Accepted for/Published in: JMIR Formative Research
Date Submitted: Jul 19, 2022
Open Peer Review Period: Jul 19, 2022 - Jan 19, 2024
Date Accepted: Aug 13, 2024
(closed for review but you can still tweet)
Warning: This is an author submission that is not peer-reviewed or edited. Preprints - unless they show as "accepted" - should not be relied on to guide clinical practice or health-related behavior and should not be reported in news media as established information.
Internet-based Technology to Recruit and Engage Community-based Women in an Online Yoga Intervention: A Pilot Study of African-American/Black Women with High Cardiovascular Risk
ABSTRACT
Background:
Highly disproportionate heart health outcomes are seen in African-American (Black) women. Black women experience the highest prevalence of metabolic syndrome (MetS) and they are at high risk for premature death from cardiovascular diseases and related conditions including complications from type 2 diabetes. Web-based videos show promise for engaging Black women in health information-seeking and health behavior change.
Objective:
The purpose of this study was to provide feasibility and acceptability data for a larger, mixed-methods longitudinal study focused on cardiometabolic risk factors in community-dwelling Black women.
Methods:
The 4-week, single-group pilot study was underpinned by Pender’s Health Promotion Model and involved in-home assessments of MetS risk, sedentary levels, and daily engagement with health education and yoga YouTube® videos. Participants self-monitored their health behaviors with Fitbit activity trackers, web-based activity logs, and electronic blood pressure monitors. Two post-intervention focus groups were convened to elicit from participants contextual meaning regarding the benefits and barriers to engaging with the intervention.
Results:
The pilot results informed data collection procedures and supported the ability to recruit and retain participants. The qualitative results provided preliminary insights into study engagement and adherence. Study completion was associated with interacting with 2 or more components of the multiple risk factor intervention, (χ2 7.14, p=.008). Watching more than 50% of the intervention videos and taking daily blood pressures were associated with completing the study, (χ2 4.39, p=.04 and χ2 5.67, p=.02, respectively). Wearing activity trackers only or completing online surveys only were not associated with intervention engagement, (χ2 3.60, p=.06 and χ2 .392, p=.53, respectively).
Conclusions:
Findings indicated Black women’s willingness to participate in community-based research, highlighted the benefits and barriers of engaging technology to change health behaviors, and reinforced the significance of the future study. Clinical Trial: Not required
Citation
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Copyright
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