RNRCTJournal of community health nursing2021

A Pilot Study to Promote Active Living among Physically Inactive Korean American Women.

JiWon Choi, Nah-Mee Shin, Bruce Cooper and 2 others

PMID 33682553

WHAT IT FOUND

The online community group increased muscle-strengthening days by 1.4 days more than the other group.

Both groups increased aerobic, vigorous, and walking activity and reduced weekday sitting.

Key findings

01The WALK-plus group increased days spent in muscle-strengthening activity 1.4 days more than the WALK-regular group.

02Both groups increased time spent in aerobic activity, muscle-strengthening activity, vigorous activity, and walking, and decreased time spent sitting on weekdays.

03Weekly Fitbit steps did not differ between groups over 4 weeks.

STILL TO COME

How it was doneWhat they foundWhat it means for RNs

Read the rest of this summary

You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.

Already have one?

What it does not show

This was a pilot study of 40 women randomized, and the authors state that an adequately powered randomized trial is needed. The main activity outcomes were self-reported, and the Fitbit step data had no baseline before week 1. Follow-up was only 4 weeks, so the study did not test whether changes were maintained. Both groups received counseling, healthy eating guidance, weekly challenge sheets, and Fitbit, so the study does not show which parts of the common program produced the overall increases. Participants were Korean American women aged 40-69 who used KakaoTalk and were in the contemplation or preparation stage for activity, so results may not apply to others. The WALK-plus group had lower baseline encouragement from people they met and less prior regular physical activity than the WALK-regular group. The engagement comparisons were exploratory associations, not tested causes.

Declared interests

The supplied text reports no conflicts of interest; no funding source is listed.

The easy way to misread this

Do not conclude that the online community alone caused the 1.4-day increase in muscle-strengthening days. Both groups received one-on-one counseling, healthy eating guidance, weekly challenge sheets, and Fitbit self-monitoring, and weekly step counts did not differ between groups. This was a pilot, so the finding needs confirmation.

Read it on PubMed →