Patricia Ann Hogue
Published: 2007
Total Pages: 352
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The purpose of this study was to determine the effectiveness of an intervention utilizing individual buddy support to increase physical activity in African American women. The current study was a 10-week, pretest/post-test, quasi-experimental design that was conducted at two churches in Toledo, Ohio. Members of one church served as the intervention group and members of the second church served as the comparison group. The participants were African American women (25 in the comparison group and 28 in the intervention group). Women in the intervention group were required to recruit and enlist the help of a "buddy" that was to provide social support for physical activity. Both groups completed the following data collection measures at pretest and post-test: 1) social support for exercise survey (SSES), 2) rapid assessment of physical activity survey (RAPA), 3) body weight and height, 4) diastolic and systolic blood pressure and, 5) a six-minute walk test. Participants in both groups also received educational information on healthy living, a pedometer to serve as a cue to action for walking, and instructions to record daily pedometer steps and physical activity minutes. The intervention group alone was required to identify a buddy, record the number of minutes per day spent interacting with the buddy, and the type of interaction with the buddy. Seven women dropped out of the comparison group leaving a total of 18 women that completed the study. One participant in the intervention group did not submit physical activity minutes but was included in the analyses for all other measures. The average age of women in the study was 46 years of age (SD = 10). The vast majority of participants (82%) had at least some college education and 76% had households comprised of 2 to 4 persons. About two thirds of participants worked fulltime outside the home. A majority (43%) of participants was married and 38% had gross household incomes greater than $75,000. No statistically significant differences in demographic characteristics were detected between the intervention and comparison groups. According to participants' daily logs at week one and at week ten of the study, physical activity minutes decreased during the study for both groups ( - 49 minutes intervention/-1 minute comparison group). For the intervention group only, the RAPA I score increased in a statistically significant way. By the end of the study, 61% of the intervention group and 44% of the comparison group was in the "active" range on their RAPA I scores. For both groups, there were no statistically significant differences over time in mean social support scores for friend social support. However, in the intervention group, family social support scores increased in a statistically significant way. There was no statistically significant correlation between social support, RAPA I scores, and physical activity minutes. Analysis of the physiologic measures revealed that body mass index statistically significantly decreased over the course of the study for the comparison group only. In contrast, only the intervention group experienced a statistically significantly increase in endurance as measured by the six-minute walk test. There were no statistically significant changes in systolic and diastolic blood pressures for either group. The findings from the current study do not support the effectiveness of the buddy support intervention in increasing self-reported physical activity minutes. However, RAPA I scores, six-minute walk test distance, and family social support scores did improve over time for the intervention group. The lack of statistical power in the current study and the many limitations make it difficult to state any conclusions with confidence.