273977 Promoting the Health of Nurses Through a Web-based Pedometer Intervention

Tuesday, October 30, 2012 : 2:30 PM - 2:50 PM

Kim Paxton, DNP, ANP-BC, APRN , School of Nursing, University of Minnesota Twin Cities, Minneapolis, MN
BACKGROUND: There are over 3 million nurses in the United States with 56% of this population being overweight or obese with coronary disease exceeding the national incidence. There exists an increasing unhealthy image of nursing which is impacting professional credibility and ability to educate populations. OBJECTIVE: To evaluate the effectiveness of a web-based pedometer in addressing physical activity health promotion behavior among nurses and perceived barriers to achievement. METHODS: A pilot 12 week web-based pedometer step tracking intervention (STeP -Self Tracking Exercise Program) was offered to practicing registered nurses who were recruited from a Midwest college of nursing and healthcare system. Participants tracked and recorded their steps daily utilizing a web-based activity/nutrition program with an interactive avatar. They also participated in three educational fitness sessions (aerobic. strength and resistance training). Exercise self-efficacy was measured using the General Self-Efficacy for Exercise Scale (SEE) and health promoting beliefs by the Health-Promoting Lifestyle Profile II (HPLP-II). RESULTS: All participants increased physical activity from baseline with 40% achieving a 50% step increase. 87.5% meet or exceeded national guideline recommendations for sustained physical activity. Overall participant SEE demonstrated a moderately significant alpha equaling 0.1. HPLP-II demonstrated a 50% increase in health responsibility and 75% increase in physical activity belief about behavior. CONCLUSION: The web-based pedometer produced positive behavioral changes associated with physical activity. Self-efficacy produced mixed response. It was found to be feasible and warrants further application with a larger sample size to establish true validity in nurse environments and longevity promotion of physical activity.

Learning Areas:
Administer health education strategies, interventions and programs
Advocacy for health and health education
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Public health or related nursing

Learning Objectives:
Identify the barriers that impact the wellness of nurses. Discuss how web-based pedometer programs support wellness. Demonstrate the applicability of the pedometer for use within the population of nursing.

Keywords: Health Promotion, Nurses

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: As a Doctor of Nursing Practice I have been educated for this very purpose, to disseminate key informational concepts to multiple professional venues. I have been the principal of six regionally funded grants focusing on interventions to promote the health of nurses, stress reduction and work safety. Other areas of health promotion expertise include environmental music application; menopausal transitioning; exercise promotion; and nursing faculty health integration.
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.