The Seamos Saludables study: A randomized controlled physical activity trial of Latinas

Am J Prev Med. 2013 Nov;45(5):598-605. doi: 10.1016/j.amepre.2013.07.006.


Background: Latinas in the U.S. are less physically active than non-Latino white women and also report higher levels of diabetes, obesity, and other conditions related to inactivity. Interventions are needed to address disparities in this high-risk group.

Purpose: To evaluate the efficacy of a culturally adapted, Spanish-language, individually tailored, computer expert system-driven physical activity print-based intervention for adult Latinas.

Design: RCT.

Setting/participants: Participants were 266 inactive adult Latinas who participated between 2009 and 2012.

Intervention: Participants were randomized to one of two treatment arms: a 6-month tailored physical activity intervention condition or wellness contact control. For both conditions, print materials were delivered by mail.

Main outcome measures: The main outcome measure was change in weekly moderate-to-vigorous physical activity (MVPA) measured by the 7-Day Physical Activity Recall interview, which was administered at baseline and post-intervention (6 months). Participants also wore accelerometers for a week at baseline and follow-up. Analyses were conducted in 2013.

Results: Increases in minutes/week of MVPA measured by the 7-Day PAR were significantly greater in the intervention group compared to the control group (mean difference=41.36, SE=7.93, p<0.01). This difference was corroborated by accelerometer readings (rho=0.44, p<0.01). Further, results indicate that intervention participants had greater increases in self-efficacy, cognitive processes, and behavioral processes at 3 months compared to control paricipants (p's<0.05).

Conclusions: The tailored Spanish-language intervention was effective in increasing MVPA among predominantly low-income, less-acculturated Latinas. Such print-based interventions are poised for widespread dissemination, and thus may help address health disparities.

Publication types

  • Randomized Controlled Trial
  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Cognition
  • Exercise*
  • Female
  • Follow-Up Studies
  • Health Behavior
  • Health Promotion / methods*
  • Health Status Disparities
  • Hispanic or Latino*
  • Humans
  • Language
  • Motor Activity*
  • Outcome Assessment, Health Care
  • Poverty
  • Self Efficacy
  • Time Factors