المؤلفون: Chih-Hsiang Yang, Jongwon Lee, Sara Wilcox, A. Caroline Rudisill, Daniela B. Friedman, Jonathan G. Hakun, Jean Neils-Strunjas, Jingkai Wei, Margaret C. Miller, Megan D. Byers

المصدر: BMC Geriatrics, Vol 24, Iss 1, Pp 1-15 (2024)

مصطلحات موضوعية: Lifestyle physical activity, Mind-body intervention, Alzheimer’s disease and related dementias, Cognitive health, Prevention research, Geriatrics, RC952-954.6

الوصف: Abstract Background With an increasing proportion of older adults and the associated risk of Alzheimer’s Disease and Related Dementias (ADRD) around the globe, there is an urgent need to engage in ADRD risk reduction efforts. African American (AA) older adults in the U.S. are disproportionally impacted by ADRD compared to other races and ethnicities. Mindful walking integrates two potentially protective factors of ADRD by elevating mindfulness and physical activity (i.e., walking), resulting in a synergistic behavioral strategy that is feasible and safe for older adults. However, the efficacy of applying this intervention for cognitive health outcomes has not been evaluated using experimental designs. Methods This paper documents the goal and protocol of a community-based, mindful walking randomized controlled trial to examine the short- and longer-term efficacy on cognitive and other health-related outcomes in ADRD at-risk AA older adults. The study outcomes include various brain health determinants, including cognitive function, quality of life, psychological well-being, physical activity, mindfulness, sleep, and overall health status. In addition, the estimated costs of program implementation are also collected throughout the study period. This study will recruit 114 older adults (ages 60+ years) with elevated ADRD risk from the Midlands region of South Carolina. Older adults are randomly assigned to participate in 24 sessions of outdoor mindful walking over three months or a delayed mindful walking group (n=57 in each group). Participants in both groups follow identical measurement protocols at baseline, after 12 weeks, after 18 weeks, and after 24 weeks from baseline. The outcome measures are administered in the lab and in everyday settings. Costs per participant are calculated using micro-costing methods. The eliciting participant costs for mindful walking engagement with expected results are reported using the payer and the societal perspectives. Discussion This study will generate evidence regarding the efficacy of mindful walking on sustaining cognitive health in vulnerable older adults. The results can inform future large-scale effectiveness trials to support our study findings. If successful, this mindful walking program can be scaled up as a low-cost and viable lifestyle strategy to promote healthy cognitive aging in diverse older adult populations, including those at greatest risk. Trial registration ClinicalTrials.gov number NCT06085196 (retrospectively registered on 10/08/2023).

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1471-2318Test

الوصول الحر: https://doaj.org/article/12b1ee1eb63340d3a16d7b7d271a342cTest

المؤلفون: Sara Wilcox, Jihong Liu, Gabrielle M. Turner-McGrievy, Alycia K. Boutté, Ellen Wingard

المصدر: International Journal of Behavioral Nutrition and Physical Activity, Vol 19, Iss 1, Pp 1-13 (2022)

مصطلحات موضوعية: Pregnancy, Maternal health, Health behaviors, Behavior change, Physical activity, Nutrition, Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Physical activity (PA), diet, and health-related quality of life (HRQOL) are related to maternal and infant health, but interventions to improve these outcomes are needed in diverse pregnant women with elevated weight. Methods Health In Pregnancy and Postpartum (HIPP) was a randomized controlled trial. Women who were pregnant (N=219, 44% African American, 56% white) with overweight or obesity but otherwise healthy were randomized to a behavioral intervention grounded in Social Cognitive Theory (n=112) or to standard care (n=107). The intervention group received an in-depth counseling session, a private Facebook group, and 10 content-based counseling calls with accompanying behavioral podcasts followed by weekly or biweekly counseling calls until delivery. The standard care group received monthly mailings and 10 podcasts focused on healthy pregnancy. PA (SenseWear armband), diet (ASA24), and HRQOL (SF-12) measures were obtained from blinded assessors at baseline (

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1479-5868Test

الوصول الحر: https://doaj.org/article/a477ab29cabb4ec381ef6b541314f0c4Test

المؤلفون: Shan Qiao, Sara Wilcox, Bankole Olatosi, Xiaoming Li

المصدر: Frontiers in Public Health, Vol 11 (2023)

مصطلحات موضوعية: COIVD-19, Black or African American, women, rural health, psychological resilience, community-based participatory research, Public aspects of medicine, RA1-1270

الوصف: Despite the aggregated burdens and challenges experienced by rural Black women during the COVID-19 pandemic, many likely also demonstrated strength and resilience to overcome challenges. A mixed methodology and a community-based participatory approach will be used to collect multilevel data on challenges, responses, resilience, and lessons during the pandemic from Black women, community health workers, and community leaders in rural areas in South Carolina (SC). Specifically, the unique circumstances and lived experiences of rural Black women during the COVID-19 pandemic will be documented to understand their needs regarding effective management of social, physical, and mental health challenges through focus group discussions and in-depth interviews with Black women, community health workers, and local community leaders recruited from rural SC communities. Barriers, facilitators, and potential impacts of multilevel resilience development will be identified through a survey administered among rural Black women recruited from 11 rural counties (with one as site for a pilot testing of the questionnaire). A report for public health practice will be developed, including recommended strategies to optimize health systems' emergency preparedness and responses through triangulation of qualitative and quantitative data from multiple sources. Findings in the proposed study will provide valuable references in terms of addressing social determinants of health factor challenges during the pandemic, fostering resilience, and informing evidence-based decision-making for policymakers. The study will contribute to the development of public health emergency preparedness plans, which can promote the resilience of women, their families, and local communities as well as optimize effective preparedness and response of health systems for rural Black women and their families during infectious disease outbreaks and other public health emergencies.

وصف الملف: electronic resource

العلاقة: https://www.frontiersin.org/articles/10.3389/fpubh.2023.1156717/fullTest; https://doaj.org/toc/2296-2565Test

الوصول الحر: https://doaj.org/article/29e4c27e41184d45ad97f1427fa9da74Test

المؤلفون: Sara Wilcox, Alicia A. Dahl, Alycia K. Boutté, Jihong Liu, Kelsey Day, Gabrielle Turner-McGrievy, Ellen Wingard

المصدر: BMC Pregnancy and Childbirth, Vol 22, Iss 1, Pp 1-18 (2022)

مصطلحات موضوعية: Pregnancy, Postpartum, Women, Weight, Physical activity, Nutrition, Gynecology and obstetrics, RG1-991

الوصف: Abstract Background Excessive gestational weight gain has increased over time and is resistant to intervention, especially in women living with overweight or obesity. This study described the process evaluation methods and findings from a behavioral lifestyle intervention for African American and white women living with overweight and obesity that spanned pregnancy (≤ 16 weeks gestation) through 6 months postpartum. Methods The Health in Pregnancy and Postpartum (HIPP) study tested a theory-based behavioral intervention (vs. standard care) to help women (N = 219; 44% African American, 29.1 ± 4.8 years) living with overweight or obesity meet weight gain guidelines in pregnancy and lose weight in postpartum. Participants completed process evaluation surveys at 32 weeks gestation (n = 183) and 6 months postpartum (n = 168) regarding their perceptions of most and least helpful aspects of the intervention. A database tracked delivery and receipt of intervention components (in-depth counseling session, telephone calls, podcasts). Descriptive statistics are used to report fidelity, dose, and participants’ perceptions. We also tested whether dose of behavioral intervention components was associated with gestational weight gain and 6-month postpartum weight retention with linear regression models controlling for baseline age and gestational weeks, receipt of Medicaid, race, parity, and marital status. A content analysis was used to code and analyze responses to open-ended survey questions. Results Over 90% of participants (both groups) would recommend the program to a friend. Implementation fidelity was moderately high and greater in pregnancy than postpartum for all intervention components. Dose received and participants’ ratings of the in-depth counseling session and telephone calls were more favorable than podcasts. The Facebook group was not perceived to be very helpful, likely because of low participant interaction. Although podcasts were created to reinforce call topics, this redundancy was viewed negatively by some. More calls completed and more podcasts downloaded related to lower gestational weight gain (p

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1471-2393Test

الوصول الحر: https://doaj.org/article/3d17f2567acc490a9be133261566a919Test

المؤلفون: Marilyn E. Wende, Sara Wilcox, Zoe Rhodes, Deborah Kinnard, Gabrielle Turner-McGrievy, Brooke W. McKeever, Andrew T. Kaczynski

المصدر: Implementation Science Communications, Vol 3, Iss 1, Pp 1-34 (2022)

مصطلحات موضوعية: Research translation, Translation, Criteria, Community settings, Theoretical frameworks, Medicine (General), R5-920

الوصف: Abstract Background There is a pressing need to translate empirically supported interventions, products, and policies into practice to prevent and control prevalent chronic diseases. According to the Knowledge to Action (K2A) Framework, only those interventions deemed “ready” for translation are likely to be disseminated, adopted, implemented, and ultimately institutionalized. Yet, this pivotal step has not received adequate study. The purpose of this paper was to create a list of criteria that can be used by researchers, in collaboration with community partners, to help evaluate intervention readiness for translation into community and/or organizational settings. Methods The identification and selection of criteria involved reviewing the K2A Framework questions from the “decision to translate” stage, conducting a systematic review to identify characteristics important for research translation in community settings, using thematic analysis to select unique research translation decision criteria, and incorporating researcher and community advisory board feedback. Results The review identified 46 published articles that described potential criteria to decide if an intervention appears ready for translation into community settings. In total, 17 unique research translation decision criteria were identified. Of the 8 themes from the K2A Framework that were used to inform the thematic analysis, all 8 were included in the final criteria list after research supported their importance for research translation decision-making. Overall, the criteria identified through our review highlighted the importance of an intervention’s public health, cultural, and community relevance. Not only are intervention characteristics (e.g., evidence base, comparative effectiveness, acceptability, adaptability, sustainability, cost) necessary to consider when contemplating introducing an intervention to the “real world,” it is also important to consider characteristics of the target setting and/or population (e.g., presence of supporting structure, support or buy-in, changing sociopolitical landscape). Conclusions Our research translation decision criteria provide a holistic list for identifying important barriers and facilitators for research translation that should be considered before introducing an empirically supported intervention into community settings. These criteria can be used for research translation decision-making on the individual and organizational level to ensure resources are not wasted on interventions that cannot be effectively translated in community settings to yield desired outcomes.

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2662-2211Test

الوصول الحر: https://doaj.org/article/ac33e733f3474100ac872342c6a59a69Test

المؤلفون: Sara Wilcox, Kelsey R Day, Ruth P Saunders, Danielle E Jake-Schoffman, Andrew T Kaczynski, Jessica Stucker, Caroline G Dunn, John A Bernhart

المصدر: International Journal of Behavioral Nutrition and Physical Activity, Vol 19, Iss 1, Pp 1-14 (2022)

مصطلحات موضوعية: Physical activity, Nutrition, Faith-based organizations, Ecological model, Intervention, Nutritional diseases. Deficiency diseases, RC620-627, Public aspects of medicine, RA1-1270

الوصف: Abstract Background Few studies have examined the impact of ecological health promotion interventions on organizational practices over time, especially in faith-based settings. This statewide dissemination and implementation study examined change in organizational practices and their predictors across a 24-month period, as well as maintenance of change. Methods Using a pre-post quasi-experimental design, church coordinators from 92 United Methodist Churches in South Carolina (42% predominantly African American congregations) completed surveys at baseline, and immediate, 12-, and 24-months post-training regarding physical activity (PA) and healthy eating (HE) organizational practices consistent with the Faith, Activity, and Nutrition (FAN) program (opportunities, policies, pastor support, messages) and possible predictors. The study was guided by the RE-AIM framework and the Consolidated Framework for Implementation Research (CFIR). Mixed model repeated measures analyses examined change in organizational practices over time. Regression models examined CFIR predictors of 24-month PA and HE organizational practices, controlling for baseline practices. Churches were also classified as maintainers (implemented at 12 and 24 months), non-sustained implementers (implemented at 12 but not 24 months), delayed implementers (implemented at 24 but not 12 months), and low implementers (implemented at neither 12 nor 24 months) for each FAN component. Results PA and HE organizational practices increased over time (p

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/1479-5868Test

الوصول الحر: https://doaj.org/article/ec2b07016edf467bb4d187339daee678Test

المؤلفون: Allison F. Lewis, Rachel Bohnenkamp, Lynn Johnson, Dirk B. den Ouden, Sara Wilcox, Stacy L. Fritz, Jill Campbell Stewart

المصدر: Frontiers in Psychology, Vol 13 (2023)

مصطلحات موضوعية: enhanced expectancies, OPTIMAL theory, motor skill, feedback, kinematic, Psychology, BF1-990

الوصف: IntroductionPositive social comparative feedback indicates to the learner that they are performing better than others. While this type feedback supports motor skill learning in some tasks, the effect of social comparative feedback on implicit motor sequence learning remains unknown. The aim of this study was to determine the effect of positive social comparative feedback on the learning of and expectancies for a motor sequence task.MethodsForty-eight individuals practiced a joystick-based sequence task and were divided into three feedback groups: CONTROL (no performance feedback), RT ONLY (response time only feedback), and RT+POS (response time plus positive social comparison). Participants attended sessions on two consecutive days: Day 1 for repetitive motor practice/skill acquisition and Day 2 for retention testing. Performance related expectancies, like perceived competence, were measured before and after motor practice on Day 1 and at retention on Day 2.ResultsWhile all groups improved with practice, the CONTROL group showed better overall performance/learning (faster response times) compared with the RT ONLY group. Despite similar response times, the RT+POS showed higher peak velocities than the RT ONLY group. Overall, the RT+POS and CONTROL demonstrated increases in perceived competence while the RT ONLY group did not.DiscussionThe results of this study suggest that feedback content is an important consideration during motor practice sessions since feedback without context (RT ONLY) may be detrimental to motor sequence learning. The results also suggest that, if providing performance related feedback during practice of a skill that relies on implicit sequence learning processes, comparative context may be necessary for enhancing expectancies and supporting.

وصف الملف: electronic resource

العلاقة: https://www.frontiersin.org/articles/10.3389/fpsyg.2022.1005705/fullTest; https://doaj.org/toc/1664-1078Test

الوصول الحر: https://doaj.org/article/a17c2a1598294ddda95b245d2963c7a1Test

المؤلفون: John A. Bernhart, Caroline G. Dunn, Sara Wilcox, Jessica Stucker, Deborah Kinnard

المصدر: Dialogues in Health, Vol 1, Iss , Pp 100019- (2022)

مصطلحات موضوعية: Community health promotion, Faith-based, Nutrition, Exercise, Evaluation, Public aspects of medicine, RA1-1270

الوصف: Background: Faith, Activity, & Nutrition (FAN) helps churches create a healthier environment for physical activity (PA) and healthy eating (HE) through policy, systems, and environmental changes. Objective: The purpose of this paper is to describe the implementation, evaluation, and revision of the FAN Program Plan across a two-phase study to help churches create guidelines and policies for PA and HE. Methods: In Phase 1, church committees attended trainings led by Community Health Advisors (CHA) where they assessed current practices to PA and HE. Committees used the FAN Program Plan to outline an implementation plan to increase opportunities, programs, messages, pastor support, and guidelines/practices for PA and HE. FAN Program Plans were submitted to the research team for review. Findings from Phase 1 plans directed revisions in program materials for Phase 2, where the submission and review processes were repeated. Results: Review of Phase 1 FAN Program Plans (53/54 churches submitted a Program Plan) revealed that church committees confused guidelines/practices with programs and had trouble differentiating programs for PA and HE from providing opportunities (i.e., building PA/HE into existing events). The CHA training, FAN church committee training, FAN Program Plan, and other documents were revised to use the term “guidelines (policies)” instead of “guidelines/practices.” In addition, CHAs facilitated a training section on guidelines (policies) to committees, and a guidelines (policies) section was added in the FAN Program Plan and other program documents. These changes in Phase 2 were helpful for differentiating policies from programs and programs from opportunities in FAN Program Plans (53/115 churches submitted a Program Plan), although some confusion remained. Conclusions: This study underscored challenges churches may have in setting policies for PA and HE and discusses strategies to address these challenges in future faith-based initiatives.

وصف الملف: electronic resource

العلاقة: http://www.sciencedirect.com/science/article/pii/S2772653322000193Test; https://doaj.org/toc/2772-6533Test

الوصول الحر: https://doaj.org/article/165ee7e3418743f589ff0e0ecb0326cdTest

المؤلفون: Jihong Liu, Sara Wilcox, Ellen Wingard, Judith Burgis, Lara Schneider, Alicia Dahl

المصدر: Women's Health Reports, Vol 1, Iss 1, Pp 556-565 (2020)

مصطلحات موضوعية: pregnancy, recruitment, maternal obesity, technology, randomized controlled trial, Gynecology and obstetrics, RG1-991, Public aspects of medicine, RA1-1270

الوصف: Purpose: Pregnant women with elevated body mass index (BMI) are difficult to recruit into lifestyle studies. This article (1) summarized strategies to recruit pregnant women into a randomized trial, and (2) reported recruitment statistics and their correlates. Materials and Methods: African American and white women with BMI ?25 and gestational age

وصف الملف: electronic resource

العلاقة: https://doaj.org/toc/2688-4844Test

الوصول الحر: https://doaj.org/article/2331a3394f804fd58d0a28dba09abc6fTest

المؤلفون: Kara M. WHITAKER, Meghan BARUTH, Rebecca A. SCHLAFF, Christopher P. CONNOLLY, Jihong LIU, Sara WILCOX

المصدر: BMC Pregnancy and Childbirth, Vol 20, Iss 1, Pp 1-10 (2020)

مصطلحات موضوعية: Patient-provider communication, Health care provider, Gestational weight gain, Pregnancy, Twins, Gynecology and obstetrics, RG1-991

الوصف: Abstract Background Little is known about patient-provider communication on gestational weight gain among women pregnant with twins, a growing population at high risk for adverse maternal and neonatal outcomes. We examined if women’s report of provider advice on gestational weight gain was consistent with the Institute of Medicine (IOM) weight gain guidelines for twin pregnancies, and the association of provider advice on weight gain with women’s weight gain during their twin pregnancy. Methods We conducted a cross-sectional survey of 276 women who delivered twins and received prenatal care in the United States. The 2009 IOM provisional weight gain guidelines for twin pregnancies defined whether provider advice on weight gain and women’s weight gain were below, within, or above guidelines. Multinomial logistic regression examined associations between provider advice on weight gain with women’s weight gain, after adjustment for maternal age, gestational age at delivery, education, parity, twin type, use of assisted reproductive technologies and pre-pregnancy BMI category. Results Approximately 30% of women described provider advice on weight gain below the IOM guidelines, 60% within, and 10% above guidelines. Compared to women who reported weight gain advice within guidelines, women who reported advice below guidelines or who reported no advice were 7.1 (95% CI: 3.2, 16.0) and 2.7 (95% CI: 1.3, 5.6) times more likely to gain less than recommended, respectively. Women who reported provider advice above guidelines were 4.6 (95% CI: 1.5, 14.2) times more likely to exceed guidelines. Conclusions Provider advice on gestational weight gain may be an important predictor of women’s weight gain during twin pregnancies, highlighting the critical need for accurate provider counseling to optimize health outcomes.

وصف الملف: electronic resource

العلاقة: http://link.springer.com/article/10.1186/s12884-020-03107-3Test; https://doaj.org/toc/1471-2393Test

الوصول الحر: https://doaj.org/article/d49d64b86916422abb00c36a0a0af66cTest