Development and Preliminary Evaluation of a Culturally Tailored Web-Based Physical Activity Promotion Program (WPAPP)

2.50
Hdl Handle:
http://hdl.handle.net/10755/603386
Category:
Full-text
Format:
Text-based Document
Type:
Presentation
Title:
Development and Preliminary Evaluation of a Culturally Tailored Web-Based Physical Activity Promotion Program (WPAPP)
Other Titles:
Asian Women's Physical Activity: The Asian Women's Health Research Network [Symposium]
Author(s):
Kim, Sangmi; Lee, Yaelim; Chee, Eunice; Chee, Wonshik; Im, Eun-Ok; Tsai, Hsiu-Min; Lee, Yaelim; Chee, Eunice; Chee, Wonshik; Im, Eun-Ok; Tsai, Hsiu-Min
Lead Author STTI Affiliation:
Non-member
Author Details:
Sangmi Kim, MPH, RN, sangmik@nursing.upenn.edu; Yaelim Lee, RN; Eunice Chee; Wonshik Chee, PhD; Eun-Ok Im, RN, MPH, PhD, CNS, FAAN; Hsiu-Min Tsai, PhD, RN
Abstract:
Session presented on Saturday, November 7, 2015: Background: Many Web-based programs have recently been developed to promote physical activity. Wanner et al. (2009) developed and tested a Web-based physical activity intervention in general online population with positive results. Massoudi et al.(2010) developed a personal health record application that delivered a highly individualized, behaviorally based lifestyle physical activity intervention for sedentary adults, also with positive findings. However, none of these programs was aimed at Asian American midlife women. Rather, most of these programs were aimed at patients with diabetes, adolescents, or general adult populations. Only the intervention that was identified to include Asian Americans was the one by Dunton & Robertson (2008), but their intervention was not tailored to Asian Americans. Virtually no program has been culturally tailored to Asian Americans, including Korean American midlife women, while considering their cultural attitudes toward physical activity. Purpose: The purpose of this study was to develop and preliminarily evaluate a culturally tailored Web-based physical activity promotion program for Korean American midlife women (WPAPP) through a usability test and an expert review. Methods: This was a pilot intervention development and evaluation study. Based on the Midlife Women’s Attitudes toward Physical Activity model (MAPA)(Im, Stuifbergen, & Walker, 2010), the WPAPP was developed. After development of the program, five Korean American midlife women were recruited for a usability test using a 1-month online forum. This type of early evaluation of a program (specifically targeting the information architecture, navigation, and overall design) requires 5 to 10 participants from among the target users (Lewis, 2006). Studies have indicated that 80-90% of usability problems can be identified by about 5-10 participants (Lewis, 2006). At the beginning of the online forum, participants were asked to visit the forum site, use the Web-based program and then post messages with their evaluation of the program within a week. On the forum site, a total of 7 topics related to specific areas for which the users’ evaluation was needed were posted. Then, the participants were informed of the topic postings and asked to visit the project Web site. The topics included: (a) the overall structure of the WPAPP, (b) preferences for color, designs, and menus, (c) preferences for contents, (d) technical support and difficulties, (e) areas for additional content, (f) preferences for links to Internet resources, and (g) other issues that should be considered. Then, five experts were recruited for an expert review of the program using the Cognitive Walkthrough method. The experts were sent the Web address of the program and asked to provide their evaluation on the program. All the experts were given usernames and passwords that they needed to use to login the project Web site and use the program. Then, they were asked to provide their written feedback by email. Their evaluation was sought on: (a) components, (b) presentation style, (c) contents, and (d) any other concerns/issues. Five experts are an adequate number for this type of expert evaluations (Lewis, 2006). The data from the usability test and expert review were transcribed and analyzed using a content analysis. Then, as a group, the research team made decisions on the refinement of specific areas, which were incorporated into further development of the program. Findings: Among the major concepts of the MAPA model, three modifiable determinants (attitudes, self-efficacy, and perceived barriers) of physical activity were selected for development and refinement of the program. Menus were developed based on the three determinants. The program included interactive online message board, interactive online educational sessions, and online resources. Graphic User Interface controls were used, and the presentation styles were tailored to Korean American. All the experts positively evaluated the program and provided feedback on the content and structure (e.g., adding take-home messages, difficulties in using different web browsers, smoothing some Korean words in the translation). Korean American midlife women also positively evaluated the program and provided feedback on the menu, structure, display, and content. Based on the feedback, additional educational modules on detailed tips for various daily activities with some take-home messages have been added. Conclusions: This study suggests that development of a culturally tailored Web-based program is feasible and that researchers need to make continuous efforts to develop and test culturally tailored Web-based programs for behavior modifications of ethnic minorities. Also, this kind of culturally tailored physical activity promotion programs could be easily adopted to international populations with similar cultural background and further tailored to other Asian American populations. Future international collaborative research developing and testing culturally tailored Web-based physical activity promotion programs could be planned. Keywords :  physical activity, web-based intervention, midlife women, Asian American References: Dunton, G. F., & Robertson, T. P. (2008). A tailored Internet-plus-email intervention for increasing physical activity among ethnically-diverse women. Preventive Medicine , 47 (6), 605–611. doi:10.1016/j.ypmed.2008.10.004 Im, E.-O., Stuifbergen, A. K., & Walker, L. (2010). A situation-specific theory of Midlife Women’s Attitudes Toward Physical Activity (MAPA). Nursing Outlook , 58 (1), 52–58. doi:10.1016/j.outlook.2009.07.001 Lewis, J. R. (2006). Sample sizes for usability tests: mostly math, not magic. Interactions , 13 (6), 29–33. doi:10.1145/1167948.1167973 Massoudi, B. L., Olmsted, M. G., Zhang, Y., Carpenter, R. A., Barlow, C. E., & Huber, R. (2010). A web-based intervention to support increased physical activity among at-risk adults. Journal of Biomedical Informatics , 43 (5 Suppl), S41–45. doi:10.1016/j.jbi.2010.07.012 Wanner, M., Martin-Diener, E., Braun-Fahrländer, C., Bauer, G., & Martin, B. W. (2009). Effectiveness of Active-Online, an Individually Tailored Physical Activity Intervention, in a Real-Life Setting: Randomized Controlled Trial. Journal of Medical Internet Research , 11 (3), e23. doi:10.2196/jmir.1179
Keywords:
physical activity; Korean American midlife women; Web-based intervention
Repository Posting Date:
21-Mar-2016
Date of Publication:
21-Mar-2016
Other Identifiers:
CONV15A28
Conference Date:
2015
Conference Name:
43rd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Las Vegas, Nevada, USA
Description:
43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePresentationen
dc.titleDevelopment and Preliminary Evaluation of a Culturally Tailored Web-Based Physical Activity Promotion Program (WPAPP)en
dc.title.alternativeAsian Women's Physical Activity: The Asian Women's Health Research Network [Symposium]en
dc.contributor.authorKim, Sangmien
dc.contributor.authorLee, Yaelimen
dc.contributor.authorChee, Euniceen
dc.contributor.authorChee, Wonshiken
dc.contributor.authorIm, Eun-Oken
dc.contributor.authorTsai, Hsiu-Minen
dc.contributor.authorLee, Yaelimen
dc.contributor.authorChee, Euniceen
dc.contributor.authorChee, Wonshiken
dc.contributor.authorIm, Eun-Oken
dc.contributor.authorTsai, Hsiu-Minen
dc.contributor.departmentNon-memberen
dc.author.detailsSangmi Kim, MPH, RN, sangmik@nursing.upenn.edu; Yaelim Lee, RN; Eunice Chee; Wonshik Chee, PhD; Eun-Ok Im, RN, MPH, PhD, CNS, FAAN; Hsiu-Min Tsai, PhD, RNen
dc.identifier.urihttp://hdl.handle.net/10755/603386en
dc.description.abstractSession presented on Saturday, November 7, 2015: Background: Many Web-based programs have recently been developed to promote physical activity. Wanner et al. (2009) developed and tested a Web-based physical activity intervention in general online population with positive results. Massoudi et al.(2010) developed a personal health record application that delivered a highly individualized, behaviorally based lifestyle physical activity intervention for sedentary adults, also with positive findings. However, none of these programs was aimed at Asian American midlife women. Rather, most of these programs were aimed at patients with diabetes, adolescents, or general adult populations. Only the intervention that was identified to include Asian Americans was the one by Dunton & Robertson (2008), but their intervention was not tailored to Asian Americans. Virtually no program has been culturally tailored to Asian Americans, including Korean American midlife women, while considering their cultural attitudes toward physical activity. Purpose: The purpose of this study was to develop and preliminarily evaluate a culturally tailored Web-based physical activity promotion program for Korean American midlife women (WPAPP) through a usability test and an expert review. Methods: This was a pilot intervention development and evaluation study. Based on the Midlife Women’s Attitudes toward Physical Activity model (MAPA)(Im, Stuifbergen, & Walker, 2010), the WPAPP was developed. After development of the program, five Korean American midlife women were recruited for a usability test using a 1-month online forum. This type of early evaluation of a program (specifically targeting the information architecture, navigation, and overall design) requires 5 to 10 participants from among the target users (Lewis, 2006). Studies have indicated that 80-90% of usability problems can be identified by about 5-10 participants (Lewis, 2006). At the beginning of the online forum, participants were asked to visit the forum site, use the Web-based program and then post messages with their evaluation of the program within a week. On the forum site, a total of 7 topics related to specific areas for which the users’ evaluation was needed were posted. Then, the participants were informed of the topic postings and asked to visit the project Web site. The topics included: (a) the overall structure of the WPAPP, (b) preferences for color, designs, and menus, (c) preferences for contents, (d) technical support and difficulties, (e) areas for additional content, (f) preferences for links to Internet resources, and (g) other issues that should be considered. Then, five experts were recruited for an expert review of the program using the Cognitive Walkthrough method. The experts were sent the Web address of the program and asked to provide their evaluation on the program. All the experts were given usernames and passwords that they needed to use to login the project Web site and use the program. Then, they were asked to provide their written feedback by email. Their evaluation was sought on: (a) components, (b) presentation style, (c) contents, and (d) any other concerns/issues. Five experts are an adequate number for this type of expert evaluations (Lewis, 2006). The data from the usability test and expert review were transcribed and analyzed using a content analysis. Then, as a group, the research team made decisions on the refinement of specific areas, which were incorporated into further development of the program. Findings: Among the major concepts of the MAPA model, three modifiable determinants (attitudes, self-efficacy, and perceived barriers) of physical activity were selected for development and refinement of the program. Menus were developed based on the three determinants. The program included interactive online message board, interactive online educational sessions, and online resources. Graphic User Interface controls were used, and the presentation styles were tailored to Korean American. All the experts positively evaluated the program and provided feedback on the content and structure (e.g., adding take-home messages, difficulties in using different web browsers, smoothing some Korean words in the translation). Korean American midlife women also positively evaluated the program and provided feedback on the menu, structure, display, and content. Based on the feedback, additional educational modules on detailed tips for various daily activities with some take-home messages have been added. Conclusions: This study suggests that development of a culturally tailored Web-based program is feasible and that researchers need to make continuous efforts to develop and test culturally tailored Web-based programs for behavior modifications of ethnic minorities. Also, this kind of culturally tailored physical activity promotion programs could be easily adopted to international populations with similar cultural background and further tailored to other Asian American populations. Future international collaborative research developing and testing culturally tailored Web-based physical activity promotion programs could be planned. Keywords :  physical activity, web-based intervention, midlife women, Asian American References: Dunton, G. F., & Robertson, T. P. (2008). A tailored Internet-plus-email intervention for increasing physical activity among ethnically-diverse women. Preventive Medicine , 47 (6), 605–611. doi:10.1016/j.ypmed.2008.10.004 Im, E.-O., Stuifbergen, A. K., & Walker, L. (2010). A situation-specific theory of Midlife Women’s Attitudes Toward Physical Activity (MAPA). Nursing Outlook , 58 (1), 52–58. doi:10.1016/j.outlook.2009.07.001 Lewis, J. R. (2006). Sample sizes for usability tests: mostly math, not magic. Interactions , 13 (6), 29–33. doi:10.1145/1167948.1167973 Massoudi, B. L., Olmsted, M. G., Zhang, Y., Carpenter, R. A., Barlow, C. E., & Huber, R. (2010). A web-based intervention to support increased physical activity among at-risk adults. Journal of Biomedical Informatics , 43 (5 Suppl), S41–45. doi:10.1016/j.jbi.2010.07.012 Wanner, M., Martin-Diener, E., Braun-Fahrländer, C., Bauer, G., & Martin, B. W. (2009). Effectiveness of Active-Online, an Individually Tailored Physical Activity Intervention, in a Real-Life Setting: Randomized Controlled Trial. Journal of Medical Internet Research , 11 (3), e23. doi:10.2196/jmir.1179en
dc.subjectphysical activityen
dc.subjectKorean American midlife womenen
dc.subjectWeb-based interventionen
dc.date.available2016-03-21T16:49:30Zen
dc.date.issued2016-03-21en
dc.date.accessioned2016-03-21T16:49:30Zen
dc.conference.date2015en
dc.conference.name43rd Biennial Conventionen
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen
dc.conference.locationLas Vegas, Nevada, USAen
dc.description43rd Biennial Convention 2015 Theme: Serve Locally, Transform Regionally, Lead Globally.`en
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