Social Affiliation Intervention for Physical Inactivity

(TEAM Trial)

Overseen By Allison Sweeney, PhD

Age: 18+

Sex: Female

Trial Phase: Academic

Sponsor: University of South Carolina

Disqualifiers: Cardiovascular, Orthopedic, Pregnancy, others

No Placebo Group All trial participants will receive the active study treatment (no placebo)

Compensation: Varies

Number of Visits: Unknown

Duration: 10 weeks

360 Participants Needed

Trial Summary

What is the purpose of this trial?

The Together Everyone Achieve More (TEAM) Physical Activity trial evaluates the efficacy of a group-based social affiliation intervention (vs. a standard group-delivered physical activity comparison program) for increasing physical activity among inactive African American women. Using a group cohort randomized design implemented at community centers across five years, the primary aim of this study is to evaluate the efficacy of the 10-week TEAM-PA group-based intervention (vs. comparison program) on increasing daily total physical activity from baseline to post-intervention and maintenance at a 6-month follow-up.

Do I need to stop taking my current medications for this trial?

The trial information does not specify whether you need to stop taking your current medications. It focuses on increasing physical activity, so it's best to discuss your medications with the trial coordinators or your doctor.

What data supports the effectiveness of the treatment TEAM-PA group-based intervention for increasing physical activity?

The TEAM-PA trial showed that a group-based approach can effectively increase physical activity among African American women who are not very active. Additionally, group-based physical activity programs have been found to improve attendance and adherence due to social support and other factors, which can help people stick with the program and become more active. ^{1 2 3 4 5}

Is the Social Affiliation Intervention for Physical Inactivity safe for humans?

The studies reviewed do not report any safety concerns for the Social Affiliation Intervention for Physical Inactivity, suggesting it is generally safe for humans. ^{1 2 6 7 8}

How is the TEAM-PA treatment different from other treatments for physical inactivity?

The TEAM-PA treatment is unique because it focuses on group-based interventions to increase physical activity through social affiliation, emphasizing the role of group cohesion and social support, which is different from individual-focused approaches. ^{2 9 10 11 12}

Eligibility Criteria

The TEAM trial is for African American women over 18 who are not very active, doing less than an hour of moderate exercise a week. It's not for those currently pregnant or planning to be soon, with uncontrolled high blood pressure, or with heart or bone problems limiting movement.

Inclusion Criteria

I am an African American or Black female.

Engaging in less than 60 minutes of moderate to vigorous physical activity per week for the last three months

I am 18 years old or older.

Exclusion Criteria

Currently pregnant or planning to become pregnant in the next 2 months

I have a heart or bone condition that limits my ability to move.

Uncontrolled blood pressure (systolic >180 mmHg/diastolic > 110 mmHg)

Timeline

Screening

Participants are screened for eligibility to participate in the trial

2-4 weeks

Treatment

Participants receive a 10-week group-based intervention or comparison program to increase physical activity

10 weeks

Weekly group sessions

Follow-up

Participants are monitored for maintenance of physical activity levels and other health metrics

6 months

Periodic assessments

Treatment Details

Interventions

• Comparison program
• TEAM-PA group-based intervention

Trial Overview This study compares a new group-based social program called TEAM-PA aimed at increasing physical activity against a standard exercise program. The goal is to see if the intervention helps inactive women become more active over a period of 10 weeks and maintain it after six months.

Participant Groups

Group I: Intervention Experimental Treatment 1 Intervention

This group will receive a 10-week group-based intervention program.

Group II: Comparison Active Control 1 Intervention

The group will receive a 10-week group-based comparison program.

Who Is Running the Clinical Trial?

University of South Carolina

Lead Sponsor

Trials

233

Recruited

122,000+

National Heart, Lung, and Blood Institute (NHLBI)

Collaborator

Trials

3,987

Recruited

47,860,000+

Findings from Research

The TEAM-PA trial is a randomized controlled study involving 360 African American women aimed at increasing physical activity through a 10-week group-based intervention, which incorporates social support and cultural elements.

The trial will measure various outcomes, including total physical activity and health metrics, to determine if the intervention is more effective than a standard program, with a focus on how social connections influence physical activity levels.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

An overview of the Together Everyone Achieves More Physical Activity (TEAM-PA) trial to increase physical activity among African American women. Sweeney, AM., Wilson, DK., Zarrett, N., et al.[2023]

The group-mediated cognitive-behavioral (GMCB) intervention was found to be feasible and acceptable for post-treatment gynecologic cancer survivors, with 85% of participants completing the program after 8 weekly sessions.

Despite challenges in recruitment, the intervention fostered positive group experiences and effective cognitive-behavioral strategies, indicating potential benefits for promoting self-managed physical activity among cancer survivors.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Feasibility and acceptability of a group-mediated exercise intervention for gynecological cancer survivors. Flora, PK., Lopez, P., Mina, DS., et al.[2022]

A review of 21 studies involving older adults (aged 55 and over) found that social factors, instructor characteristics, and perceived outcomes significantly influence attendance and adherence to group-based physical activity programs.

The study highlights the importance of program design elements such as class duration, frequency, and social support, suggesting that these factors should be considered to improve participation in physical activity among older adults.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Facilitators of Attendance and Adherence to Group-Based Physical Activity for Older Adults: A Literature Synthesis. de Lacy-Vawdon, CJ., Klein, R., Schwarzman, J., et al.[2019]

The HOPE trial is testing two behavior change models—social support and patient-provider interaction—on increasing physical activity among overweight, sedentary adults in an economically disadvantaged urban setting, with outcomes measured over a year and a follow-up year.

This study aims to identify effective mechanisms for promoting physical activity in underserved communities by addressing social and environmental barriers, potentially leading to improved health outcomes and reduced health disparities.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Health Opportunities with Physical Exercise (HOPE): social contextual interventions to reduce sedentary behavior in urban settings. Coday, M., Klesges, LM., Garrison, RJ., et al.[2019]

A study involving 149 older adults (average age 65) found that a mixed intervention combining web-based and center-based approaches significantly increased physical activity levels, awareness, and motivation for sustainable behavior change over 3 months.

The center-based intervention was particularly effective in improving physical activity levels and motivation stages, while the web-based approach was better at enhancing awareness about physical activity.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Efficacy of a web-based, center-based or combined physical activity intervention among older adults. Mouton, A., Cloes, M.[2016]

In a study involving 310 African American and Hispanic or Latina women, group cohesion strategies significantly improved attendance in a community physical activity program, highlighting their importance in promoting adherence to health interventions.

Both social and task cohesion were found to mediate the relationship between the type of intervention (physical activity or dietary) and attendance, suggesting that fostering a supportive group environment is crucial for enhancing participation in health programs for women of color.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Improving participation rates for women of color in health research: the role of group cohesion. Smith-Ray, RL., Mama, S., Reese-Smith, JY., et al.[2022]

A study involving 56 online users showed that friendly competition and cooperation significantly enhance group cohesion in virtual physical activity programs over a 4-week intervention.

Improving group cohesion through these interactive elements can lead to better engagement and adherence to health promotion programs, suggesting effective strategies for promoting physical activity in virtual communities.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Longitudinal analysis of virtual community perceptions of cohesion: The role of cooperation, communication, and competition. Lyles, AA., Loomis, C., Mama, SK., et al.[2019]

A study involving 310 community-dwelling African-American and Hispanic or Latina women showed that a group cohesion intervention significantly increased physical activity and reduced fat consumption in both the physical activity (PA) and vegetable and fruit (VF) groups, while only the VF group increased their vegetable and fruit intake.

The intervention highlighted the importance of group cohesion in promoting psychological benefits, particularly in the PA group, although it did not lead to significant behavioral changes, suggesting that further refinement of the intervention is needed to enhance its effectiveness.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Mediating effects of group cohesion on physical activity and diet in women of color: health is power. Lee, RE., O'Connor, DP., Smith-Ray, R., et al.[2022]

The 'Move More' study aims to create and evaluate a social-prescribing intervention designed to increase physical activity among inactive Danes, addressing a significant public health issue.

The study employs a co-creation approach involving stakeholders to develop a complex intervention, with plans for a feasibility study to refine the program and produce a manual for implementation.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Study design of 'Move More': Development and feasibility of a social-prescribing intervention to increase physical activity among inactive Danes. Rasmussen, LG., Nielsen, RO., Kallestrup, P., et al.[2023]

The 'Move for Life' intervention was specifically designed to help inactive adults aged 50 and older in Ireland increase their physical activity, addressing the low activity rate of only 38% in this demographic.

The intervention incorporates theories of social cognition and self-determination, utilizing physical activity instructors and peer mentors to enhance group cohesion and support, which may improve its effectiveness and scalability in real-world settings.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Juggling with theory, evidence, practice, and real-world circumstances: Development of a complex community intervention to increase physical activity in inactive adults aged 50 years and older - The Move for Life Study. García Bengoechea, E., Clifford, AM., Gallagher, S., et al.[2021]

A study of 3219 participants found that the majority (80.8%) did not participate in group-based physical activity programs (GPAPs), highlighting a significant gap in engagement.

Factors such as being female, having a high level of education, and receiving physician counseling on physical activity were associated with increased participation, suggesting that targeted outreach and support could enhance GPAP involvement, especially among underrepresented groups.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Participation in group-based physical activity programmes for adults in Germany and associated factors: data from a nationwide cohort study. Jordan, S., Krug, S., von der Lippe, E.[2023]

The MoVo-LISA intervention significantly increased physical activity among 202 patients with coronary heart disease, showing a large effect immediately after treatment and a moderate effect at the 12-month follow-up.

Key cognitive factors like intention strength and self-concordance were important predictors of behavior change, indicating that these motivational variables play a crucial role in both adopting and maintaining physical activity.

NCBI (Pubmed)

pubmed.ncbi.nlm.nih.gov

Adoption and maintenance of physical activity: Mediation analysis of a psychological intervention. Paganini, S., Ramsenthaler, C., Wurst, R., et al.[2022]

References

1. United States pubmed.ncbi.nlm.nih.gov

An overview of the Together Everyone Achieves More Physical Activity (TEAM-PA) trial to increase physical activity among African American women. [2023]

2. United States pubmed.ncbi.nlm.nih.gov

Feasibility and acceptability of a group-mediated exercise intervention for gynecological cancer survivors. [2022]

3. United States pubmed.ncbi.nlm.nih.gov

Facilitators of Attendance and Adherence to Group-Based Physical Activity for Older Adults: A Literature Synthesis. [2019]

4. England pubmed.ncbi.nlm.nih.gov

Health Opportunities with Physical Exercise (HOPE): social contextual interventions to reduce sedentary behavior in urban settings. [2019]

5. England pubmed.ncbi.nlm.nih.gov

Efficacy of a web-based, center-based or combined physical activity intervention among older adults. [2016]

6. United States pubmed.ncbi.nlm.nih.gov

Improving participation rates for women of color in health research: the role of group cohesion. [2022]

7. England pubmed.ncbi.nlm.nih.gov

Longitudinal analysis of virtual community perceptions of cohesion: The role of cooperation, communication, and competition. [2019]

8. United States pubmed.ncbi.nlm.nih.gov

Mediating effects of group cohesion on physical activity and diet in women of color: health is power. [2022]

9. Sweden pubmed.ncbi.nlm.nih.gov

Study design of 'Move More': Development and feasibility of a social-prescribing intervention to increase physical activity among inactive Danes. [2023]

10. England pubmed.ncbi.nlm.nih.gov

Juggling with theory, evidence, practice, and real-world circumstances: Development of a complex community intervention to increase physical activity in inactive adults aged 50 years and older - The Move for Life Study. [2021]

11. England pubmed.ncbi.nlm.nih.gov

Participation in group-based physical activity programmes for adults in Germany and associated factors: data from a nationwide cohort study. [2023]

12. United States pubmed.ncbi.nlm.nih.gov

Adoption and maintenance of physical activity: Mediation analysis of a psychological intervention. [2022]