"Efficacy and mediation of a theory-based physical activity intervention for African American men who have sex with men: a randomized controlled trial." Annals of Behavioral Medicine, 2017.

J. Zhang, J.B. Jemmott III, A. O’Leary, R. Stevens, L.S. Jemmott, L.D. Icard, J. Hsu, and S.E. Rutledge
Research Area: 

Background: Few trials have tested physical-activity interventions among sexual minorities, including African American men who have sex with men (MSM).

Purpose: We examined the efficacy and mediation of the Being Responsible for Ourselves (BRO) physical-activity intervention among African American MSM.

Method: African American MSM were randomized to the physical-activity intervention consisting of three 90-min one-on-one sessions or an attention-matched control intervention and completed pre-intervention, immediately post-intervention, and 6- and 12-month post-intervention audio computer-based surveys.

Results: Of the 595 participants, 503 completed the 12-month follow-up. Generalized estimating equation models revealed that the intervention increased self-reported physical activity compared with the control intervention, adjusted for pre-intervention physical activity. Mediation analyses suggested that the intervention increased reasoned action approach variables, subjective norm and self-efficacy, increasing intention immediately post-intervention, which increased physical activity during the follow-up period.

Conclusions: Interventions targeting reasoned action approach variables may contribute to efforts to increase African American MSM's physical activity.

Clinical Trial Registration: The trial was registered with the ClinicalTrials.gov Identifier NCT02561286.

Published in Volume 51,  Issue 1, pages 106-116