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Grant Details

Grant Number: 5R01CA211048-04 Interpret this number
Primary Investigator: King, Abby
Organization: Stanford University
Project Title: Citizen Science to Promote Sustained Physical Activity in Low-Income Communities
Fiscal Year: 2020


Abstract

Project Summary/Abstract Background: Low-income midlife and older adults are disproportionately impacted by a range of chronic diseases and conditions that contribute to widening US health disparities and can be alleviated by regular physical activity (PA), yet are among the most inactive segments of the US population. Relatively few PA programs have been developed specifically with their needs in mind, most of these interventions remain primarily at the individual level of impact, and few such interventions take full advantage of the recognized impacts that built and social environmental factors have for increasing and sustaining daily PA. Objective: The major objective of this application is to enhance the potential scalability and sustainability of person-level PA interventions by leveraging the capacity of residents themselves as local data gatherers and solution generators for neighborhood environmental change. The primary aim of the proposed group-randomized trial is to systematically compare the sustained (two-year) multi-level impacts of a lay advisor-delivered, person-level PA intervention that has demonstrated efficacy and translatability (Active Living Every Day) [ALED Alone arm], versus the ALED program in combination with a novel neighborhood-level intervention, called Our Voice [ALED+Our Voice arm]. The Our Voice program teaches residents to use a simple mobile application to individually and collectively identify neighborhood barriers to daily PA. They then convey this information to local stakeholders and decision-makers in ways that can facilitate potentially sustainable neighborhood-level improvements in support of regular PA. Design: We propose to randomize 16 public housing sites serving low- income, ethnically diverse midlife and older adults to ALED Alone vs. ALED+Our Voice (n=265 participants per arm; total=530). We hypothesize that 2-year ALED+Our Voice participant PA, measured via accelerometry, will be higher than in ALED Alone. We also will evaluate the 2-year impacts of the two programs on neighborhood- level PA using a standardized PA observation tool (SOPARC-path form). Additional questions of interest include levels of PA change at intermediate measurement time points; exploration of intervention effects in relation to a set of putative multi-level mediators; and exploration of the relative costs of the two interventions in relation to PA changes. We will also explore, in both arms, ongoing participant communication with local stakeholders (i.e., local organizations, media) that can set the stage for continued social and built environment changes beyond the project period. IMPACT: If the preliminary evidence supporting the promise of the Our Voice community engagement program is confirmed, it will provide a means for expanding the impacts and reach of person-level PA interventions beyond participants themselves to the neighborhood setting. This can, in turn, provide a scalable means for potentially sustainable PA promotion across broader income groups of relevance to US health disparities.



Publications

Engaging diverse midlife and older adults in a multilevel participatory physical activity intervention: evaluating impacts using Ripple Effects Mapping.
Authors: Rodriguez Espinosa P. , King A.C. , Blanco-Velazquez I. , Banchoff A.W. , Campero M.I. , Chen W.T. , Rosas L.G. .
Source: Translational behavioral medicine, 2023-09-12; 13(9), p. 666-674.
PMID: 37011041
Related Citations

Bringing Micro to the Macro: How Citizen Science Data Enrich Geospatial Visualizations to Advance Health Equity.
Authors: Soltani S. , Hinman J.A. , Blanco-Velazquez I. , Banchoff A.W. , Campero M.I. , Nelson L.M. , King A.C. .
Source: Journal of maps, 2023; 19(1), .
EPub date: 2023-06-25.
PMID: 37448978
Related Citations

The "Our Voice" Method: Participatory Action Citizen Science Research to Advance Behavioral Health and Health Equity Outcomes.
Authors: Pedersen M. , Wood G.E.R. , Fernes P.K. , Goldman Rosas L. , Banchoff A. , King A.C. .
Source: International journal of environmental research and public health, 2022-11-10; 19(22), .
EPub date: 2022-11-10.
PMID: 36429494
Related Citations

The Role of Citizen Science in Promoting Health Equity.
Authors: Rosas L.G. , Rodriguez Espinosa P. , Montes Jimenez F. , King A.C. .
Source: Annual review of public health, 2022-04-05; 43, p. 215-234.
EPub date: 2021-11-01.
PMID: 34724389
Related Citations

[Entorno social y obesidad infantil: implicaciones para la investigación y la práctica en Estados Unidos y en los países latinoamericanos].
Authors: Ayala G.X. , Monge-Rojas R. , King A.C. , Hunter R. , Berge J.M. .
Source: Obesity reviews : an official journal of the International Association for the Study of Obesity, 2021 Oct; 22 Suppl 5(Suppl 5), p. e13350.
PMID: 34708540
Related Citations

Testing the effectiveness of community-engaged citizen science to promote physical activity, foster healthier neighborhood environments, and advance health equity in vulnerable communities: The Steps for Change randomized controlled trial design and methods.
Authors: King A.C. , Campero M.I. , Garcia D. , Blanco-Velazquez I. , Banchoff A. , Fierros F. , Escobar M. , Cortes A.L. , Sheats J.L. , Hua J. , et al. .
Source: Contemporary clinical trials, 2021 Sep; 108, p. 106526.
EPub date: 2021-08-08.
PMID: 34371162
Related Citations

The social environment and childhood obesity: Implications for research and practice in the United States and countries in Latin America.
Authors: Ayala G.X. , Monge-Rojas R. , King A.C. , Hunter R. , Berge J.M. .
Source: Obesity reviews : an official journal of the International Association for the Study of Obesity, 2021 Jun; 22 Suppl 3(Suppl 3), p. e13246.
EPub date: 2021-05-05.
PMID: 33951272
Related Citations

Engaging citizen scientists to build healthy park environments in Colombia.
Authors: Rubio M.A. , Triana C. , King A.C. , Rosas L.G. , Banchoff A.W. , Rubiano O. , Chrisinger B.W. , Sarmiento O.L. .
Source: Health promotion international, 2021-03-12; 36(1), p. 223-234.
PMID: 32361761
Related Citations

Community-Based Approaches to Reducing Health Inequities and Fostering Environmental Justice through Global Youth-Engaged Citizen Science.
Authors: King A.C. , Odunitan-Wayas F.A. , Chaudhury M. , Rubio M.A. , Baiocchi M. , Kolbe-Alexander T. , Montes F. , Banchoff A. , Sarmiento O.L. , Bälter K. , et al. .
Source: International journal of environmental research and public health, 2021-01-21; 18(3), .
EPub date: 2021-01-21.
PMID: 33494135
Related Citations

Testing the effectiveness of physical activity advice delivered via text messaging vs. human phone advisors in a Latino population: The On The Move randomized controlled trial design and methods.
Authors: King A.C. , Campero I. , Sheats J.L. , Castro Sweet C.M. , Espinosa P.R. , Garcia D. , Hauser M. , Done M. , Patel M.L. , Parikh N.M. , et al. .
Source: Contemporary clinical trials, 2020 Aug; 95, p. 106084.
EPub date: 2020-07-11.
PMID: 32659437
Related Citations

A Mixed Method Study to Inform the Implementation and Expansion of Pop-Up Parks for Economic, Behavioral, and Social Benefits.
Authors: Winter S.J. , Sheats J.L. , Salvo D. , Banda J.A. , Quinn J. , Rivera B.R. , King A.C. .
Source: Journal of urban health : bulletin of the New York Academy of Medicine, 2020 Aug; 97(4), p. 529-542.
PMID: 32613496
Related Citations

A citizen science approach to determine perceived barriers and promoters of physical activity in a low-income South African community.
Authors: Odunitan-Wayas F.A. , Hamann N. , Sinyanya N.A. , King A.C. , Banchoff A. , Winter S.J. , Hendricks S. , Okop K.J. , Lambert E.V. .
Source: Global public health, 2020 May; 15(5), p. 749-762.
EPub date: 2020-01-29.
PMID: 31992139
Related Citations

Employing Participatory Citizen Science Methods to Promote Age-Friendly Environments Worldwide.
Authors: King A.C. , King D.K. , Banchoff A. , Solomonov S. , Ben Natan O. , Hua J. , Gardiner P. , Rosas L.G. , Espinosa P.R. , Winter S.J. , et al. .
Source: International journal of environmental research and public health, 2020-02-27; 17(5), .
EPub date: 2020-02-27.
PMID: 32121001
Related Citations

Enhancing safe routes to school programs through community-engaged citizen science: two pilot investigations in lower density areas of Santa Clara County, California, USA.
Authors: Rodriguez N.M. , Arce A. , Kawaguchi A. , Hua J. , Broderick B. , Winter S.J. , King A.C. .
Source: BMC public health, 2019-03-01; 19(1), p. 256.
EPub date: 2019-03-01.
PMID: 30823917
Related Citations

Maximizing the promise of citizen science to advance health and prevent disease.
Authors: King A.C. , Winter S.J. , Chrisinger B.W. , Hua J. , Banchoff A.W. .
Source: Preventive medicine, 2019 Feb; 119, p. 44-47.
EPub date: 2018-12-26.
PMID: 30593793
Related Citations

Best practices for analyzing large-scale health data from wearables and smartphone apps.
Authors: Hicks J.L. , Althoff T. , Sosic R. , Kuhar P. , Bostjancic B. , King A.C. , Leskovec J. , Delp S.L. .
Source: NPJ digital medicine, 2019; 2, p. 45.
EPub date: 2019-06-03.
PMID: 31304391
Related Citations

Talking the Walk: Perceptions of Neighborhood Characteristics from Users of Open Streets Programs in Latin America and the USA.
Authors: Zieff S.G. , Musselman E.A. , Sarmiento O.L. , Gonzalez S.A. , Aguilar-Farias N. , Winter S.J. , Hipp J.A. , Quijano K. , King A.C. .
Source: Journal of urban health : bulletin of the New York Academy of Medicine, 2018 Dec; 95(6), p. 899-912.
PMID: 29948785
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