ArticleThe international journal of behavioral nutrition and physical activity2009
Analysis of Individual Social-ecological Mediators and Moderators and Their Ability to Explain Effect of a Randomized Neighborhood Walking Intervention.
Article in The international journal of behavioral nutrition and physical activity, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
17 citing papers in PubMed, 4 syntheses or guidelines pooled it, 50 citations in OpenAlex.
- How different are objective operationalizations of walkability for older adults compared to the general population? A systematic review.BMC geriatrics · 2022Pooled it
- The association between the built environment and intervention-facilitated physical activity: a narrative systematic review.The international journal of behavioral nutrition and physical activity · 2022Pooled it
- Participation levels of physical activity programs for community-dwelling older adults: a systematic review.BMC public health · 2014Pooled it
- Do interventions to promote walking in groups increase physical activity? A meta-analysis.The international journal of behavioral nutrition and physical activity · 2013Pooled it
- Health effects and cost-effectiveness of a multilevel physical activity intervention in low-income older adults; results from the PEP4PA cluster randomized controlled trial.The international journal of behavioral nutrition and physical activity · 2022Trial
- Determining who responds better to a computer- vs. human-delivered physical activity intervention: results from the community health advice by telephone (CHAT) trial.The international journal of behavioral nutrition and physical activity · 2013Trial
- Tailored print communication and telephone motivational interviewing are equally successful in improving multiple lifestyle behaviors in a randomized controlled trial.Annals of behavioral medicine : a publication of the Society of Behavioral Medicine · 2011Trial
- Conceptualisation and Measurement of Social Cohesion within the Sport and Physical Activity Context: A Scoping Review.Sports (Basel, Switzerland) · 2023Article
- When physical activity meets the physical environment: precision health insights from the intersection.Environmental health and preventive medicine · 2021Review
- Does the built environment influence the effectiveness of behavioral weight management interventions?Preventive medicine · 2019Article
- Rationale, design, and baseline characteristics of WalkIT Arizona: A factorial randomized trial testing adaptive goals and financial reinforcement to increase walking across higher and lower walkable neighborhoods.Contemporary clinical trials · 2019Article
- Social and environmental predictors of walking among older adults.BMC geriatrics · 2016Article
- Neighbourhood environment and physical activity in older adults.Social science & medicine (1982) · 2016Article
- The associations between objectively-determined and self-reported urban form characteristics and neighborhood-based walking in adults.The international journal of behavioral nutrition and physical activity · 2014Article
- Imputational modeling of spatial context and social environmental predictors of walking in an underserved community: the PATH trial.Spatial and spatio-temporal epidemiology · 2013Article
- Influences on neighborhood walking in older adults.Research in gerontological nursing · 2012Article
- The influence of environmental factors on the generalisability of public health research evidence: physical activity as a worked example.The international journal of behavioral nutrition and physical activity · 2011Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors at 2 institutions in 1 country.
Funding
Abstract
backgroundUsing data from the SHAPE trial, a randomized 6-month neighborhood-based intervention designed to increase walking activity among older adults, this study identified and analyzed social-ecological factors mediating and moderating changes in walking activity.
methodsThree potential mediators (social cohesion, walking efficacy, and perception of neighborhood problems) and minutes of brisk walking were assessed at baseline, 3-months, and 6-months. One moderator, neighborhood walkability, was assessed using an administrative GIS database. The mediating effect of change in process variables on change in brisk walking was tested using a product-of-coefficients test, and we evaluated the moderating effect of neighborhood walkability on change in brisk walking by testing the significance of the interaction between walkability and intervention status.
resultsOnly one of the hypothesized mediators, walking efficacy, explained the intervention effect (product of the coefficients (95% CI) = 8.72 (2.53, 15.56). Contrary to hypotheses, perceived neighborhood problems appeared to suppress the intervention effects (product of the coefficients (95% CI = -2.48, -5.6, -0.22). Neighborhood walkability did not moderate the intervention effect.
conclusionWalking efficacy may be an important mediator of lay-lead walking interventions for sedentary older adults. Social-ecologic theory-based analyses can support clinical interventions to elucidate the mediators and moderators responsible for producing intervention effects.
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.