239779 Associations between awareness and stages of change in community-wide campaign to promote aerobic, flexibility, and muscle-strengthening activities in middle-aged and elderly people: Exploratory analyses of a cluster randomized controlled trial

Wednesday, November 2, 2011: 1:10 PM

Masamitsu Kamada , School of Medicine, Shimane University, Unnan City, Japan
Jun Kitayuguchi , Research Division, Physical Education and Medicine Research Center UNNAN, Unnan City, Japan
Shigeru Inoue , Department of Preventive Medicine and Public Health, Tokyo Medical University, Shinjuku-ku, Japan
Yoshiki Ishikawa, Master of Science , Department of Public Health, Jichi Medical School, Shimotsuke City, Japan
Hiromu Nishiuchi , Health Communication Core, Population Sciences, Medical Oncology, Dana-Farber/Harvard Cancer Center, Boston, MA
Shimpei Okada , Research Division, Physical Education and Medicine Research Foundation, Tomi City, Japan
Kazuhiro Harada , Graduate School of Sport Sciences, Waseda University, Tokorozawa City, Japan
Hiroharu Kamioka , Faculty of Regional Environment Science, Tokyo University of Agriculture, Setagaya-ku, Japan
Kuninori Shiwaku , School of Medicine, Shimane University, Izumo City, Japan
Background: Examining the effectiveness of community-wide campaigns (CWCs) for promoting physical activity is important. This study aims to clarify the associations between awareness and stages of change in a CWC for promoting physical activity. Methods: A cluster randomized controlled trial was held using a population-based random-sampled evaluation from 40- to 79-year-old adults living in 12 communities in Unnan City, Shimane, Japan. A 1-year CWC was comprised of aerobic activity (Group A, 3 communities), flexibility and muscle-strengthening activities (Group FM, 3 communities), or all three (Group AFM, 3 communities), and included information, education, and support delivery, according to a social marketing process. In this study, awareness of the CWC and stages of change in regular aerobic, flexibility, and muscle-strengthening activities were analyzed using a generalized estimation equation and Kruskal-Wallis and Mann-Whitney tests. Results: The data of 3496 respondents were analyzed (control: 841; Group A: 895; Group FM: 857; Group AFM: 903). 79.2% of respondents in the intervention group were aware of the CWC (Group A: 82.0%; Group FM: 77.2%; Group AFM: 78.4%). The stages of change in each activity did not significantly differ between control and each intervention group at the follow-up. In Group A and AFM, respondents aware of the CWC were in higher stages of change in each activity. However, awareness of the CWC was not significantly associated with stages of change in flexibility and muscle-strengthening activities in Group FM. Conclusion: Awareness of the CWC was associated with stages of change in Group A and AFM.

Learning Areas:
Epidemiology
Implementation of health education strategies, interventions and programs
Public health or related education
Public health or related research
Social and behavioral sciences

Learning Objectives:
1. Assess the effectiveness of community-wide campaign to promote physical activity. 2. Discuss the associations between respondentsí awareness of the community-wide campaign and their stages of change in physical activity. 3. Compare the promotion strategy of different types of physical activity.

Keywords: Community-Based Health Promotion, Social Marketing

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I engage in research and practice in public health such as promotion of physical activity.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.