Leitzelar Brianna N, Almassi Neda E, Andreae Susan J, Winkle-Wagner Rachelle, Cadmus-Bertram Lisa, Columna Luis, Crombie Kevin M, Koltyn Kelli F
Department of Kinesiology, University of Wisconsin-Madison, Madison, WI, 53706, USA.
Social Sciences and Health Policy, Wake Forest University School of Medicine, Winston-Salem, NC 27101, USA.
Health Promot Perspect. 2024 Jul 29;14(2):148-160. doi: 10.34172/hpp.42548. eCollection 2024.
Reducing sedentary behavior is a promising intervention target for improving health for older adults; however, few interventions include African American communities. The purpose of this research was to extend the reach of an effective sedentary behavior intervention to African American elders.
Two pilot studies assessed the feasibility (retention, adherence, and safety) and acceptability (participant and leader perspectives) of a 4-wk "Stand Up and Move More" (SUMM) intervention. Sedentary behavior (self-reported and monitor-derived), function (short physical performance battery), and quality of life (SF-36) were measured at baseline (wk0), postintervention (wk4), and follow up (wk12; study 1) to examine preliminary effectiveness of the intervention. Participants (N=26) attended SUMM or an attention-matched stress management intervention (study 2). The magnitude of treatment effects were determined using Hedge's effect size calculations [small (=0.20 to 0.49), moderate (=0.50 to 0.79), large (>0.80)].
Retention and adherence rates ranged from 50%-100% and 80%-100%, respectively. There were no adverse events. Participants expressed high satisfaction, and the leader of the SUMM intervention indicated that the intervention content was beneficial. Hedges' revealed negligible to small changes in sedentary behavior (<0.50) following SUMM. There were moderate to large improvements in function (=0.51-0.82) and quality of life (=0.54-1.07) from wk0 to wk4 in study 1; and moderate to large improvements in function (=0.51-0.88) from wk0 to wk4 in study 2. There was a moderate improvement in quality of life (SF-36 emotional role limitations =0.54) in the SUMM group only.
Given its feasibility, safety, and acceptability, SUMM may be a promising intervention to improve functioning and well-being among African American elders.
减少久坐行为是改善老年人健康状况的一个很有前景的干预目标；然而，很少有干预措施涉及非裔美国人社区。本研究的目的是将一项有效的久坐行为干预措施推广到非裔美国老年人中。
两项试点研究评估了为期4周的“多站起来活动活动”（SUMM）干预措施的可行性（保留率、依从性和安全性）和可接受性（参与者和领导者的观点）。在基线（第0周）、干预后（第4周）和随访（第12周；研究1）时测量久坐行为（自我报告和监测得出）、功能（简短体能测试）和生活质量（SF-36），以检验干预措施的初步效果。参与者（N = 26）参加了SUMM或一项注意力匹配的压力管理干预（研究2）。使用赫奇斯效应量计算来确定治疗效果的大小[小（= 0.20至0.49）、中（= 0.50至0.79）、大（> 0.80）]。
保留率和依从率分别为50% - 100%和80% - 100%。未出现不良事件。参与者表示高度满意，SUMM干预的领导者表示干预内容有益。赫奇斯效应量显示，SUMM后久坐行为的变化可忽略不计至微小（< 0.50）。在研究1中，从第0周到第4周，功能（= 0.51 - 0.82）和生活质量（= 0.54 - 1.07）有中度到较大改善；在研究2中，从第0周到第4周，功能有中度到较大改善（= 0.51 - 0.88）。仅在SUMM组中，生活质量（SF-36情感角色限制 = 0.54）有中度改善。
鉴于其可行性、安全性和可接受性，SUMM可能是一项有前景的干预措施，可改善非裔美国老年人的功能和幸福感。
