{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T20:38:13Z","timestamp":1788381493670,"version":"build-2803163510"},"reference-count":71,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Form Res"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n The adult Hispanic population of the United States faces an increased risk of dementia compared to non-Hispanic White adults. Physical activity (PA) can help reduce dementia risk, but culturally adapted interventions for Hispanic populations are lacking. Culturally adapted interventions are needed to increase uptake and adherence to brain health promotion strategies in the Hispanic community.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n The De Pie y a Movernos intervention aims to reduce barriers to participation in clinical research by culturally adapting a remotely based PA intervention for middle-aged and older Hispanic adults and establish its feasibility and acceptability through a pre-post pilot study. Findings from the cultural adaptation process will inform a stage II PA randomized controlled trial.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n The adaptation process followed Barrera and Castro\u2019s 2006 cultural adaptation framework and included a literature review, translation of intervention materials, review by a Hispanic-comprised community advisory board and bilingual staff, and a pre-post pilot study (N=10) with subsequent focus groups to refine the intervention. The pilot intervention included the use of Fitbit activity trackers and 2 individualized goal-setting calls with a health coach over a period of 3 weeks. Feasibility and acceptability were assessed using both quantitative methods and qualitative focus groups. Primary quantitative outcomes included enrollment, recruitment, and completion rates, as well as acceptability (predetermined satisfaction survey scores \u22653). Focus groups were thematically coded to identify themes for participants\u2019 opinions about several aspects of the intervention and explore key barriers and facilitators to PA engagement to improve the planned stage II trial.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n Ten Hispanic adults (age: mean 62.7, SD 5.3 years; education: mean 11.8, SD 3.8 years; n=9, 90% female; n=9, 90% Spanish-speaking) participated in the pre-post pilot, with a 100% completion rate, 50% enrollment rate, and a recruitment rate of 5 participants per month. Acceptability was high (mean score 4.6, SD 0.3; range 1\u20105). Qualitative analyses indicated that participants had high satisfaction with the intervention. They expressed a preference for adding group-based activities and increased interaction with study staff. Key barriers to PA included lack of awareness about the benefits of PA, low self-efficacy, time constraints, health conditions, and weather, while facilitators included awareness of PA\u2019s cognitive benefits, social support from family or friends, accountability, enjoyable activities, self-efficacy, and Fitbit use. Insights from participants and community advisory board recommendations led to modifications for the larger trial, such as incorporating group-based elements for those who want them and adding an option for teleconference coaching calls.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The cultural adaptation process was essential in refining the intervention to align with the preferences of older Hispanic adults, which resulted in a feasible and acceptable intervention. Findings will inform a planned stage II randomized controlled trial aimed at promoting PA and reducing dementia risk in older Hispanic adults.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/65489","type":"journal-article","created":{"date-parts":[[2025,5,27]],"date-time":"2025-05-27T16:03:16Z","timestamp":1748361796000},"page":"e65489-e65489","source":"Crossref","is-referenced-by-count":3,"title":["Feasibility and Cultural Adaptation of a Community-Engaged Physical Activity Intervention for Hispanic Older Adults: Pilot Study"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8690-6406","authenticated-orcid":false,"given":"Zvinka Z","family":"Zlatar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7576-7762","authenticated-orcid":false,"given":"Mikael Anne","family":"Greenwood-Hickman","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-2741-2843","authenticated-orcid":false,"given":"Lazaro N Martinez","family":"Lujan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9420-4634","authenticated-orcid":false,"given":"Julie","family":"Cooper","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8148-5799","authenticated-orcid":false,"given":"Stefani","family":"Florez-Acevedo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8903-4941","authenticated-orcid":false,"given":"David X","family":"Marquez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7268-3272","authenticated-orcid":false,"given":"Rosa Gutierrez","family":"Aceves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-3926-3370","authenticated-orcid":false,"given":"Andrea Paula","family":"Vargas","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1017-8833","authenticated-orcid":false,"given":"Dori E","family":"Rosenberg","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2025,5,27]]},"reference":[{"key":"R1","doi-asserted-by":"publisher","DOI":"10.1093\/epirev\/mxp008","article-title":"Health disparities in the Latino population","volume":"31","author":"Vega","journal-title":"Epidemiol Rev"},{"issue":"4","key":"R2","doi-asserted-by":"publisher","first-page":"979","DOI":"10.3233\/JAD-161261","article-title":"Alzheimer\u2019s disease in the Latino community: intersection of genetics and social determinants of health","volume":"58","author":"Vega","journal-title":"J Alzheimers Dis"},{"issue":"46","key":"R3","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000017964","article-title":"The burden of health conditions across race and ethnicity for aging Americans: disability-adjusted life years","volume":"98","author":"McGrath","journal-title":"Medicine (Baltimore)"},{"issue":"7","key":"R4","doi-asserted-by":"publisher","first-page":"235","DOI":"10.1101\/lm.048470.118","article-title":"The impact of cardiovascular risk factors on cognition in Hispanics and non-Hispanic whites","volume":"26","author":"Stickel","journal-title":"Learn Mem"},{"issue":"9","key":"R5","doi-asserted-by":"publisher","first-page":"1677","DOI":"10.1002\/alz.12589","article-title":"Addressing the disparities in dementia risk, early detection and care in Latino populations: highlights from the second Latinos & Alzheimer\u2019s Symposium","volume":"18","author":"Quiroz","journal-title":"Alzheimers Dement"},{"issue":"1","key":"R6","doi-asserted-by":"publisher","first-page":"17","DOI":"10.1016\/j.jalz.2018.06.3063","article-title":"Racial and ethnic estimates of Alzheimer\u2019s disease and related dementias in the United States (2015-2060) in adults aged \u226565 years","volume":"15","author":"Matthews","journal-title":"Alzheimers Dement"},{"key":"R7","unstructured":"U.S. burden of Alzheimer\u2019s disease, related dementias to double by 2060. 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