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Grant Details

Grant Number: 5R01CA198915-05 Interpret this number
Primary Investigator: Adams, Marc
Organization: Arizona State University-Tempe Campus
Project Title: WALKIT: Neighborhood Walkability and Moderation of Adaptive Walking Interventions
Fiscal Year: 2019


Abstract

 DESCRIPTION (provided by applicant): Exercise is medicine. Known benefits of moderate-to-vigorous physical activity (MVPA) include improvements to cardiorespiratory fitness, obesity, bone health, cardiovascular disease risk factors, some cancers, and depression and anxiety symptoms. Nevertheless, <8% of US adults as measured by accelerometry meet MVPA guidelines. The majority of existing interventions to increase MVPA have been relatively static (with educational materials or components such as goals to engage in MVPA not changing over time) and at the individual level. Technological and theoretical advances make adaptive interventions (AIs) for MVPA feasible for individuals. Unlike static interventions, AIs have time-varying components that respond uniquely to an individual's performance and changing needs. AIs have potential to reduce treatment mismatch, increase adherence, enhance potency, and personalize behavioral medicine. Micro-incentives (MIs) that are "smaller, sooner incentives" for goal attainment are possible with technology and hypothesized to result in greater MVPA than "larger, later incentives". Combined MIs and AIs have the potential to enhance adoption of MVPA. Additionally, multilevel ecological models posit that physical activity is sensitive to the design of built environments. One core hypothesis derived from ecological models is that low walkable neighborhoods constrain physical activity adoption and maintenance, even in the context of individual-level interventions to increase such behavior. High walkable neighborhoods are hypothesized to provide a supportive environment for PA adoption and maintenance, enhancing the effect of individual-level interventions. Few studies have tested a priori the premise that individual-level interventions result in greater adoption and maintenance of MVPA when conducted in neighborhood environments supportive (vs. unsupportive) of physical activity. Based on our pilot work, we will develop novel adaptive (AI) and micro-incentive (MI) interventions and test them against static (SI) and delayed-incentive interventions (DI) in a 4-arm, randomized factorial trial to increase MVPA among 480 inactive men and women (18-60 years). Using GIS-measured neighborhood walkability and socioeconomic status, we will recruit participants from four neighborhood types: "high walkable/high SES," "high walkable/low SES," "low walkable/high SES," and "low walkable/low SES." The factorial design and sampling approach will allow us to test, within a multilevel framework, synergistic or antagonistic interaction effects of interventions and neighborhood factors on MVPA adoption and maintenance. Primary aims of this proposal are to (1) test main and interaction effects for AIs and MIs on MVPA minutes/day by 12 months, (2) investigate whether AIs and MIs foster persistence of MVPA at 18 and 24 months, and (3) determine whether AIs and MIs (compared to SIs and DIs) conducted in high walkable (vs. low walkable) neighborhoods result in greater adoption by 12 months and maintenance of MVPA at 18 and 24 months. Results will inform future hypotheses of ecological models and studies for MVPA adoption and maintenance to improve public health.



Publications

The Impact of Monetary Incentives on Delay Discounting Within a Year-Long Physical Activity Intervention.
Authors: Berardi V. , Phillips C.B. , McEntee M.L. , Stecher C. , Todd M. , Adams M.A. .
Source: Annals Of Behavioral Medicine : A Publication Of The Society Of Behavioral Medicine, 2024-03-20 00:00:00.0; , .
EPub date: 2024-03-20 00:00:00.0.
PMID: 38507617
Related Citations

Walkability around the worksite and self-reported and accelerometer-measured physical activity among adults.
Authors: Cantley A. , Hurley J.C. , Todd M. , McEntee M. , Hooker S.P. , Ohri-Vachaspati P. , Ainsworth B. , Adams M.A. .
Source: Health & Place, 2024 Jan; 85, p. 103143.
EPub date: 2023-12-05 00:00:00.0.
PMID: 38056050
Related Citations

The moderating impact of neighborhood walkability on mHealth interventions to increase moderate to vigorous physical activity for insufficiently active adults in a randomized trial.
Authors: McEntee M.L. , Hurley J.C. , Phillips C.B. , Hooker S.P. , Todd M. , Frank L.D. , Adams M.A. .
Source: The International Journal Of Behavioral Nutrition And Physical Activity, 2023-08-15 00:00:00.0; 20(1), p. 97.
EPub date: 2023-08-15 00:00:00.0.
PMID: 37582736
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Using open data and open-source software to develop spatial indicators of urban design and transport features for achieving healthy and sustainable cities.
Authors: Boeing G. , Higgs C. , Liu S. , Giles-Corti B. , Sallis J.F. , Cerin E. , Lowe M. , Adlakha D. , Hinckson E. , Moudon A.V. , et al. .
Source: The Lancet. Global Health, 2022 06; 10(6), p. e907-e918.
PMID: 35561725
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Training Computers to See the Built Environment Related to Physical Activity: Detection of Microscale Walkability Features Using Computer Vision.
Authors: Adams M.A. , Phillips C.B. , Patel A. , Middel A. .
Source: International Journal Of Environmental Research And Public Health, 2022-04-09 00:00:00.0; 19(8), .
EPub date: 2022-04-09 00:00:00.0.
PMID: 35457416
Related Citations

Adaptive Goals and Reinforcement Timing to Increase Physical Activity in Adults: A Factorial Randomized Trial.
Authors: Adams M.A. , Todd M. , Angadi S.S. , Hurley J.C. , Stecher C. , Berardi V. , Phillips C.B. , McEntee M.L. , Hovell M.F. , Hooker S.P. .
Source: American Journal Of Preventive Medicine, 2022 02; 62(2), p. e57-e68.
EPub date: 2021-12-08 00:00:00.0.
PMID: 35000693
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Burstiness and Stochasticity in the Malleability of Physical Activity.
Authors: Berardi V. , Pincus D. , Walker E. , Adams M.A. .
Source: Journal Of Sport & Exercise Psychology, 2021-09-09 00:00:00.0; 43(5), p. 387-398.
EPub date: 2021-09-09 00:00:00.0.
PMID: 34504039
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Crime and physical activity measures from the SAFE and Fit Environments Study (SAFE): Psychometric properties across age groups.
Authors: Roesch S.C. , Patch C.M. , Roman C.G. , Conway T.L. , Taylor R.B. , Saelens B.E. , Adams M.A. , Cain K.L. , Natarajan L. , Sallis J.F. .
Source: Preventive Medicine Reports, 2021 Jun; 22, p. 101381.
EPub date: 2021-04-20 00:00:00.0.
PMID: 34168951
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Effects of Goal Type and Reinforcement Type on Self-Reported Domain-Specific Walking Among Inactive Adults: 2×2 Factorial Randomized Controlled Trial.
Authors: McEntee M.L. , Cantley A. , Foreman E. , Berardi V. , Phillips C.B. , Hurley J.C. , Hovell M.F. , Hooker S. , Adams M.A. .
Source: Jmir Formative Research, 2020-12-04 00:00:00.0; 4(12), p. e19863.
EPub date: 2020-12-04 00:00:00.0.
PMID: 33275107
Related Citations

Variable Magnitude and Frequency Financial Reinforcement is Effective at Increasing Adults' Free-Living Physical Activity.
Authors: Berardi V. , Hovell M. , Hurley J.C. , Phillips C.B. , Bellettiere J. , Todd M. , Adams M.A. .
Source: Perspectives On Behavior Science, 2020 Sep; 43(3), p. 515-538.
EPub date: 2020-03-05 00:00:00.0.
PMID: 33029578
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Correction to: Variable Magnitude and Frequency Financial Reinforcement is Effective at Increasing Adults' Free-Living Physical Activity.
Authors: Berardi V. , Hovell M. , Hurley J.C. , Phillips C.B. , Bellettiere J. , Todd M. , Adams M.A. .
Source: Perspectives On Behavior Science, 2020 Sep; 43(3), p. 539-541.
EPub date: 2020-05-12 00:00:00.0.
PMID: 33031485
Related Citations

Crime and Physical Activity: Development of a Conceptual Framework and Measures.
Authors: Patch C.M. , Roman C.G. , Conway T.L. , Taylor R.B. , Gavand K.A. , Saelens B.E. , Adams M.A. , Cain K.L. , Engelberg J.K. , Mayes L. , et al. .
Source: Journal Of Physical Activity & Health, 2019-08-29 00:00:00.0; , p. 1-12.
EPub date: 2019-08-29 00:00:00.0.
PMID: 31465288
Related Citations

Rationale, design, and baseline characteristics of WalkIT Arizona: A factorial randomized trial testing adaptive goals and financial reinforcement to increase walking across higher and lower walkable neighborhoods.
Authors: Adams M.A. , Hurley J.C. , Phillips C.B. , Todd M. , Angadi S.S. , Berardi V. , Hovell M.F. , Hooker S. .
Source: Contemporary Clinical Trials, 2019 Jun; 81, p. 87-101.
EPub date: 2019-05-04 00:00:00.0.
PMID: 31063868
Related Citations

Delay Discount Rate Moderates a Physical Activity Intervention Testing Immediate Rewards.
Authors: Phillips C.B. , Hurley J.C. , Angadi S.S. , Todd M. , Berardi V. , Hovell M.F. , Adams M.A. .
Source: Behavioral Medicine (washington, D.c.), 2019-04-11 00:00:00.0; , p. 1-11.
EPub date: 2019-04-11 00:00:00.0.
PMID: 30973315
Related Citations

Reliability between online raters with varying familiarities of a region: Microscale Audit of Pedestrian Streetscapes (MAPS).
Authors: Zhu W. , Sun Y. , Kurka J. , Geremia C. , Engelberg J.K. , Cain K. , Conway T. , Sallis J.F. , Hooker S.P. , Adams M.A. .
Source: Landscape And Urban Planning, 2017 Nov; 167, p. 240-248.
EPub date: 2017-07-14 00:00:00.0.
PMID: 29170571
Related Citations

Online versus in-person comparison of Microscale Audit of Pedestrian Streetscapes (MAPS) assessments: reliability of alternate methods.
Authors: Phillips C.B. , Engelberg J.K. , Geremia C.M. , Zhu W. , Kurka J.M. , Cain K.L. , Sallis J.F. , Conway T.L. , Adams M.A. .
Source: International Journal Of Health Geographics, 2017-08-04 00:00:00.0; 16(1), p. 27.
EPub date: 2017-08-04 00:00:00.0.
PMID: 28778205
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Erratum to: Adaptive goal setting and financial incentives: a 2 × 2 factorial randomized controlled trial to increase adults' physical activity.
Authors: Adams M.A. , Hurley J.C. , Todd M. , Bhuiyan N. , Jarrett C.L. , Tucker W.J. , Hollingshead K.E. , Angadi S.S. .
Source: Bmc Public Health, 2017-04-06 00:00:00.0; 17(1), p. 303.
EPub date: 2017-04-06 00:00:00.0.
PMID: 28385148
Related Citations

Adaptive Goal Setting And Financial Incentives: A 2 × 2 Factorial Randomized Controlled Trial To Increase Adults' Physical Activity
Authors: Adams M.A. , Hurley J.C. , Todd M. , Bhuiyan N. , Jarrett C.L. , Tucker W.J. , Hollingshead K.E. , Angadi S.S. .
Source: Bmc Public Health, 2017-03-29 00:00:00.0; 17(1), p. 286.
PMID: 28356097
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The Walking Interventions Through Texting (WalkIT) Trial: Rationale, Design, and Protocol for a Factorial Randomized Controlled Trial of Adaptive Interventions for Overweight and Obese, Inactive Adults.
Authors: Hurley J.C. , Hollingshead K.E. , Todd M. , Jarrett C.L. , Tucker W.J. , Angadi S.S. , Adams M.A. .
Source: Jmir Research Protocols, 2015-09-11 00:00:00.0; 4(3), p. e108.
EPub date: 2015-09-11 00:00:00.0.
PMID: 26362511
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