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The investigators propose a randomized controlled trial based on the Social Networks for Activity (SNAP) Model to evaluate: (1) the effectiveness of an internet-based fitness walking program delivered to patients with risk factors for cardiovascular disease and stroke; and (2) the contribution of social support networks to enhancing the effectiveness of the internet-based fitness walking program. The investigators will recruit 308 patients who are sedentary and have risk factors for cardiovascular disease and randomly assign them to one of the following groups: 1. Internet-based fitness walking program (WalkLink); 2. Internet-based fitness walking program plus additional social network intervention (WalkLink+); and 3. Minimal treatment control.
The primary specific aims of this study are to:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Enhanced Usual Care Group | Experimental | Participants received weekly emailed tips of the week to provide support for walking. |
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| WalkLink Group | Experimental | Participants received weekly emailed tips of the week, plus evidence-based online fitness walking program. |
|
| WalkLink+ Group | Experimental | Participants received weekly emailed tips, plus evidence-based online fitness walking program, plus online/in-person social network intervention. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Group | Behavioral | Walking programs with various levels of support will be administered to determine which one is most effective. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Moderate Vigorous Activity | Change in Moderate Vigorous Activity will be assessed using Actigraph accelerometers | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| Health Risk Factors | Aerobic fitness, blood pressure, body mass index, body composition | 9 months |
| Measure | Description | Time Frame |
|---|---|---|
| Environmental Factors | Built and social environment factors | 9 months |
Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Liza Rovniak, PhD, MPH | Penn State College of Medicine, Penn State Milton S. Hershey Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Penn State College of Medicine, Penn State Milton S. Hershey Medical Center | Hershey | Pennsylvania | 17033 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 27405724 | Derived | Rovniak LS, Kong L, Hovell MF, Ding D, Sallis JF, Ray CA, Kraschnewski JL, Matthews SA, Kiser E, Chinchilli VM, George DR, Sciamanna CN. Engineering Online and In-Person Social Networks for Physical Activity: A Randomized Trial. Ann Behav Med. 2016 Dec;50(6):885-897. doi: 10.1007/s12160-016-9814-8. | |
| 23945138 | Derived |
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| ID | Term |
|---|---|
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| ID | Term |
|---|---|
| D044382 | Population Groups |
| ID | Term |
|---|---|
| D003710 | Demography |
| D011154 | Population Characteristics |
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| Rovniak LS, Sallis JF, Kraschnewski JL, Sciamanna CN, Kiser EJ, Ray CA, Chinchilli VM, Ding D, Matthews SA, Bopp M, George DR, Hovell MF. Engineering online and in-person social networks to sustain physical activity: application of a conceptual model. BMC Public Health. 2013 Aug 14;13:753. doi: 10.1186/1471-2458-13-753. |