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. 2021 Apr 22;9(4):e27383. doi: 10.2196/27383

Table 2.

Deep-structure cultural tailoring characteristics of the intervention.

Cultural consideration Brief description How the cultural characteristic was addressed in the intervention
Collectivism Prioritizing the needs and well-being of others (ie, family or friends) over the needs and well-being of oneself. This can contribute to African American women reporting lack of time, energy, or resources for PAa. Although this perspective has been reported among women of other races or ethnicities, previous research, including our own pilot work, suggests this phenomenon may be more accentuated in the African American community. Intervention materials:
  • recognized the importance of caretaking in the value system of African American women.

  • emphasized PA is an investment in the health and well-being of African American women and not a competing interest with caretaking, familial, or other responsibilities.

  • portrayed regular PA as a key behavior to help participants perform their caretaking, familial, and community responsibilities with more energy and for a longer duration throughout the life span.

Racial pride or role modeling Awareness and interest in how one’s behavior can contribute the collective health and well-being of the African American community. Intervention materials highlighted that physically active African American women are positive role models to other members of the African American community, which can encourage others in their community (ie, family and friends) to adopt a physically active lifestyle.
Physical appearance preferences Some African American women are hesitant to engage in PA because
  • perspiration or sweat negatively impacts their hairstyle.

  • they perceive PA will alter their desired body shape.

Intervention materials:
  • included hairstyling strategies to help reduce the negative effects of perspiration (ie, use of hair wraps and dry shampoo strategies).

  • encouraged women to adopt hairstyles that are less impacted by perspiration (ie, braids and natural hairstyles).

  • informed participants that engaging in PA at the levels recommended by the study (ie, 150 min per week) will not substantially change their body shape unless they also change their dietary habits.

  • emphasized health benefits of PA independent of weight loss (ie, reduced cardiometabolic disease risk, weight maintenance, and increased energy).

aPA: physical activity.