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Exercise promotion in sedentary Afri...

Newton, Robert Lee, Jr.

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Exercise promotion in sedentary African American adults.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Exercise promotion in sedentary African American adults./
Author:	Newton, Robert Lee, Jr.
Description:	75 p.
Notes:	Source: Dissertation Abstracts International, Volume: 63-06, Section: B, page: 3019.
Contained By:	Dissertation Abstracts International63-06B.
Subject:	Psychology, Clinical. -
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3056767
ISBN:	9780493719900

Exercise promotion in sedentary African American adults.
Newton, Robert Lee, Jr.

Exercise promotion in sedentary African American adults. - 75 p.

Source: Dissertation Abstracts International, Volume: 63-06, Section: B, page: 3019.

Thesis (Ph.D.)--University of Florida, 2002.

African Americans experience hypertension, obesity, and diabetes at rates that exceed those of white Americans. Although increased physical activity is associated with a reduced risk of developing these conditions, African Americans continue to have low rates of leisure-time physical activity. This study compared the effects of three different exercise-promotion programs for African Americans. We randomly assigned 60, sedentary African American adults to one of the following treatment conditions: a physician advice education group (PA), a standard behavioral exercise intervention (SBT), or a culturally-sensitive exercise intervention (CST). Participants in the PA group were not given specific recommendations concerning frequency, duration, or type of exercise. Participants in the exercise counseling groups (SBT and CST) received exercise recommendations concerning frequency (a minimum of either 3 or 5 times per week), duration (30 minutes per day), and type (brisk walking). Four key elements differentiated the CST from the other programs: treatment groups were composed of African American participants, treatment occurred within the African American community, African American counselors were used, and the materials were culturally tailored. The primary outcome measures included changes in cardiorespiratory fitness (VO2 max) and changes in physical activity. Acculturation was included as a mediating variable. Results showed that participants in all conditions reported significant increases in walking from baseline to posttreatment. However, only the exercise counseling groups (SBT + CST) had significantly greater changes in cardiovascular fitness compared to the PA group. Individual between-group comparisons showed that compared to the PA group only the SBT condition showed significant improvements in cardiorespiratory fitness. There were no differences between the SBT and CST groups in treatment adherence. However, during the course of treatment, participants in the CST reported that they obtained significantly higher levels of social support for exercise compared to participants in the other two groups. In addition, the CST participants were more satisfied with various aspects of their treatment compared to members of the other two groups. The implications of these findings are discussed along with suggestions for future research on the development of CST programs for African Americans.

ISBN: 9780493719900Subjects--Topical Terms:

524864
Psychology, Clinical.

Exercise promotion in sedentary African American adults.
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520 $a African Americans experience hypertension, obesity, and diabetes at rates that exceed those of white Americans. Although increased physical activity is associated with a reduced risk of developing these conditions, African Americans continue to have low rates of leisure-time physical activity. This study compared the effects of three different exercise-promotion programs for African Americans. We randomly assigned 60, sedentary African American adults to one of the following treatment conditions: a physician advice education group (PA), a standard behavioral exercise intervention (SBT), or a culturally-sensitive exercise intervention (CST). Participants in the PA group were not given specific recommendations concerning frequency, duration, or type of exercise. Participants in the exercise counseling groups (SBT and CST) received exercise recommendations concerning frequency (a minimum of either 3 or 5 times per week), duration (30 minutes per day), and type (brisk walking). Four key elements differentiated the CST from the other programs: treatment groups were composed of African American participants, treatment occurred within the African American community, African American counselors were used, and the materials were culturally tailored. The primary outcome measures included changes in cardiorespiratory fitness (VO2 max) and changes in physical activity. Acculturation was included as a mediating variable. Results showed that participants in all conditions reported significant increases in walking from baseline to posttreatment. However, only the exercise counseling groups (SBT + CST) had significantly greater changes in cardiovascular fitness compared to the PA group. Individual between-group comparisons showed that compared to the PA group only the SBT condition showed significant improvements in cardiorespiratory fitness. There were no differences between the SBT and CST groups in treatment adherence. However, during the course of treatment, participants in the CST reported that they obtained significantly higher levels of social support for exercise compared to participants in the other two groups. In addition, the CST participants were more satisfied with various aspects of their treatment compared to members of the other two groups. The implications of these findings are discussed along with suggestions for future research on the development of CST programs for African Americans.
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