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Open Access 13-02-2024 | Original Paper

Let’s Walk: A Quasi-Experimental Multi-Component Intervention to Improve Physical Activity and Social Engagement for Older Chinese American Adults

Authors: Carina Katigbak, Ssu-Fang Cheng, Christina Matz, Holly Jimison

Published in: Journal of Immigrant and Minority Health

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Abstract

Physical activity (PA) is critical for healthy aging, yet < 16% of U.S. older adults meet federal recommendations for moderate to vigorous PA. Asian Americans are a rapidly growing segment of the older adult population, who are less likely to meet these guidelines, and are frequently under-represented in clinical trials. This quasi-experimental pilot study evaluated the feasibility, acceptability, and preliminary effectiveness of a culturally tailored walking program to improve PA and social engagement for older Chinese Americans in Boston, MA. Participants at two community organizations were assigned to an enhanced walking or walking only condition for 12 weeks. Mixed effect repeated measures analysis addressed the study aims. The enhanced walking group (intervention) had fewer steps at baseline and less of a reduction in steps by 12 weeks as compared with the walking only (control) condition. Mean social engagement scores were significantly higher at 12 weeks (p = .03) for the intervention group. A culturally tailored walking intervention was feasible and acceptable for older Chinese Americans, improving social engagement and PA scores.
Literature
4.
go back to reference Li T, Wei S, Shi Y, et al. The dose–response effect of physical activity on cancer mortality: findings from 71 prospective cohort studies. Br J Sports Med. 2016;50(6):339–45.CrossRefPubMed Li T, Wei S, Shi Y, et al. The dose–response effect of physical activity on cancer mortality: findings from 71 prospective cohort studies. Br J Sports Med. 2016;50(6):339–45.CrossRefPubMed
7.
go back to reference Carlson SA, Fulton JE, Pratt M, Yang Z, Adams EK. Inadequate physical activity and health care expenditures in the United States. Prog Cardiovasc Dis. 2015;57(4):315–23. S0033-0620(14)00123-6 [pii].CrossRefPubMed Carlson SA, Fulton JE, Pratt M, Yang Z, Adams EK. Inadequate physical activity and health care expenditures in the United States. Prog Cardiovasc Dis. 2015;57(4):315–23. S0033-0620(14)00123-6 [pii].CrossRefPubMed
17.
go back to reference Tong M, Sentell T. Insights in public health: challenges investigating health outcomes in Chinese americans using population-based survey data. Hawaii J Med Public Health. 2017;76(1):27–32.PubMedPubMedCentral Tong M, Sentell T. Insights in public health: challenges investigating health outcomes in Chinese americans using population-based survey data. Hawaii J Med Public Health. 2017;76(1):27–32.PubMedPubMedCentral
23.
go back to reference Taylor-Piliae RE, Haskell WL, Stotts NA, Froelicher ES. Improvement in balance, strength, and flexibility after 12 weeks of Tai Chi exercise in ethnic Chinese adults with cardiovascular disease risk factors. Altern Ther Health Med. 2006;12(2):50–8.PubMed Taylor-Piliae RE, Haskell WL, Stotts NA, Froelicher ES. Improvement in balance, strength, and flexibility after 12 weeks of Tai Chi exercise in ethnic Chinese adults with cardiovascular disease risk factors. Altern Ther Health Med. 2006;12(2):50–8.PubMed
25.
go back to reference Katigbak C, Maglalang DD, Chao YY, Au H, Liang W, Zuo S. Cultural perspectives on tobacco use and cessation among Chinese American immigrants: a community-engaged qualitative study. J Transcult Nurs. 2019;30(4):350–8. [doi].CrossRefPubMed Katigbak C, Maglalang DD, Chao YY, Au H, Liang W, Zuo S. Cultural perspectives on tobacco use and cessation among Chinese American immigrants: a community-engaged qualitative study. J Transcult Nurs. 2019;30(4):350–8. [doi].CrossRefPubMed
27.
go back to reference Bandura A. Social foundations of thought and action: A social cognitive theory Englewood Cliffs, NJ, US: Prentice-Hall, Inc; 1986:xiii, 617. Bandura A. Social foundations of thought and action: A social cognitive theory Englewood Cliffs, NJ, US: Prentice-Hall, Inc; 1986:xiii, 617.
36.
go back to reference Alegria M, Takeuchi D, Canino G, Duan N, Shrout P, Meng XL, et al. Considering context, place and culture: the National Latino and Asian American Study. Int J Methods Psychiatr Res. 2004;13(4):208–220. https://doi.org/10.1002/mpr.178. Alegria M, Takeuchi D, Canino G, Duan N, Shrout P, Meng XL, et al. Considering context, place and culture: the National Latino and Asian American Study. Int J Methods Psychiatr Res. 2004;13(4):208–220. https://​doi.​org/​10.​1002/​mpr.​178.
40.
go back to reference Ware JEJ, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. conceptual framework and item selection. Med Care. 1992;30(6):473–83.CrossRefPubMed Ware JEJ, Sherbourne CD. The MOS 36-item short-form health survey (SF-36). I. conceptual framework and item selection. Med Care. 1992;30(6):473–83.CrossRefPubMed
47.
go back to reference Franke RH, Kaul JD. The hawthorne experiments: first statistical interpretation. Am Sociol Rev. 1978:623–43. Franke RH, Kaul JD. The hawthorne experiments: first statistical interpretation. Am Sociol Rev. 1978:623–43.
Metadata
Title
Let’s Walk: A Quasi-Experimental Multi-Component Intervention to Improve Physical Activity and Social Engagement for Older Chinese American Adults
Authors
Carina Katigbak
Ssu-Fang Cheng
Christina Matz
Holly Jimison
Publication date
13-02-2024
Publisher
Springer US
Published in
Journal of Immigrant and Minority Health
Print ISSN: 1557-1912
Electronic ISSN: 1557-1920
DOI
https://doi.org/10.1007/s10903-024-01584-8