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Grant Details

Grant Number: 5R01CA138894-03 Interpret this number
Primary Investigator: Arredondo, Elva
Organization: San Diego State University
Project Title: Promoting Physical Activity in Churchgoing Latinas
Fiscal Year: 2012
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Abstract

DESCRIPTION (provided by applicant): The low prevalence of moderate-to-vigorous physical activity (MVPA) among adult Latinas likely contributes to the high rates of cancer and other chronic diseases in this population. The goals of the current study, based largely upon the core principles of the Social Ecological Model, are to design, implement, and evaluate an innovative multi-level intervention promoting physical activity among churchgoing Latinas. Given the central role of churches within the Latino community and their overall commitment to the well-being of their members, churches serve as the ideal setting for the current study. The evidenced-based intervention will target three "tiers" of environmental influences (i.e., church, immediate neighborhood surrounding the church, and community) on activity, as well as MVPA-related personal factors (i.e.., intra/interpersonal, cultural, and perceived environmental variables). The physical activity intervention will be compared with an attention-control condition targeting general topics related to cancer prevention and control. Sixteen churches will be randomly assigned to either the physical activity intervention or the attention-control condition. Approximately 432 Latinas who attend church services at least weekly will be recruited as participants from the sixteen churches. Outcome analyses will determine whether the multi-level intervention will increase MVPA among Latina churchgoers in the intervention condition relative to the attention-control condition. The study's primary outcome will comprise accelerometry-measured MVPA at baseline, 12 and 24 months following implementation of intervention activities. Intra/interpersonal mediators and cultural moderators, as well as environmental mediators and moderators will be measured to assess multiple levels of influence on Latinas' physical activity. The proposed group - randomized controlled trial builds on formative and pilot research findings funded by an NCI R21 to the Principal Investigator, as well as more than 2 decades of foundational work by the research team. In the R21, the promotoras realized individual and environmental level changes. To examine the effectiveness of the multi-level intervention on Latinas' PA, a randomized controlled trial is an essential and logical follow-up to the pilot study. PUBLIC HEALTH RELEVANCE: Increasing physical activity rates in underserved communities will likely help reduce racial/ethnic disparities in chronic disease rates. Findings from the current group randomized trial could shed light on factors that inhibit/facilitate physical activity in Latino communities. Furthermore, the results from the intervention trial could improve approaches to promoting a healthy lifestyle in Latinos.

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Publications

Socio-demographic Moderators of Associations Between Psychological Factors and Latinas' Breast Cancer Screening Behaviors.
Authors: Perez L.G. , Elder J.P. , Haughton J. , Martinez M.E. , Arredondo E.M. .
Source: Journal Of Immigrant And Minority Health, 2017-07-27 00:00:00.0; , .
EPub date: 2017-07-27 00:00:00.0.
PMID: 28752364
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Fe en Acción: Promoting Physical Activity Among Churchgoing Latinas.
Authors: Arredondo E.M. , Elder J.P. , Haughton J. , Slymen D.J. , Sallis J.F. , Perez L.G. , Serrano N. , Parra M.T. , Valdivia R. , Ayala G.X. .
Source: American Journal Of Public Health, 2017 Jul; 107(7), p. 1109-1115.
EPub date: 2017-05-18 00:00:00.0.
PMID: 28520484
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Acceptance of Mobile Health in Communities Underrepresented in Biomedical Research: Barriers and Ethical Considerations for Scientists.
Authors: Nebeker C. , Murray K. , Holub C. , Haughton J. , Arredondo E.M. .
Source: Jmir Mhealth And Uhealth, 2017-06-28 00:00:00.0; 5(6), p. e87.
EPub date: 2017-06-28 00:00:00.0.
PMID: 28659258
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Associations of Acculturation With Self-Report and Objective Physical Activity and Sedentary Behaviors Among Latinas.
Authors: Perez L.G. , Chavez A. , Marquez D.X. , Soto S.C. , Haughton J. , Arredondo E.M. .
Source: Health Education & Behavior : The Official Publication Of The Society For Public Health Education, 2017 Jun; 44(3), p. 431-438.
EPub date: 2016-09-27 00:00:00.0.
PMID: 27679665
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Promoting cancer screening among churchgoing Latinas: Fe en Acción/faith in action.
Authors: Elder J.P. , Haughton J. , Perez L.G. , Martínez M.E. , De la Torre C.L. , Slymen D.J. , Arredondo E.M. .
Source: Health Education Research, 2017-04-01 00:00:00.0; 32(2), p. 163-173.
PMID: 28380627
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Leisure-Time Physical Activity and Characteristics of Social Network Support for Exercise Among Latinas.
Authors: Soto S.H. , Arredondo E.M. , Haughton J. , Shakya H. .
Source: American Journal Of Health Promotion : Ajhp, 2017-01-01 00:00:00.0; , p. 890117117699927.
EPub date: 2017-01-01 00:00:00.0.
PMID: 28359166
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Does The Social Environment Moderate Associations Of The Built Environment With Latinas' Objectively-measured Neighborhood Outdoor Physical Activity?
Authors: Perez L.G. , Carlson J. , Slymen D.J. , Patrick K. , Kerr J. , Godbole S. , Elder J.P. , Ayala G.X. , Arredondo E.M. .
Source: Preventive Medicine Reports, 2016 Dec; 4, p. 551-557.
PMID: 27818913
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Determinants of Implementation Effectiveness in a Physical Activity Program for Church-Going Latinas.
Authors: Beard M. , Chuang E. , Haughton J. , Arredondo E.M. .
Source: Family & Community Health, 2016 Oct-Dec; 39(4), p. 225-33.
PMID: 27536927
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Interactions Between Individual And Perceived Environmental Factors On Latinas' Physical Activity
Authors: Perez L.G. , Slymen D.J. , Sallis J.F. , Ayala G.X. , Elder J.P. , Arredondo E.M. .
Source: Journal Of Public Health (oxford, England), 2016-07-13 00:00:00.0; , .
PMID: 27412175
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Fe en Accion/Faith in Action: Design and implementation of a church-based randomized trial to promote physical activity and cancer screening among churchgoing Latinas.
Authors: Arredondo E.M. , Haughton J. , Ayala G.X. , Slymen D.J. , Sallis J.F. , Burke K. , Holub C. , Chanson D. , Perez L.G. , Valdivia R. , et al. .
Source: Contemporary Clinical Trials, 2015 Nov; 45(Pt B), p. 404-15.
PMID: 26358535
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Neighborhood Social Cohesion and Depressive Symptoms Among Latinos: Does Use of Community Resources for Physical Activity Matter?
Authors: Perez L.G. , Arredondo E.M. , McKenzie T.L. , Holguin M. , Elder J.P. , Ayala G.X. .
Source: Journal Of Physical Activity & Health, 2015 Oct; 12(10), p. 1361-8.
PMID: 25599244
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Community Health Workers Promoting Physical Activity: Targeting Multiple Levels of the Social Ecological Model.
Authors: Haughton J. , Ayala G.X. , Burke K.H. , Elder J.P. , Montañez J. , Arredondo E.M. .
Source: The Journal Of Ambulatory Care Management, 2015 Oct-Dec; 38(4), p. 309-20.
PMID: 26280587
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Validity of the Global Physical Activity Questionnaire (GPAQ) in adult Latinas.
Authors: Hoos T. , Espinoza N. , Marshall S. , Arredondo E.M. .
Source: Journal Of Physical Activity & Health, 2012 Jul; 9(5), p. 698-705.
PMID: 22733873
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Cultural Adaptation Of Physical Activity Self-report Instruments
Authors: Arredondo,E.M. , Mendelson,T. , Holub,C. , Espinoza,N. , Marshall,S. .
Source: Journal Of Physical Activity & Health, 2012 Jan; 9 Suppl 1, p. S37-43.
PMID: 22287446
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Qualitative methods to ensure acceptability of behavioral and social interventions to the target population.
Authors: Ayala G.X. , Elder J.P. .
Source: Journal Of Public Health Dentistry, 2011 Winter; 71 Suppl 1, p. S69-79.
PMID: 21656958
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