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The current study will be a randomized controlled pilot study conducted in the Midwest. Participants will be randomly assigned to a behavioral intervention or a wait-list control group, each lasting six weeks. The intervention group will first have an in-person meeting at the beginning of the intervention to discuss the study, go over movements, and discuss Zoom and WhatsApp instructions. The behavioral intervention will consist of three home-based workouts per week sent digitally and Zoom session per week that will have an exercise session and a group counseling session. Additionally, each week participants will be sent a motivational prompt via WhatsApp and will be encouraged to connect with each other about physical activity motivation, barriers, and facilitators. Acceptability, physical activity and psychosocial variables of interest will be measured via accelerometer data (via Actigraph GT3X) and self-report at baseline and six weeks (post-intervention). Focus groups will be conducted for all participants at the conclusion of the study to further assess acceptability, feasibility, and efficacy of the program.
Step 1- Formative Focus Groups: Prior to recruitment of participants, three focus groups with five to eight members of the target population per group will be conducted to accomplish the following: 1) Review intervention materials such as exercise session content, motivational construct activities, and counseling session topics, and 2) assess any barriers and facilitators within their environments that should be accounted for in the methodology of the study, and 3) to explore how racism impacts their lives and how their ability to engage in physical activity. A trained consultant will ask questions regarding length of workouts, frequency of messaging on WhatsApp, whether video calls between participants and the PI would be helpful, and what type of messaging and video content the participants may like to see, in accordance with similar literature in the field (Joseph et al., 2017). Formative research participants will be paid $20 for their time. After the focus groups conclude, the PI and another researcher will conduct inductive hierarchical content analysis to incorporate results into the intervention structure and design. Audio and/or video recordings will be taken in order to accurately analyze themes and adjust the protocol based on answers from the focus groups. The protocol of the intervention will be adjusted with results from the formative focus groups after receiving relevant input.
Step 2- Telephone Screening, Consent, and Baseline Questionnaires: In response to advertisement and outreach efforts, potential participants will call, email, or text the Student Investigator (SI), at which time they will complete a telephone screening interview with the SI to determine eligibility for the study. Participants who are eligible will be given detailed information about the study and the consent form will be reviewed. The SI will schedule a randomization appointment in two weeks. Participants will be told that they may need to cancel the appointment if the online consent and questionnaires are not completed.
a) Complete telephone screening
i. Schedule randomization appointment for 2 weeks ii. Email link to consent form and questionnaires iii. Explain ActiGraph procedures. The Actigraph is a small device that is attached to the participant's clothing/belt at the waist and measures physical activity amount and intensity. The Actigraph functions as a method of measuring physical activity with the purpose of obtaining objective measurement of the participants' physical activity.
Step 3- Send Actigraph: Upon completion of the consent form and questionnaires, send the Actigraph assessment with instructions and return envelope.
Step 4- Check on consent and baseline questionnaires: If the ActiGraph is not received by the randomization appointment, the participant is to be called to cancel the appointment. The participant should be told that they will be called to reschedule the appointment once the ActiGraph is received.
Step 5- Baseline Session:
1) Participants are randomly assigned to either the exercise or wait-list control condition. The wait-list control condition will have the option of receiving the exercise intervention after the 6 weeks. The exercise intervention will be delivered via phone. Enter randomization date in REDcap.
Step 6- Intervention Sessions (separate protocol is attached to submission):
Step 7- 6-week assessment:
Step 8- Post-Intervention Focus Group
1) At the conclusion of the intervention, the intervention group will undergo a one-hour focus group that will ask various questions regarding the intervention. These focus groups may be audio and/or video recorded (questions attached to submission)
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| At-Home Strength Training Group | Experimental | Participants in this arm will undergo an in-person meeting before the start of the study to meet each other, go over movements to minimize risk of injury, and to discuss intervention logistics. Then, for six weeks, participants will be sent five workouts at the start of each week (Monday). Participants will choose 2 or 3 to complete on their own. Additionally, participants will have a weekly Zoom meeting in which 30 minutes will be dedicated to exercising, and 30 minutes will be for group counseling. |
|
| Wait-List Control Group | No Intervention | This will be a wait-list control group. Participants at the end of the study will have the option to complete the full, partial, or none of the intervention. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| At-Home Strength Training Intervention | Behavioral | A six-week strength training intervention in which participants will choose workouts to complete on their own. These workouts are 20-25 minutes light-intensity strength training with light strength bands. Exercises will have multiple options to account for various levels of ability. Additionally, there will be a group counseling session once per week via Zoom and a group strength training program. |
| Measure | Description | Time Frame |
|---|---|---|
| Feasibility of the programs | Customer satisfaction. Feasibility of the intervention will be measured by looking at acceptability and implementation of the intervention. Level of acceptability will be assessed by examining the percentage of Zoom sessions (both group and individual) attended and self-reported number of exercise sessions completed per week. This measure will be assessed on a 1-7 point Likert scale, with one = "very dissatisfied" to seven = "very satisfied". Participants will be asked to rate their satisfaction on a variety of elements such as Zoom sessions, weekly WhatsApp messages, and the overall program. | Six weeks |
| Acceptability | Acceptability will also be assessed with a customer satisfaction form, which asks participants to respond on a seven-point Likert scale, with one = "very dissatisfied" to seven = "very satisfied". Participants will be asked to rate their satisfaction on a variety of elements such as Zoom sessions, weekly WhatsApp messages, and the overall program. | Six weeks |
| Measure | Description | Time Frame |
|---|---|---|
| Social support | Physical Activity Social Support (PASS). The PASS scale is a 13-item measure that assesses family and peer support for physical activity within the past month. PASS asks respondents to gauge support with statements such as "did physical activity with me" and "criticized or made fun of me for doing physical activities" on a 5-point Likert scale ranging from 0 (none) to 4 (very often). The PASS has shown empirical validity and high test-retest reliability. Additionally, the PASS has had internal consistency scores ranging from ɑ = 0.61 to ɑ = 0.84. |
| Measure | Description | Time Frame |
|---|---|---|
| Themes from focus groups | Intervention participants will complete a focus group in which we ask various questions surrounding the intervention | six weeks |
| Everyday discrimination | The Everyday Discrimination Scale (EDS) is one of the most widely used measures in health research, and captures discrimination across various social groups, including race, gender, and weight. Participants are asked to indicate frequency surrounding experiences in their day-to-day lives, such as "You are treated with less courtesy than other people are", or "People act as if they are afraid of you." The EDS is scored on a six-point Likert scale, with a 0 = "Never" and a 5 = "Almost everyday." Then, to those participants who responded with at least "A few times per year" to any of the original questions are then asked "what do you think is the main reason for these experiences?" The EDS has reported an internal consistency of ɑ = 0.80-0.88, and sufficient construct, predictive, and convergent validity. |
Inclusion Criteria:
Exclusion Criteria:
Identify as a woman
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University of Minnesota | Minneapolis | Minnesota | 55455 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 42415053 | Derived | Swinney KB, Barr-Anderson DJ, Antunovic D, Slaughter-Acey J, Harris V, Fairley K, Seay T, Lewis BA. Examining the feasibility and acceptability of a six-week at-home physical activity intervention with a focus on strength training for Black women: a randomized controlled trial. BMC Womens Health. 2026 Jul 8. doi: 10.1186/s12905-026-04616-7. Online ahead of print. |
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| ID | Term |
|---|---|
| D057185 | Sedentary Behavior |
| ID | Term |
|---|---|
| D001519 | Behavior |
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| six weeks |
| Behavioral regulation | The Behavioral Regulation in Exercise Scale (BREQ-2, Markland & Tobin, 2004) was built off of Deci & Ryan's (2000) Self-Determination Theory to assess motivation for physical activity. The BREQ-2 consists of 19 items that ask why respondents exercise and assess motivation along a self-determination continuum of amotivation, external motivation, introjection, identification, integration, and intrinsic regulation. Respondents are asked whether statements on a scale of one ("not true for me") to four ("very true for me"). Internal consistency was above the standard for the field, ɑ = 0.749-0.849. The BREQ-2 has demonstrated sufficient reliability and validity. | six weeks |
| Enjoyment | Physical Activity Enjoyment Scale (PACES). The Physical Activity Enjoyment Scale (PACES) is an 18-item measure to assess perceptions of physical activity. PACES asks respondents to "rate how you feel at the moment about a physical activity you have been doing." PACES uses a 7-point Likert scale and asks participants to respond to paired statements such as, "I am very absorbed in this activity" versus "I am not at all absorbed in this activity" and "It's very gratifying" versus "It's not at all gratifying." Eleven of the 18 items are reverse scored. PACES has demonstrated high internal consistency, ɑ = 0.93, and reliability. The PACES has demonstrated reliability and validity for various adult populations. | six weeks |
| outcome expectations | Outcome Expectations for Exercise Scale (OEE). Outcome expectations, or the assessment of the consequences of a behavior, was gauged with the 9-item Outcome Expectations for Exercise Scale (OEES). OEE is based on Social Cognitive Theory, which postulates that outcome expectations influence physical activity behavior. Five items assess the physical benefits of exercise and four assess the mental benefits of exercise. Respondents are asked to read statements regarding perceived consequences of exercising and indicate on a five-item Likert scale whether they one (strongly agree) to five (strongly disagree). Items include statements such as exercising "makes me feel better physically" and "improves my endurance in performing my daily activities." The OEE has high internal consistency, ɑ = 0.95, and has been shown to have good validity and reliability in samples similar to the current study. | six weeks |
| self-efficacy | Self-Efficacy. Self-efficacy for exercise will be assessed using a 5-item measure that asks participants to rate their confidence that they will be able to be physically active in five different situations (vacation, being tired, being busy, being in a bad mood, and inclement weather). This five-item likert scale varies from one = "not at all confident" to five = "extremely confident" (Marcus et al., 1992). This measure of self-efficacy has been validated for adult populations and has an internal consistency of ɑ = 0.76. | six weeks |
| Physical Activity | The Actigraph GT3X has been empirically validated to objectively measure physical activity for adults. Accelerometers have provided empirically validated data and overcome many problems associated with self-report data, such as overestimation of physical activity. 7-Day PAR - This measure asks the participant to recall the amount of time for each day in the past seven days that they engaged in moderate, hard, and very hard physical activity. This measure has also shown moderate consistency when compared to accelerometer data. | six weeks |
| baseline |
| Hair type and hairstyle management | The Hair Type and Hairstyle Management (HTHM) scale was developed in order to understand hair care and hairstyle for Black women to assess hair as a potential obstacle for physical activity for Black women. This measure asks questions regarding natural hair structure, use of chemical treatment or relaxers, current hairstyle, average cost per month of hair care, and whether participants alter behavior due to hair concerns. | baseline and six weeks |
| Feeling Scale | intervention participants will take this measure every Zoom counseling session, three times per session to assess how they're feeling and how much they're enjoying the exercise | weekly (weeks 2-6) |