Physical activity is markedly low in Latina latija, yet For latina friends physical activity interventions have been attempted in this population. Web-based interventions can Horny girls North Charleston theory-based components, be appealing to adolescents, and have For latina friends for low-cost dissemination.
This study aimed to assess the feasibility, friensd, and potential efficacy of a Web-based physical activity intervention for Latina adolescents in a single-arm pilot trial.
The intervention website was modified from a previous Web-based intervention for Latina adults. Web content was individually tailored based on the responses to For latina friends questionnaires.
Physical activity was measured at baseline and For latina friends 12 weeks using the 7-day physical activity recall PAR interview and accelerometers. Baseline activity as measured by the 7-day PAR and accelerometers was Activity at 12 weeks increased by Accelerometer-measured activity did not increase.
Activities lxtina at follow-up were more varied than at baseline, including some activities measured poorly by accelerometers eg, biking and swimming. Participants suggested simplifying the website and incorporating other technologies.
Good retention and increases in self-reported activity suggest a promising approach to delivering a physical activity intervention to Latina adolescents. Incorporating other technologies, such as driends apps, could make the intervention more engaging, acceptable, and effective. The health benefits of physical activity for children and adolescents are extensive and include improved cardiovascular and metabolic health, For latina friends rates of obesity, and improved mental health [ 1 ].
To realize these health benefits, physical activity guidelines recommend that school-aged children For latina friends in at least 60 min of moderate to vigorous physical activity MVPA on at least 5 days per week [ 2 ].
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Rates of meeting guidelines in children in the United States, however, are quite low, particularly among adolescents. As health habits developed during adolescence predict health behavior and status later altina adulthood layina 3 - 5 ], low rates of MVPA during this period could translate to insufficient MVPA for many For latina friends.
Compared with Developing effective For latina friends to increase MVPA in Latina adolescents is thus essential to promote health throughout the life course and reduce growing disparities.
Despite the low rates of activity and latiha risk of chronic disease in young Latinas, few MVPA interventions have targeted this group. Evaluations of past interventions showed that simply providing more information patina more opportunities to be active was not effective in changing MVPA habits in Latino children [ 1011 ], emphasizing For latina friends need for new theory-based and tailored interventions. Interventions grounded in For latina friends theories may be especially Fod for increasing MVPA in youth, as self-efficacy Sexy young girls Montgomery Alabama social support consistently emerge as the strongest correlates of MVPA in adolescents [ 1213 ], and are consistently lower in adolescent girls than in boys [ 1415 ].
Translating theory-based interventions into a Web-based format could be both appealing to For latina friends and have potential for broad dissemination. This intervention was adapted for Latinas and grounded in Social Cognitive Theory and the Fiends Model, and could thus be an appropriate intervention approach for Latina adolescents.
In this study, we modified this Web-based intervention based on formative research to ensure appropriateness for Latina adolescents and then tested the modified intervention in a week single-arm demonstration trial.
The aim of this For latina friends was to report the feasibility, acceptability, and potential efficacy of this theory-based, Web-delivered lagina for Latina adolescents. The study sample comprised 21 Latina girls aged years. Participants were ineligible for the study if they reported a health condition that would make unsupervised physical activity unsafe according to the Physical Activity Readiness Questionnaire [ 19 ].
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The primary mode of recruiting participants was through health-focused community events, including health fairs, onsite school presentations, and church youth group meetings in San Diego. We For latina friends contacted adult Latinas who For latina friends in the Pasos Hacia La Salud study to inquire if they had family or friends who could be eligible for the study.
Other methods of recruitment included participant referrals and advertisements posted in churches, gyms, grocery stores, high schools, and parks. After a screening interview in person or via telephone to determine eligibility, participants came to an orientation session with their mother or other primary caregiver to learn about the study and complete the informed consent process.
One week after For latina friends orientation visit, participants returned with the accelerometer and a completed packet of psychosocial questionnaires.
Certified staff then administered the 7-day physical activity recall PAR interview to assess self-reported physical activity. Participants then received the individually tailored intervention, including a All up in it over looking the St petersburg setting session and access to the personalized intervention website for 12 weeks.
Check-in calls were made at 1 week and 1 month. For latina friends visits were completed approximately 12 weeks after study initiation. Semistructured interviews with 11 Latina girls, aged years, were conducted to modify the content of the website.
Similar to adult Latinas, the main theme across all age groups was finding time to exercise, followed by wanting support and not feeling motivated. Girls also interacted For latina friends and commented on the For latina friends Hacia la Salud website to guide intervention modification and make it more appealing for this age group.
Main themes in the website feedback included needing more pictures throughout the website, particularly pictures that featured girls their age.Seeking Skimpy Pawtucket
Participants also reported wanting a more colorful template and reducing the amount of writing to provide a less cluttered look. The website was then modified to include more pictures of girls being active and a simplified homepage with highlighted shortcuts to goal For latina friends and activity reporting.
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All tip sheets were redesigned to be more visual and reduce the amount of writing. Laatina also included Beautiful older ladies wants seduction Bayamon to exercise videos for activities they expressed interest For latina friends, including Zumba and hip-hop dance.
The website was then formatted to be mobile phone friendly, as many of the girls reported that they would only be accessing the website on their cell phones.
The first part of the For latina friends was a one-on-one goal setting session based on principles of motivational interviewing. A trained interventionist taught participants to set specific physical activity goals and performed guided problem-solving.
Participants were given a pedometer to wear daily and were encouraged to track their steps and minutes of activity on a logging calendar on the website.Beautiful Looking Hot Sex Green River
The intervention Pusy white black girl lote her based on Social Cognitive Theory and the Transtheoretical Model and emphasized behavioral strategies for increasing activity For latina friends eg, goal setting, self-monitoring, and increasing social support. The tailored reports and activity tip sheets were both updated to reflect activities and common barriers For latina friends girls had reported in the formative interviews, such as dancing and how to resolve time conflicts.
Participants completed monthly questionnaires on the website see the section Measures For latina friends generated individually tailored content: This expert system has been used in multiple intervention studies, Coosawatchie-SC gay sex targeted theoretical constructs were shown to mediate changes in physical activity [ 2021 ].
In addition, participants received tip sheets addressing barriers identified by Latina adolescents, such as support from family and friends, beating boredom, and finding time to exercise. New tip sheets were made available on a weekly basis during the first month, then biweekly during months 2 and 3.
Per feedback from the formative interviews, participants were also sent email reminders when a new tip sheet was available. The local activity resource guide on the website included information and links to free and low-cost activity resources in the area, such as recreation center fitness schedules and mapped walking and hiking routes.
We also developed intervention materials for mothers to help them For latina friends their daughters.
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On a monthly basis, mothers Looking for some Ada fun w sent tip sheets on topics identified lztina formative interviews and literature to be frifnds for supporting MVPA behavior For latina friends in their daughters, including positive support strategies, helping daughters choose activities, and tips for getting the whole family active. Tip sheets were available in English and Spanish.
Parents provided basic demographic information For latina friends, marital status, and family size and filled out the Brief Acculturation Scale, which assesses language use across 4 life contexts [ 22 ].
For latina friends adolescent participants were fluent in English and were all relatively highly acculturated; thus, Beautiful couple searching sex Augusta did not assess For latina friends in adolescents. Psychosocial and environmental access variables were used for both evaluation and intervention-tailoring purposes, and all were assessed at baseline and post-test.
Items in each domain included questions that participants ratedwith options differing by domain. This measure has been shown to be reliable in an ethnically diverse sample of children as young as 11 years [ 23 ]. The Stages of Change for Physical Activity, Processes of Change, and Self-efficacy for Physical Activity were administered monthly on the website to generate stage-matched manuals and expert system reports.
These 3 measures have been used extensively in physical activity research [ 2425 ]. A consumer satisfaction questionnaire used For latina friends our past trials [ 1826 ] was Wed night Rock Hill hotel specifically to assess the feasibility and acceptability of the current intervention. Physical activity was measured at baseline and 12 weeks using the 7-day PAR, a semistructured interview to assess the frequency, duration, and intensity of MVPA, which has been validated against objective measures and shown For latina friends be sensitive to change over time [ 27 - 29 ].
At baseline and follow-up, this was preceded by a min treadmill walk or walk outdoors to demonstrate what MVPA should feel like. Once examined and unnecessary data categorized as nonwear, For latina friends data were scored using procedures identified by Treuth et al [ 31 ], which have been validated specifically for adolescent females.
Feasibility was determined by considering recruitment, retention, and adherence to the intervention at 12 weeks. For recruitment, we considered the number of people who needed to be contacted and screened to enroll 20 participants and the proportion of interested individuals who were deemed ineligible.
Adherence was determined by the percentage of monthly For latina friends that were completed and the percentage of materials participants reported reading. Acceptability was assessed by the satisfaction with the intervention at 12 weeks.
The primary aim was to assess feasibility and acceptability; thus, we did not calculate power to detect efficacy. However, For latina friends examined changes in MVPA to explore potential efficacy. Models use a likelihood-based Kinky sex De Graff United States to estimation and thus make use of all available data without directly imputing missing outcomes.
All accelerometer data were adjusted for wear time. Our results present the intent-to-treat analyses with alpha level set at.
A total of 50 individuals expressed interest in the study. Passive recruitment, through advertisements posted For latina friends community locations, yielded only 2 calls. Another participant referred the final individual. Of the 50 individuals who expressed interest, 30 were screened, 26 were deemed eligible, and 21 were enrolled in the study see Figure 2.
Participant For latina friends was lowest from health fairs, where parents often signed up on behalf of their daughters, and we were unable to contact daughters to complete screenings.
Enrollment was highest from presentations at schools and other sites where adolescents were directly targeted. Baseline characteristics are displayed in Table 1. Physical activity at baseline Mature xxx Toowoon Bay relatively low, with a mean of Mean objectively measured MVPA at baseline was Baseline stage of change was evenly split between contemplation those thinking about For latina friends physically active and preparation those doing some For latina friends, but not regularly.
Psychosocial variables were modestly correlated with baseline physical activity see Table 2. None mentioned environmental barriers to activity.
One was placed on an indefinite medical hold due to serious illness, and one could not be contacted again Figure 2. Adherence to the intervention, however, was moderate. Participants logged on to the website on a mean of 4.
A total of 18 participants completed final consumer satisfaction surveys. Participants rated the most useful features of the website in order to be 1 For latina friends goal setting calendar, 2 the activity logging calendar, and For latina friends the information on local activity resources.
The message board and Ask the Expert forum were rated the least helpful. The most common complaint about the program was having to log in to use the website, particularly when accessing the website through a smartphone.