A Culturally Tailored mHealth Intervention (MobileMen App) to Promote Physical Activity in African American Men: Protocol for a Comparative Effectiveness Trial

African American men are at a higher risk for serious health conditions such as cardiovascular disease, diabetes, and stroke compared to non-Hispanic White men. Physical activity (PA) is a modifiable health behavior that has been shown to decrease chronic disease risk; yet, PA engagement is alarming...

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Veröffentlicht in:	JMIR research protocols Jg. 14; S. e67809
Hauptverfasser:	Nuss, Kayla, Brice, Amanda, Hebert, Callie, Nauta, Phillip, Stull, April J, Swift, Damon L, Griffith, Derek M, Buller, David B, Newton Jr, Robert L
Format:	Journal Article
Sprache:	Englisch
Veröffentlicht:	Canada JMIR Publications 04.07.2025
Schlagworte:	Adult African Americans Black or African American - psychology Black people Chronic illnesses Comparative Effectiveness Research Diabetes Exercise Focus groups Goal setting Health Behavior Health care Health Promotion - methods Humans Intervention Male Middle Aged Mobile Applications Multicenter Studies as Topic Physical fitness Protocol Randomized Controlled Trials as Topic Smartphones Telemedicine Weightlifting White mHealth digital intervention mobile app motivation African American men physical activity
ISSN:	1929-0748, 1929-0748
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Abstract	African American men are at a higher risk for serious health conditions such as cardiovascular disease, diabetes, and stroke compared to non-Hispanic White men. Physical activity (PA) is a modifiable health behavior that has been shown to decrease chronic disease risk; yet, PA engagement is alarmingly low in African American men. Interventions to improve PA engagement are effective in a number of populations; however, very few have been tailored to the unique needs of African American men. Even fewer have leveraged mobile health apps, despite African American men's interest in and willingness to use such technologies for health improvement. This comparative effectiveness trial aims to evaluate MobileMen, a PA promotion app tailored to the needs and preferences of African American men. This trial will compare the MobileMen app to a commercially available PA promotion app with similar features but lacks culturally tailored components. We will recruit a sample of "low active" (accumulating <7500 steps per day) African American men (n=100) aged >30 years from Baton Rouge, Louisiana, and the surrounding communities. All participants are given a Fitbit Charge 6 wearable activity tracker to assess daily PA and steps and are randomized to either the MobileMen intervention app or the comparator app, which is a commercially available PA tracking app called Stridekick. The Stridekick app has features similar to those in the MobileMen app but was not intentionally designed for African American men. The intervention period is 6 months during which participants will interact with their assigned mobile app. MobileMen includes features such as digital badges earned for PA; tangible prizes like exercise equipment; challenges among participants; goal setting; nutrition; PA; and behavior change educational information in text, audio, and video formats. Participants will complete assessments at baseline and at 6 months post randomization. Assessments include objective measurements of daily steps and minutes of moderate to vigorous PA, quality of life, dietary measures, self-efficacy for fruit and vegetable consumption and PA, and autonomous motivation for PA. This trial is in the start-up phase. The MobileMen app development and usability testing was completed in August 2024. Participant recruitment efforts began in October 2024. The trial and associated data analyses and interpretation are planned to be completed by fall 2025. Mobile apps are a widely accessible means to disseminate culturally tailored PA promotion interventions to various populations, including African American men. MobileMen has the potential to impact PA engagement in African American men, which would dramatically improve the overall health and chronic disease risk in this underrepresented group. ClinicalTrials.gov NCT05621044; https://clinicaltrials.gov/study/NCT05621044. PRR1-10.2196/67809.
AbstractList	Background:African American men are at a higher risk for serious health conditions such as cardiovascular disease, diabetes, and stroke compared to non-Hispanic White men. Physical activity (PA) is a modifiable health behavior that has been shown to decrease chronic disease risk; yet, PA engagement is alarmingly low in African American men. Interventions to improve PA engagement are effective in a number of populations; however, very few have been tailored to the unique needs of African American men. Even fewer have leveraged mobile health apps, despite African American men’s interest in and willingness to use such technologies for health improvement.Objective:This comparative effectiveness trial aims to evaluate MobileMen, a PA promotion app tailored to the needs and preferences of African American men. This trial will compare the MobileMen app to a commercially available PA promotion app with similar features but lacks culturally tailored components.Methods:We will recruit a sample of “low active” (accumulating <7500 steps per day) African American men (n=100) aged >30 years from Baton Rouge, Louisiana, and the surrounding communities. All participants are given a Fitbit Charge 6 wearable activity tracker to assess daily PA and steps and are randomized to either the MobileMen intervention app or the comparator app, which is a commercially available PA tracking app called Stridekick. The Stridekick app has features similar to those in the MobileMen app but was not intentionally designed for African American men. The intervention period is 6 months during which participants will interact with their assigned mobile app. MobileMen includes features such as digital badges earned for PA; tangible prizes like exercise equipment; challenges among participants; goal setting; nutrition; PA; and behavior change educational information in text, audio, and video formats. Participants will complete assessments at baseline and at 6 months post randomization. Assessments include objective measurements of daily steps and minutes of moderate to vigorous PA, quality of life, dietary measures, self-efficacy for fruit and vegetable consumption and PA, and autonomous motivation for PA.Results:This trial is in the start-up phase. The MobileMen app development and usability testing was completed in August 2024. Participant recruitment efforts began in October 2024. The trial and associated data analyses and interpretation are planned to be completed by fall 2025.Conclusions:Mobile apps are a widely accessible means to disseminate culturally tailored PA promotion interventions to various populations, including African American men. MobileMen has the potential to impact PA engagement in African American men, which would dramatically improve the overall health and chronic disease risk in this underrepresented group.Trial Registration:ClinicalTrials.gov NCT05621044; https://clinicaltrials.gov/study/NCT05621044International Registered Report Identifier (IRRID):PRR1-10.2196/67809 African American men are at a higher risk for serious health conditions such as cardiovascular disease, diabetes, and stroke compared to non-Hispanic White men. Physical activity (PA) is a modifiable health behavior that has been shown to decrease chronic disease risk; yet, PA engagement is alarmingly low in African American men. Interventions to improve PA engagement are effective in a number of populations; however, very few have been tailored to the unique needs of African American men. Even fewer have leveraged mobile health apps, despite African American men's interest in and willingness to use such technologies for health improvement. This comparative effectiveness trial aims to evaluate MobileMen, a PA promotion app tailored to the needs and preferences of African American men. This trial will compare the MobileMen app to a commercially available PA promotion app with similar features but lacks culturally tailored components. We will recruit a sample of "low active" (accumulating <7500 steps per day) African American men (n=100) aged >30 years from Baton Rouge, Louisiana, and the surrounding communities. All participants are given a Fitbit Charge 6 wearable activity tracker to assess daily PA and steps and are randomized to either the MobileMen intervention app or the comparator app, which is a commercially available PA tracking app called Stridekick. The Stridekick app has features similar to those in the MobileMen app but was not intentionally designed for African American men. The intervention period is 6 months during which participants will interact with their assigned mobile app. MobileMen includes features such as digital badges earned for PA; tangible prizes like exercise equipment; challenges among participants; goal setting; nutrition; PA; and behavior change educational information in text, audio, and video formats. Participants will complete assessments at baseline and at 6 months post randomization. Assessments include objective measurements of daily steps and minutes of moderate to vigorous PA, quality of life, dietary measures, self-efficacy for fruit and vegetable consumption and PA, and autonomous motivation for PA. This trial is in the start-up phase. The MobileMen app development and usability testing was completed in August 2024. Participant recruitment efforts began in October 2024. The trial and associated data analyses and interpretation are planned to be completed by fall 2025. Mobile apps are a widely accessible means to disseminate culturally tailored PA promotion interventions to various populations, including African American men. MobileMen has the potential to impact PA engagement in African American men, which would dramatically improve the overall health and chronic disease risk in this underrepresented group. ClinicalTrials.gov NCT05621044; https://clinicaltrials.gov/study/NCT05621044. PRR1-10.2196/67809. African American men are at a higher risk for serious health conditions such as cardiovascular disease, diabetes, and stroke compared to non-Hispanic White men. Physical activity (PA) is a modifiable health behavior that has been shown to decrease chronic disease risk; yet, PA engagement is alarmingly low in African American men. Interventions to improve PA engagement are effective in a number of populations; however, very few have been tailored to the unique needs of African American men. Even fewer have leveraged mobile health apps, despite African American men's interest in and willingness to use such technologies for health improvement.BACKGROUNDAfrican American men are at a higher risk for serious health conditions such as cardiovascular disease, diabetes, and stroke compared to non-Hispanic White men. Physical activity (PA) is a modifiable health behavior that has been shown to decrease chronic disease risk; yet, PA engagement is alarmingly low in African American men. Interventions to improve PA engagement are effective in a number of populations; however, very few have been tailored to the unique needs of African American men. Even fewer have leveraged mobile health apps, despite African American men's interest in and willingness to use such technologies for health improvement.This comparative effectiveness trial aims to evaluate MobileMen, a PA promotion app tailored to the needs and preferences of African American men. This trial will compare the MobileMen app to a commercially available PA promotion app with similar features but lacks culturally tailored components.OBJECTIVEThis comparative effectiveness trial aims to evaluate MobileMen, a PA promotion app tailored to the needs and preferences of African American men. This trial will compare the MobileMen app to a commercially available PA promotion app with similar features but lacks culturally tailored components.We will recruit a sample of "low active" (accumulating <7500 steps per day) African American men (n=100) aged >30 years from Baton Rouge, Louisiana, and the surrounding communities. All participants are given a Fitbit Charge 6 wearable activity tracker to assess daily PA and steps and are randomized to either the MobileMen intervention app or the comparator app, which is a commercially available PA tracking app called Stridekick. The Stridekick app has features similar to those in the MobileMen app but was not intentionally designed for African American men. The intervention period is 6 months during which participants will interact with their assigned mobile app. MobileMen includes features such as digital badges earned for PA; tangible prizes like exercise equipment; challenges among participants; goal setting; nutrition; PA; and behavior change educational information in text, audio, and video formats. Participants will complete assessments at baseline and at 6 months post randomization. Assessments include objective measurements of daily steps and minutes of moderate to vigorous PA, quality of life, dietary measures, self-efficacy for fruit and vegetable consumption and PA, and autonomous motivation for PA.METHODSWe will recruit a sample of "low active" (accumulating <7500 steps per day) African American men (n=100) aged >30 years from Baton Rouge, Louisiana, and the surrounding communities. All participants are given a Fitbit Charge 6 wearable activity tracker to assess daily PA and steps and are randomized to either the MobileMen intervention app or the comparator app, which is a commercially available PA tracking app called Stridekick. The Stridekick app has features similar to those in the MobileMen app but was not intentionally designed for African American men. The intervention period is 6 months during which participants will interact with their assigned mobile app. MobileMen includes features such as digital badges earned for PA; tangible prizes like exercise equipment; challenges among participants; goal setting; nutrition; PA; and behavior change educational information in text, audio, and video formats. Participants will complete assessments at baseline and at 6 months post randomization. Assessments include objective measurements of daily steps and minutes of moderate to vigorous PA, quality of life, dietary measures, self-efficacy for fruit and vegetable consumption and PA, and autonomous motivation for PA.This trial is in the start-up phase. The MobileMen app development and usability testing was completed in August 2024. Participant recruitment efforts began in October 2024. The trial and associated data analyses and interpretation are planned to be completed by fall 2025.RESULTSThis trial is in the start-up phase. The MobileMen app development and usability testing was completed in August 2024. Participant recruitment efforts began in October 2024. The trial and associated data analyses and interpretation are planned to be completed by fall 2025.Mobile apps are a widely accessible means to disseminate culturally tailored PA promotion interventions to various populations, including African American men. MobileMen has the potential to impact PA engagement in African American men, which would dramatically improve the overall health and chronic disease risk in this underrepresented group.CONCLUSIONSMobile apps are a widely accessible means to disseminate culturally tailored PA promotion interventions to various populations, including African American men. MobileMen has the potential to impact PA engagement in African American men, which would dramatically improve the overall health and chronic disease risk in this underrepresented group.ClinicalTrials.gov NCT05621044; https://clinicaltrials.gov/study/NCT05621044.TRIAL REGISTRATIONClinicalTrials.gov NCT05621044; https://clinicaltrials.gov/study/NCT05621044.PRR1-10.2196/67809.INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID)PRR1-10.2196/67809. BackgroundAfrican American men are at a higher risk for serious health conditions such as cardiovascular disease, diabetes, and stroke compared to non-Hispanic White men. Physical activity (PA) is a modifiable health behavior that has been shown to decrease chronic disease risk; yet, PA engagement is alarmingly low in African American men. Interventions to improve PA engagement are effective in a number of populations; however, very few have been tailored to the unique needs of African American men. Even fewer have leveraged mobile health apps, despite African American men’s interest in and willingness to use such technologies for health improvement. ObjectiveThis comparative effectiveness trial aims to evaluate MobileMen, a PA promotion app tailored to the needs and preferences of African American men. This trial will compare the MobileMen app to a commercially available PA promotion app with similar features but lacks culturally tailored components. MethodsWe will recruit a sample of “low active” (accumulating <7500 steps per day) African American men (n=100) aged >30 years from Baton Rouge, Louisiana, and the surrounding communities. All participants are given a Fitbit Charge 6 wearable activity tracker to assess daily PA and steps and are randomized to either the MobileMen intervention app or the comparator app, which is a commercially available PA tracking app called Stridekick. The Stridekick app has features similar to those in the MobileMen app but was not intentionally designed for African American men. The intervention period is 6 months during which participants will interact with their assigned mobile app. MobileMen includes features such as digital badges earned for PA; tangible prizes like exercise equipment; challenges among participants; goal setting; nutrition; PA; and behavior change educational information in text, audio, and video formats. Participants will complete assessments at baseline and at 6 months post randomization. Assessments include objective measurements of daily steps and minutes of moderate to vigorous PA, quality of life, dietary measures, self-efficacy for fruit and vegetable consumption and PA, and autonomous motivation for PA. ResultsThis trial is in the start-up phase. The MobileMen app development and usability testing was completed in August 2024. Participant recruitment efforts began in October 2024. The trial and associated data analyses and interpretation are planned to be completed by fall 2025. ConclusionsMobile apps are a widely accessible means to disseminate culturally tailored PA promotion interventions to various populations, including African American men. MobileMen has the potential to impact PA engagement in African American men, which would dramatically improve the overall health and chronic disease risk in this underrepresented group. Trial RegistrationClinicalTrials.gov NCT05621044; https://clinicaltrials.gov/study/NCT05621044 International Registered Report Identifier (IRRID)PRR1-10.2196/67809
Author	Griffith, Derek M Swift, Damon L Stull, April J Nuss, Kayla Brice, Amanda Hebert, Callie Nauta, Phillip Buller, David B Newton Jr, Robert L
AuthorAffiliation	4 Department of Kinesiology School of Education and Human Development University of Virginia Charlottesville, VA United States 1 Klein Buendel Lakewood, CO United States 5 Department of Medical Ethics and Health Policy Perelman School of Medicine University of Pennslyvania Philadelphia, PA United States 2 Population and Public Health Sciences Pennington Biomedical Research Center Baton Rouge, LA United States 3 Department of Human Sciences and Design Robbins College of Health and Human Sciences Baylor University Waco, TX United States
AuthorAffiliation_xml	– name: 3 Department of Human Sciences and Design Robbins College of Health and Human Sciences Baylor University Waco, TX United States – name: 2 Population and Public Health Sciences Pennington Biomedical Research Center Baton Rouge, LA United States – name: 1 Klein Buendel Lakewood, CO United States – name: 5 Department of Medical Ethics and Health Policy Perelman School of Medicine University of Pennslyvania Philadelphia, PA United States – name: 4 Department of Kinesiology School of Education and Human Development University of Virginia Charlottesville, VA United States
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BackLink	https://www.ncbi.nlm.nih.gov/pubmed/40613599$$D View this record in MEDLINE/PubMed
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Copyright	Kayla Nuss, Amanda Brice, Callie Hebert, Phillip Nauta, April J Stull, Damon L Swift, Derek M Griffith, David B Buller, Robert L Newton Jr. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 04.07.2025. 2025. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. Kayla Nuss, Amanda Brice, Callie Hebert, Phillip Nauta, April J Stull, Damon L Swift, Derek M Griffith, David B Buller, Robert L Newton Jr. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 04.07.2025. 2025
Copyright_xml	– notice: Kayla Nuss, Amanda Brice, Callie Hebert, Phillip Nauta, April J Stull, Damon L Swift, Derek M Griffith, David B Buller, Robert L Newton Jr. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 04.07.2025. – notice: 2025. This work is licensed under https://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: Kayla Nuss, Amanda Brice, Callie Hebert, Phillip Nauta, April J Stull, Damon L Swift, Derek M Griffith, David B Buller, Robert L Newton Jr. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 04.07.2025. 2025
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Keywords	mHealth digital intervention mobile app motivation African American men physical activity
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License	Kayla Nuss, Amanda Brice, Callie Hebert, Phillip Nauta, April J Stull, Damon L Swift, Derek M Griffith, David B Buller, Robert L Newton Jr. Originally published in JMIR Research Protocols (https://www.researchprotocols.org), 04.07.2025. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work, first published in JMIR Research Protocols, is properly cited. The complete bibliographic information, a link to the original publication on https://www.researchprotocols.org, as well as this copyright and license information must be included.
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Snippet	African American men are at a higher risk for serious health conditions such as cardiovascular disease, diabetes, and stroke compared to non-Hispanic White... Background:African American men are at a higher risk for serious health conditions such as cardiovascular disease, diabetes, and stroke compared to... BackgroundAfrican American men are at a higher risk for serious health conditions such as cardiovascular disease, diabetes, and stroke compared to non-Hispanic...
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SubjectTerms	Adult African Americans Black or African American - psychology Black people Chronic illnesses Comparative Effectiveness Research Diabetes Exercise Focus groups Goal setting Health Behavior Health care Health Promotion - methods Humans Intervention Male Middle Aged Mobile Applications Multicenter Studies as Topic Physical fitness Protocol Randomized Controlled Trials as Topic Smartphones Telemedicine Weightlifting White
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Title	A Culturally Tailored mHealth Intervention (MobileMen App) to Promote Physical Activity in African American Men: Protocol for a Comparative Effectiveness Trial
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