Evaluation of Walk Across Texas! - a web-based community physical activity program

BMC Public Health. 2019 Nov 28;19(1):1588. doi: 10.1186/s12889-019-7918-3.

Abstract

Background: In response to the chronic disease burden, web- and community-based programs have the potential to address targeted behaviors, such as physical activity (PA), using a novel approach with large audiences. The purpose of this study was to preliminarily evaluate an established team centered, web-based community PA program in Texas.

Methods: Walk Across Texas! (WAT!) is an eight-week community program delivered through a web-based platform to help people of various ages and abilities establish the habit of regular PA. Teams are challenged to walk a minimum of 832 miles. Changes in self-reported PA (miles/week; days/week) and leisure-time sitting (hours/day) were examined from 11,116 adult participants who participated in the program in 2016. Further analysis determined changes in physical activity (miles/week) between groups of pre-program assessment self-reported physical activity levels (0, 1-2, 3-4, or 5-7 days/week). Statistical analysis included paired-sample t-tests, repeated measures ANOVA and participant descriptors for PA change.

Results: Overall, mean changes in PA in all variables were statistically significant (p < .001), with the largest, clinically significant changes in submitted miles/week (mean increase of 4.89 ± 20.92). Self-reported PA increased 0.63 ± 2.89 days/week, while leisure-time sitting decreased less than 1 h per day (0.87 ± 1.86 h/day). All sub-groups (inactive, low active, active, high active at pre-program assessment) increased in self-reported miles per week, on average. Both the inactive and low-active groups experienced a statistically significant increase in mileage from week 1 to week 8 (5.48 miles/week or 12,330 steps /week, and 3.91 miles/week or 8797 steps /week, respectively).

Conclusions: The results provide initial support for the effectiveness of WAT! to initially increase and maintain moderate levels of PA of participants over 8-weeks, even in inactive or low-active participants. Descriptor variables were unable to differentiate between those who increased PA and those who did not. However; the results provide a canvas for future research questions regarding PA enhancement within a team-centered, web-based approach.

Keywords: Community; Online; Physical activity; Team; WAT!; Walk Across Texas!; Walking; Web.

Publication types

  • Evaluation Study

MeSH terms

  • Adult
  • Exercise
  • Female
  • Health Promotion / methods
  • Health Promotion / statistics & numerical data*
  • Humans
  • Internet-Based Intervention / statistics & numerical data*
  • Leisure Activities
  • Male
  • Middle Aged
  • Program Evaluation
  • Sedentary Behavior
  • Self Report
  • Texas
  • Walking