A National Interactive Web-Based Physical Activity Intervention in Women, Evaluation of the American Heart Association Choose to Move Program 2006–2007

Increased physical activity (PA) is associated with improvement of cardiac risk factors and prevention of cardiovascular disease, yet many women remain sedentary. With rising Internet use, Web-based interventions provide an alternative to improve PA, but their effectiveness for change in PA and qual...

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Veröffentlicht in:The American journal of cardiology 2012-06, Vol.109 (12), p.1754-1760
Hauptverfasser: Lieber, Sarah B., MD, Redberg, Rita F., MD, MSc, Blumenthal, Roger S., MD, Gandhi, Anu, MBA, Robb, Karen J., MBA, Mora, Samia, MD, MHS
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container_end_page 1760
container_issue 12
container_start_page 1754
container_title The American journal of cardiology
container_volume 109
creator Lieber, Sarah B., MD
Redberg, Rita F., MD, MSc
Blumenthal, Roger S., MD
Gandhi, Anu, MBA
Robb, Karen J., MBA
Mora, Samia, MD, MHS
description Increased physical activity (PA) is associated with improvement of cardiac risk factors and prevention of cardiovascular disease, yet many women remain sedentary. With rising Internet use, Web-based interventions provide an alternative to improve PA, but their effectiveness for change in PA and quality of life (QOL) in a real-world setting is unknown. Participants were United States women ≥18 years old who received 12 weekly PA modules and completed surveys on PA, QOL, and readiness for PA at registration (registration cohort, n = 3,796) or registration and 12 weeks (evaluation cohort, n = 892). QOL was assessed with a modified Short Form-36 with subscores for energy and well-being. Participants showed significant (p
doi_str_mv 10.1016/j.amjcard.2012.02.017
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With rising Internet use, Web-based interventions provide an alternative to improve PA, but their effectiveness for change in PA and quality of life (QOL) in a real-world setting is unknown. Participants were United States women ≥18 years old who received 12 weekly PA modules and completed surveys on PA, QOL, and readiness for PA at registration (registration cohort, n = 3,796) or registration and 12 weeks (evaluation cohort, n = 892). QOL was assessed with a modified Short Form-36 with subscores for energy and well-being. Participants showed significant (p &lt;0.001) favorable changes in PA (baseline, median 240 kcal/week, interquartile range 62 to 667; 12 weeks, 343 kcal/week, 131 to 828), stage of readiness for PA, and body mass index (baseline, 29.3 kg/m2 , 24.9 to 34.7; 12 weeks, 28.9 kg/m2 , 24.6 to 34.2). Significant improvements (p &lt;0.0001) were also found in composite scores for energy and well-being. Compliance with PA guideline recommendations increased from 15.8% to 21.4%. Program weeks completed (p = 0.03), energy (p = 0.04), and well-being (p = 0.002) were significantly associated with achieving guideline compliance. In women reporting no PA at baseline (n = 88), program participation resulted in 54.6% achieving some PA and another 9.1% achieving total compliance with recommendations. In conclusion, in this national cohort of women, a 12-week Web-based intervention improved PA and QOL measurements, resulting in higher short-term PA guideline compliance and better QOL. 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With rising Internet use, Web-based interventions provide an alternative to improve PA, but their effectiveness for change in PA and quality of life (QOL) in a real-world setting is unknown. Participants were United States women ≥18 years old who received 12 weekly PA modules and completed surveys on PA, QOL, and readiness for PA at registration (registration cohort, n = 3,796) or registration and 12 weeks (evaluation cohort, n = 892). QOL was assessed with a modified Short Form-36 with subscores for energy and well-being. Participants showed significant (p &lt;0.001) favorable changes in PA (baseline, median 240 kcal/week, interquartile range 62 to 667; 12 weeks, 343 kcal/week, 131 to 828), stage of readiness for PA, and body mass index (baseline, 29.3 kg/m2 , 24.9 to 34.7; 12 weeks, 28.9 kg/m2 , 24.6 to 34.2). Significant improvements (p &lt;0.0001) were also found in composite scores for energy and well-being. 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With rising Internet use, Web-based interventions provide an alternative to improve PA, but their effectiveness for change in PA and quality of life (QOL) in a real-world setting is unknown. Participants were United States women ≥18 years old who received 12 weekly PA modules and completed surveys on PA, QOL, and readiness for PA at registration (registration cohort, n = 3,796) or registration and 12 weeks (evaluation cohort, n = 892). QOL was assessed with a modified Short Form-36 with subscores for energy and well-being. Participants showed significant (p &lt;0.001) favorable changes in PA (baseline, median 240 kcal/week, interquartile range 62 to 667; 12 weeks, 343 kcal/week, 131 to 828), stage of readiness for PA, and body mass index (baseline, 29.3 kg/m2 , 24.9 to 34.7; 12 weeks, 28.9 kg/m2 , 24.6 to 34.2). Significant improvements (p &lt;0.0001) were also found in composite scores for energy and well-being. Compliance with PA guideline recommendations increased from 15.8% to 21.4%. Program weeks completed (p = 0.03), energy (p = 0.04), and well-being (p = 0.002) were significantly associated with achieving guideline compliance. In women reporting no PA at baseline (n = 88), program participation resulted in 54.6% achieving some PA and another 9.1% achieving total compliance with recommendations. In conclusion, in this national cohort of women, a 12-week Web-based intervention improved PA and QOL measurements, resulting in higher short-term PA guideline compliance and better QOL. Increasing use of this simple Web-based tool could improve PA and promote disease prevention.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>22494850</pmid><doi>10.1016/j.amjcard.2012.02.017</doi><tpages>7</tpages></addata></record>
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subjects Adolescent
Adult
Aged
American Heart Association
Biological and medical sciences
Body Mass Index
Cardiology. Vascular system
Cardiovascular
Cardiovascular disease
Cohort Studies
Compliance
Coronary Disease - prevention & control
Data Collection
Disease prevention
Exercise - physiology
Female
Health Promotion - methods
Humans
Internet
Intervention
Medical sciences
Middle Aged
Patient Compliance
Program Evaluation
Quality of Life
Stroke - prevention & control
United States
Web services
Young Adult
title A National Interactive Web-Based Physical Activity Intervention in Women, Evaluation of the American Heart Association Choose to Move Program 2006–2007
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