Abstract: FR-PO1093
Adapting an Intervention to Reduce Sedentary Time for Black Adults with CKD
Session Information
- Health Maintenance, Nutrition, and Metabolism
November 07, 2025 | Location: Exhibit Hall, Convention Center
Abstract Time: 10:00 AM - 12:00 PM
Category: Health Maintenance, Nutrition, and Metabolism
- 1500 Health Maintenance, Nutrition, and Metabolism
Authors
- Hannan, Mary F., University of Illinois Chicago, Chicago, Illinois, United States
- Demartelly, Victoria, University of Illinois Chicago, Chicago, Illinois, United States
- Rosenberg, Dori, Kaiser Permanente Washington Health Research Institute, Seattle, Washington, United States
- Marquez, David X., University of Illinois Chicago, Chicago, Illinois, United States
- Tintle, Nathan, University of Illinois Chicago, Chicago, Illinois, United States
- Lash, James P., University of Illinois Chicago, Chicago, Illinois, United States
- Doorenbos, Ardith Zwyghuizen, University of Illinois Chicago, Chicago, Illinois, United States
Background
Excessive sedentary behavior is associated with numerous adverse health outcomes. Yet, adults with chronic kidney disease (CKD), who already experience negative health outcomes, spend over 60% of their waking hours sedentary. CKD is also two to three times more common in Black adults, with substantial differences in the health outcomes experienced by Black adults with CKD. The purpose of this study was to use qualitative feedback to adapt a sitting-reduction intervention for Black adults with CKD.
Methods
Black adults with CKD were recruited via purposive sampling to be members of a Patient Advisory Board (n=4). Five 1-hour virtual focus group meetings and 1:1 semi-structured telephone interviews were conducted with Board members. The content focused on exploring factors influencing sedentary behavior and capturing ideas for refining an evidenced-based sitting-reduction intervention, I-STAND, to better fit the lived experiences of people with CKD. Data analysis was guided by thematic analysis. The analysis was conducted using NVivo and done by two coders who coded independently, discussed until consensus was reached, and then grouped codes into themes.
Results
The Board consisted of 2 males and 2 females, the mean age was 60.5 (9.1) years, and three had CKD Stage 3 and one had Stage 4. Three themes emerged on factors that influence sedentary behavior: (1) external reasons (time, employment status, responsibilities, & technology), (2) internal reasons (how one’s body feels, mindset, & intention), and (3) having or not having "things to do" (Figure). Three themes were identified related to how to refine the intervention: (1) tailoring the intervention to the individual, (2) sharing ideas and information, and (3) providing feedback and supporting accountability.
Conclusion
The findings of this study help to increase the understanding of the experience of sedentary behavior for Black adults with CKD and will inform the adaptation of an intervention to reduce sedentary behavior.
Funding
- Other NIH Support