Weight Maintenance Through Physical Activity and Social Support in Rural Middle-Aged Women

The purpose of this research project is to evaluate the influence of a theory-based intervention using the Health Effects of Life Transitions for Women Model to promote maintenance of initial weight loss. The intervention will be designed to promote physical activity to prevent weight regain among an underserved and vulnerable population of rural, mid-life women. The intervention delivered through action plans, videos, discussion boards and health behavior tracking (weight, calories in and out, pedometer steps) to facilitate health management, resourcefulness and health status will be compared with the standard advice group who receives newsletters and health behavior tracking (weight) to initiate, increase, or sustain physical activity for weight maintenance.

Inclusion criteria

Women:

• aged 40-64 years;
• reported intentional weight loss of 5-10% of initial body weight within previous 6 months;
• residing in a rural county (population < 50,000 residents) or rural community (population less than 2,500) within driving distance of a UNMC College of Nursing campus;
• ability to communicate in English (verbal and written);
• ambulatory and can walk at least one block without the use of an assistive device, such as a cane, walker, or wheelchair;
• have access to the internet and current email account; and
• answer 'no' to all questions on the Physical Activity Readiness Questionnaire (PAR-Q) or obtain clearance from their physician to become more active.

Exclusion criteria

• instructed by a physician not to exercise;
• presence of chest pain, shortness of breath, or feelings of light-headedness upon exertion.