Arigo Danielle, Brown Megan M, Pasko Kristen, Ainsworth Matthew Cole, Travers Laura, Gupta Adarsh, Downs Danielle Symons, Smyth Joshua M
Department of Psychology, Rowan University, Glassboro, NJ, United States.
Department of Family Medicine, Rowan School of Osteopathic Medicine, Stratford, NJ, United States.
JMIR Res Protoc. 2020 Oct 15;9(10):e19044. doi: 10.2196/19044.
Midlife women are at an elevated risk for cardiovascular disease (CVD) and associated mortality. Those who have additional risk conditions such as obesity or hypertension report specific barriers to engaging in cardioprotective behaviors such as physical activity (PA). Considerable effort has been devoted to understanding PA determinants and designing interventions for midlife women, although with suboptimal success, as increasing PA could meaningfully attenuate CVD risk. An updated approach to understanding PA among midlife women could improve upon existing resources by focusing on novel psychosocial influences on PA in this population (ie, body satisfaction, social interactions, social comparisons, mood state) and within-person relations between these influences and PA in the natural environment.
The overarching goal of Project WHADE (Women's Health And Daily Experiences) is to use an ecological momentary assessment (EMA) approach to capture ecologically valid relations between midlife women's psychosocial experiences and PA as they engage in their normal daily activities. The primary aim of the study is to identify within-person psychosocial predictors of variability in PA (ie, experiences associated with higher vs lower PA for a given individual).
Midlife women (aged 40-60 years) with one or more additional risk markers for CVD (eg, hypertension) will be recruited from primary care clinics and the general community (target n=100). Eligible women will complete an initial survey and a face-to-face baseline session before engaging in a 10-day EMA protocol. Psychosocial experiences will be assessed using a brief self-report via a smartphone 5 times per day, and PA will be assessed throughout waking hours using a research-grade monitor. Participants will return for a brief exit interview at the end of 10 days. Multilevel models that address the nested structure of EMA data will be used to evaluate the study aims.
Recruitment and enrollment are ongoing, and a total of 75 women have completed the protocol to date. Data collection is expected to be completed in Fall 2020.
Project WHADE is designed to identify naturally occurring psychosocial experiences that predict short-term variability in midlife women's PA. As such, the results of this study should advance the current understanding of PA among midlife women by providing further insight into within-person psychosocial influences on PA in this group. In the future, this information could help inform the design of interventions for this population.
INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/19044.
中年女性患心血管疾病（CVD）及相关死亡率较高。那些有肥胖或高血压等额外风险因素的女性报告称，在参与体育活动（PA）等心脏保护行为方面存在特定障碍。尽管成效欠佳，但人们已付出大量努力来了解体育活动的决定因素并为中年女性设计干预措施，因为增加体育活动可显著降低心血管疾病风险。一种更新的了解中年女性体育活动情况的方法可以通过关注该人群中对体育活动的新型心理社会影响因素（即身体满意度、社交互动、社会比较、情绪状态）以及这些影响因素与自然环境中体育活动之间的个体内部关系，来改进现有资源。
WHADE项目（女性健康与日常经历）的总体目标是采用生态瞬时评估（EMA）方法，在中年女性参与日常活动时，捕捉她们的心理社会经历与体育活动之间符合生态学效度的关系。该研究的主要目的是确定体育活动变异性的个体内部心理社会预测因素（即对于特定个体而言，与较高或较低体育活动相关的经历）。
将从初级保健诊所和普通社区招募有一个或多个心血管疾病额外风险标志物（如高血压）的中年女性（年龄40 - 60岁，目标人数 = 100）。符合条件的女性在参与为期10天的生态瞬时评估方案之前，将完成一份初始调查问卷和一次面对面的基线访谈。心理社会经历将通过智能手机每天进行5次简短的自我报告来评估，体育活动将在清醒时间使用研究级监测器进行评估。参与者将在10天结束时返回进行一次简短的退出访谈。将使用处理生态瞬时评估数据嵌套结构的多层次模型来评估研究目标。
招募和入组工作正在进行中，迄今为止共有75名女性完成了该方案。数据收集预计于2020年秋季完成。
WHADE项目旨在确定能够预测中年女性体育活动短期变异性的自然发生的心理社会经历情况。因此，本研究结果应能通过进一步深入了解该群体中个体内部心理社会对体育活动的影响，推进当前对中年女性体育活动的认识。未来，这些信息可能有助于为该人群的干预措施设计提供参考。
国际注册报告识别码（IRRID）：DERR1-10.2196/19044。
