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Impact of a standard versus collective-efficacy enhanced intervention to increase physical activity among mothers |
Dlugonski D, Das BM, Martin TR |
Psychology & Health 2020;35(2):239-253 |
clinical trial |
7/10 [Eligibility criteria: Yes; Random allocation: Yes; Concealed allocation: No; Baseline comparability: Yes; Blind subjects: No; Blind therapists: No; Blind assessors: Yes; Adequate follow-up: Yes; Intention-to-treat analysis: Yes; Between-group comparisons: Yes; Point estimates and variability: Yes. Note: Eligibility criteria item does not contribute to total score] *This score has been confirmed* |
OBJECTIVE: Mothers have lower moderate-to-vigorous physical activity than non-mothers and this negatively impacts health. Group dynamics interventions have been successful for increasing physical activity, yet studies using these strategies among mothers are limited and rely on self-reported physical activity. The goal of this study was to examine the effectiveness of a collective-efficacy enhanced physical activity intervention that used group dynamics principles compared to a standard group-based intervention. DESIGN: Mothers (N = 86) were randomly assigned to a 6-week intervention (collective-efficacy enhanced) or standard health education/walking group. MAIN OUTCOME MEASURES: participants wore pedometers for 1-week and completed a self-efficacy questionnaire at pre-intervention, post-intervention, and 3-month follow-up. RESULTS: There were statistically significant increases in activity minutes (p = 0.05) and step counts (p = 0.049) and no changes in self-efficacy (p = 0.74) from pre- to post-intervention. There were no group by time interactions for changes in physical activity or self-efficacy. None of the changes in physical activity were maintained at follow-up. CONCLUSIONS: There is a continued need to understand how to use social factors to promote sustained physical activity among mothers.
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