PACE+: Men-in-Motion

This is a 4-year RCT, funded by NCI, which will evaluate an integrated clinical and web-based intervention to improve physical activity and dietary behaviors in overweight (BMI 25-39.9) men ages 25 through 55 years. The Men in Motion program builds on previous PACE research by enhancing computer capabilities among a population that typically does not seek preventive health services. The theoretical foundation is grounded in Cognitive Behavioral Theory and the Transtheoretical Model. Men in Motion is a 1 year-intervention with follow-up measurement over 2 years.

The targets and goals are as follows:

Physical Activity                                                            Target Goal

Cardiovascular Exercise                           10000+ steps/day on pedometer

Strength Training                                      3 body areas (upper, core, lower), 2 days/week

Nutrition                                                                             Target Goal

Fruit and Vegetable                                  5-9+ servings/day

Whole Grain                                              3 servings/day

Saturated Fat                                             <20 grams/day

Participants are asked to set weekly goals and receive psychoeducational material (including basic information and relevant behavior change skills) on a monthly basis. This program is more realistic and flexible in terms of participation to accommodate ideal and less frequent participant usage. In addition, individualized e-counseling has been reduced to case management and troubleshooting computer site difficulties. The computer program is more robust with respect to content and individualized feedback to be more cost-effective and reduce individual counseling via email and phone.

Primary outcomes include: a) energy expenditure from moderate and vigorous physical activity during leisure-time; b) fruit and vegetable servings; and c) dietary saturated fat as percent of energy consumed. Secondary outcomes include: a) fiber intake; b) total energy intake; and c) total dietary fat as a percent of energy consumed. Stage of change and psychosocial mediators of behavior change are also assessed.