The WorkIt! TXT program aims to increase walking among professional women ages 25-45 in Washington, DC through a text message-based intervention. The program objectives are to reduce cardiovascular disease rates by 20% in 10 years and increase weekly steps by 50% in 12 weeks using messages based on social cognitive theory. An initial pilot study of 4 women found an increase in steps but declines in self-efficacy and perceived benefits. Recommendations include improving Fitbit training, setting incremental goals, and providing positive reinforcement messages.
High Profile Call Girls Kodigehalli - 7001305949 Escorts Service with Real Ph...
WorkIt! TXT Walking Campaign
1. WorkIt! TXT
A text message-based walking campaign for urban
professional women
Shriya Kothur, Jessica Havlak, Philip Carroll, Monica Williams
GW School of Public Health and Health Services S
2. Health Problem
S 42 million women in the US live with cardiovascular
disease
S Leading cause of death in women
S Preventable!
4. Program Objectives
S Health Objective:
S To reduce incidence of cardiovascular disease in the target
audience by 20% in 10 years from intervention initiation.
S Behavioral Objective:
S To increase the number of steps taken weekly by the target
audience by 50% in 12 weeks.
5. Program Objectives, cont.
S Theoretical Basis: Social Cognitive Theory
S Communication Objectives:
S Increase target audience self efficacy to walk 10,000 steps
daily from baseline evaluations by 20% in 2 weeks after
intervention initiation.
S Increase target audience’s positive outcome expectations that
walking 10,000 steps is good for health from baseline
evaluations by 25% in 2 weeks after intervention initiation.
S Decrease perception of barriers to walking 10,000 steps daily
among target audience from baseline evaluations by 20% in 2
weeks after intervention initiation.
6. Designing Messages
S Targeted messages that reflect participants’ attitudes and
beliefs about walking
S Limited COs to self-efficacy & positive outcome expectations
S No more than two messages per day
S Interactive messages
S Incorporated FitBit wherever possible
S Conversational/colloquial tone
7. Message Library
S Based on user feedback, we made the following
adjustments to our message library:
S Limited messages to 1x per day on weekends
S Included more goal-oriented messages
S Tweaked messages so they were more encouraging; less
guilt-inducing
S Added in more specificity
8. Dissemination Plan
S Communication Channels
S Social Media: Facebook, Twitter, Instagram
S Word of Mouth (Interpersonal)
S Mass Media Earned & Paid
S Change Agents
S Opinion Leaders
S 3 phases
S Horizontal Dissemination
9. Dissemination Plan
S Phase 1 – Two Months
S Opinion Leaders
S Change Agents
S Earned Media
S Bloggers
S Phase 2 – Three Months
S Trial Period
S Limited Participation
S Feedback and Sharing Practices Noted
S Revisions
10. Dissemination Plan
S Phase 3 - Large Scale Distribution
S Print Media Advertisement
S Washington Post, New York Times
S Billboards/Posters
S Metro, high traffic public transit locations
11. Pilot Study
S 4 women recruited
S Pre/post surveys used to gather demographics & assess the self-
efficacy to walk 10,000 steps, perceived barriers to walking 10,000
steps, & perceived benefits to health from walking 10,000 steps daily
S Survey was online via Google Forms
S After baseline survey, participants received introductory letter to the
program.
S Participants were asked to wear the FitBit for two days for baseline
walking data.
S Participants were asked to wear FitBits for 14 additional days and
received 2 text messages/day.
12. Baseline Assessment
S Pre-Assessment
S No more than 1 text message/day
S Most were very confident in their ability to walk during the
workday
S Neutral about their ability to walk 10,000
S Perceived cardiovascular benefits of walking were
positive, regardless of weight change
S Weather, work schedule, & time were the most common
perceived barriers
13. Post Program Assessment
S Overall increase in steps for all participants after the program
S Decline in self-efficacy to walk 10,000 steps, reinforced perceived
barriers to walking 10,000 steps, & decline perceived benefits to
health from walking 10,000 steps daily
S However, all agree walking can be beneficial to cardiovascular
health regardless of weight change.
S Too many text messages delivered during the program
S Participant that far exceeded 10,000 steps/day believed time was
less of a barrier than those who did not reach 10,000
14. Recommendations
S Train participants more thoroughly in FitBit use and syncing
S In person brief about the WorkIt! Text program and how it
works with the FitBit
S Longer baseline data collection period for more accurate initial
walking averages
S Incremental increases in goals overtime to decrease feelings of
guilt
S Congratulations you averaged ___ steps this week! Try to
increase your daily average by 1,000. Go to
www.WorkITTxt.com for ideas
15. Recommendations cont.
S WorkIt! staff will work with the participants to set realistic goals
based on baseline data
S Positive reinforcement through interactive messaging at the
end of the day and week
S Did you meet your goal today?
S No That’s OK take a few extra laps around the block before bed.
Check out www.WorkITTxt.com for tips to increase your steps.
S Yes Great Job keep up the good work
S Pilot testing of FitBit WorkIt! app for smartphones
Notas do Editor
More than 8 million women have a history of heart attack and/or anginaOver 1/3 of deaths in women over 20 caused by cardiovascular disease- heart attacks kill 5x more women than breast cancerPreventable through changes in diet, quitting smoking, and increasedphysical activity
After baseline survey, participants received introductory letter to the program.Recruiters (team members) distributed FitBits, reviewed installation procedures, dashboard features, FitBit features, & answered questions. During this time, participants’ step counts ranged from under 500 up to 12,497. Participants were asked to wear FitBits for 14 additional days. During the program two text messages were delivered to participants each day, one in the morning and a second after lunch.
Most were very confident in their ability to walk during the workday (3- Very Confident, 1- Unconfident)Neutral about their ability to walk 10,000 steps (1- unconfident, 2- neutral, 1- confident). Preliminary measures of positive outcome expectation for walking were positive (2- very beneficial, 1- beneficial, 1- neutral).
It is worth noting however that the participant that far exceeded 10,000 steps (17,000) per day believed that time was less of a barrier while the participant that achieved the fewest steps in one day (8,500) believed time was more of a barrier.
They will be briefed in person as to what WorkIt! Text is all about and how the text messaging and the FitBit can work together, in addition to the information provided in the welcome letter. Rather than the recommended goal of 10,000 steps per day for each participant, WorkIt! staff will work with the participants to set realistic goals based on their baseline step counts-make program more relevant, attainableand engaging