Sedentary Lifestyle Clinical Trial
Official title:
Senior Change Makers Study: Improving Physical Activity Environments
Senior Change Makers is an intergenerational intervention that compares two, 8-week programs: (1) an advocacy program wherein senior participants perform audits of their physical activity environments, identify an advocacy project, and advocate for improvements; and (2) a walking program designed to increase participant physical activity through education and guided walks. The investigators expect that the advocacy program will produce greater improvements in seniors' advocacy skills, confidence, and attitudes at 8 weeks.
The proposed study will be conducted at six senior centers in San Diego, California and will
involve 132 senior participants, 16 student participants, and 12 decision maker participants
(N = 160). Three senior centers will be randomized to an advocacy program and three will be
randomized to a walking program.
The participants at the advocacy intervention sites will undergo an 8-week advocacy program
during which they will (1) learn about the connection between the built environment and
physical activity, (2) conduct a field audit of their physical activity environment using the
Microscale Audit of Pedestrian Streetscapes (MAPS) Mini tool, (3) select an advocacy issue
related to a physical activity barrier, and (4) engage in advocacy actions, such as
communicating with decision makers or public officials. The group sessions will include
topics such as how the environment affects walking, potential pedestrian hazards and
solutions, how to conduct an audit of the walking environment, what advocates do, local
examples of successful advocacy projects, creating an advocacy action plan, creating a fact
sheet about the advocacy issue, writing letters to representatives, making an advocacy
presentation. The student participants will work with the senior participants throughout the
program to help accomplish the advocacy goals. The program will culminate with the
presentation of the advocacy issue to a "decision maker" (e.g., a city planner, engineer,
city council member, etc.).
In the other study condition, the walking groups, participants will undergo an 8-week program
that provides participants with information about safe physical activity, strategies to
increase physical activity, and guided walks. The group sessions will address topics such as
the benefits of walking, fall prevention tips, goal setting, positive thinking, social
support, sedentary behavior and health, barriers to walking, handling setbacks, and
overcoming challenges to physical activity. Comparing two beneficial programs helps with
participant recruitment and retention, and ensures that between-group differences in outcomes
are not due solely to participation in a group program.
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