D. , Bode S. , Lee R.E. .
Source: Appetite, 2015 Dec; 95, p. 269-74.
PMID: 26188275
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Using Community Insight To Understand Physical Activity Adoption In Overweight And Obese African American And Hispanic Women: A Qualitative Study
Authors: Mama S.K. , McCurdy S.A. , Evans A.E. , Thompson D.I. , Diamond P.M. , Lee R.E. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2015 Jun; 42(3), p. 321-8.
PMID: 25504569
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Contribution Of Neighborhood Income And Access To Quality Physical Activity Resources To Physical Activity In Ethnic Minority Women Over Time
Authors: Lee R.E. , Mama S.K. , Adamus-Leach H.J. , Soltero E.G. .
Source: American Journal Of Health Promotion : Ajhp, 2015 Mar-Apr; 29(4), p. 210-6.
PMID: 24524382
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Does Social Support Mediate The Relationship Among Neighborhood Disadvantage, Incivilities, Crime And Physical Activity?
Authors: Soltero E.G. , Hernandez D.C. , O'Connor D.P. , Lee R.E. .
Source: Preventive Medicine, 2015 Mar; 72, p. 44-9.
PMID: 25562756
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The Association Of Binge Eating And Neighbourhood Fast-food Restaurant Availability On Diet And Weight Status
Authors: Ledoux T. , Adamus-Leach H. , O'Connor D.P. , Mama S. , Lee R.E. .
Source: Public Health Nutrition, 2015 Feb; 18(2), p. 352-60.
PMID: 24476972
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Individual, Social And Environmental Correlates Of Physical Activity In Overweight And Obese African American And Hispanic Women: A Structural Equation Model Analysis
Authors: Mama S.K. , Diamond P.M. , McCurdy S.A. , Evans A.E. , McNeill L.H. , Lee R.E. .
Source: Preventive Medicine Reports, 2015; 2, p. 57-64.
PMID: 25692093
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Factorial Invariance Of The Physical Activity Neighborhood Environment Survey Among Single- Versus Multi-family Housing Residents
Authors: O'Connor D.P. , Leach H.J. , Mama S.K. , Lee R.E. .
Source: Research Quarterly For Exercise And Sport, 2015; 86(3), p. 303-10.
PMID: 25751025
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Longitudinal Analysis Of Minority Women's Perceptions Of Cohesion: The Role Of Cooperation, Communication, And Competition
Authors: Harden S.M. , Estabrooks P.A. , Mama S.K. , Lee R.E. .
Source: The International Journal Of Behavioral Nutrition And Physical Activity, 2014; 11, p. 57.
PMID: 24779959
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Depression, Stress And Body Fat Are Associated With Binge Eating In A Community Sample Of African American And Hispanic Women
Authors: Adamus-Leach H.J. , Wilson P.L. , O'Connor D.P. , Rhode P.C. , Mama S.K. , Lee R.E. .
Source: Eating And Weight Disorders : Ewd, 2013 Jun; 18(2), p. 221-7.
PMID: 23760851
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Relationship Of Fruit, Vegetable, And Fat Consumption To Binge Eating Symptoms In African American And Hispanic Or Latina Women
Authors: Wilson,P.L. , O'Connor,D.P. , Kaplan,C.D. , Bode,S. , Mama,S.K. , Lee,R.E. .
Source: Eating Behaviors, 2012 Apr; 13(2), p. 179-82.
PMID: 22365808
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Concordance And Correlates Of Direct And Indirect Built Environment Measurement Among Minority Women
Authors: McAlexander,K.M. , Mama,S.K. , Medina,A.V. , O'Connor,D.P. , Lee,R.E. .
Source: American Journal Of Health Promotion : Ajhp, 2012 Mar-Apr; 26(4), p. 239-44.
PMID: 22375575
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Mediating Effects Of Group Cohesion On Physical Activity And Diet In Women Of Color: Health Is Power
Authors: Lee,R.E. , O'Connor,D.P. , Smith-Ray,R. , Mama,S.K. , Medina,A.V. , Reese-Smith,J.Y. , Banda,J.A. , Layne,C.S. , Brosnan,M. , Cubbin,C. , et al. .
Source: American Journal Of Health Promotion : Ajhp, 2012 Mar-Apr; 26(4), p. e116-25.
PMID: 22375580
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Improving Participation Rates For Women Of Color In Health Research: The Role Of Group Cohesion
Authors: Smith-Ray,R.L. , Mama,S. , Reese-Smith,J.Y. , Estabrooks,P.A. , Lee,R.E. .
Source: Prevention Science : The Official Journal Of The Society For Prevention Research, 2012 Feb; 13(1), p. 27-35.
PMID: 21826476
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Neighborhood Factors Influence Physical Activity Among African American And Hispanic Or Latina Women
Authors: Lee,R.E. , Mama,S.K. , Medina,A.V. , Ho,A. , Adamus,H.J. .
Source: Health & Place, 2012 Jan; 18(1), p. 63-70.
PMID: 22243907
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Sitting Time And Cardiometabolic Risk Factors In African American Overweight Women
Authors: Lee,R.E. , Mama,S.K. , Lopez Iii,Y. .
Source: Journal Of Obesity, 2012; 2012, p. 803467.
PMID: 22577525
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Home Availability And The Impact Of Weekly Stressful Events Are Associated With Fruit And Vegetable Intake Among African American And Hispanic/latina Women
Authors: Ledoux,T.A. , Mama,S.K. , O'Connor,D.P. , Adamus,H. , Fraser,M.L. , Lee,R.E. .
Source: Journal Of Obesity, 2012; 2012, p. 737891.
PMID: 22666558
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Income Differences In Perceived Neighborhood Environment Characteristics Among African American Women
Authors: Adamus-Leach H.J. , Mama S.K. , O'Connor D.P. , Lee R.E. .
Source: Environmental Health Insights, 2012; 6, p. 33-40.
PMID: 23226025
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Neighborhood Street Scale Elements, Sedentary Time And Cardiometabolic Risk Factors In Inactive Ethnic Minority Women
Authors: Lee R.E. , Mama S.K. , Adamus-Leach H.J. .
Source: Plos One, 2012; 7(12), p. e51081.
PMID: 23236434
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Multiple Measures Of Physical Activity, Dietary Habits And Weight Status In African American And Hispanic Or Latina Women
Authors: Lee,R.E. , Mama,S.K. , Medina,A.V. , Reese-Smith,J.Y. , Banda,J.A. , Layne,C.S. , Baxter,M. , O'Connor,D.P. , McNeill,L. , Estabrooks,P.A. .
Source: Journal Of Community Health, 2011 Dec; 36(6), p. 1011-23.
PMID: 21519867
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Analysis Of Body Composition Methods In A Community Sample Of African American Women
Authors: Lopez,Y. , O'Connor,D.P. , Ledoux,T.A. , Lee,R.E. .
Source: Women & Health, 2011-11-30 00:00:00.0; 51(8), p. 709-23.
PMID: 22185287
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Health Is Power: An Ecological, Theory-based Health Intervention For Women Of Color
Authors: Lee,R.E. , Medina,A.V. , Mama,S.K. , Reese-Smith,J.Y. , O'Connor,D.P. , Brosnan,M. , Cubbin,C. , McMillan,T. , Estabrooks,P.A. .
Source: Contemporary Clinical Trials, 2011 Nov; 32(6), p. 916-23.
PMID: 21782975
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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,C.S. , Mama,S.K. , Banda,J.A. , Lee,R.E. .
Source: The International Journal Of Behavioral Nutrition And Physical Activity, 2011; 8, p. 21.
PMID: 21439052
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The Concordance Of Directly And Indirectly Measured Built Environment Attributes And Physical Activity Adoption
Authors: McAlexander,K.M. , Mama,S.K. , Medina,A. , O'Connor,D.P. , Lee,R.E. .
Source: The International Journal Of Behavioral Nutrition And Physical Activity, 2011; 8, p. 72.
PMID: 21736740
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Body Image And Physical Activity Among Latina And African American Women
Authors: Mama,S.K. , Quill,B.E. , Fernandez-Esquer,M.E. , Reese-Smith,J.Y. , Banda,J.A. , Lee,R.E. .
Source: Ethnicity & Disease, 2011; 21(3), p. 281-7.
PMID: 21942159
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Severely Obese Have Greater Lps-stimulated Tnf-alpha Production Than Normal Weight African-american Women
Authors: Kueht,M.L. , McFarlin,B.K. , Lee,R.E. .
Source: Obesity (silver Spring, Md.), 2009 Mar; 17(3), p. 447-51.
PMID: 19057521
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Striding Toward Social Justice: The Ecologic Milieu Of Physical Activity
Authors: Lee,R.E. , Cubbin,C. .
Source: Exercise And Sport Sciences Reviews, 2009 Jan; 37(1), p. 10-7.
PMID: 19098519
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