title: The effect of a walking program on perceived benefits and barriers to exercise in postmenopausal African American women.
abstract: OBJECTIVE
  Rates of exercise participation among African Americans is low. Identifying and overcoming perceived benefits/ barriers unique to African American women (AAW) may increase their exercise participation. The purpose of this study was to describe perceived benefits/barriers to exercise in AAW before and after participation in a walking program.
  
  
  METHODS
  Thirty-five postmenopausal AAW participated in a 7-week structured walking program with 2 walking goals. Perceived benefits and barriers to exercise were assessed using the Exercise Benefits/Barriers Scale at the beginning and end of the program. Participants engaged in a postintervention interview to further assess benefits/barriers to exercise participation.
  
  
  RESULTS
  Perceived benefits/barriers to exercise did not change significantly with participation in a walking program. Lack of time due to work and family responsibilities affected achievement of the brisk walking goal.
  
  
  CONCLUSIONS
  Postmenopausal AAW in this study strongly believed in the benefits of exercising and had increased levels of participation in a walking program when lack of time was not a barrier. Overcoming this barrier is the true challenge to health care professionals.
authors.affiliation: Division of Physical Therapy, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599, USA. bernadette_williams@med.unc.edu
authors.forename: Bernadette R
authors.initials: BR
authors.lastname: Williams
authors.forename: Janet
authors.initials: J
authors.lastname: Bezner
authors.forename: Steven B
authors.initials: SB
authors.lastname: Chesbro
authors.forename: Ronnie
authors.initials: R
authors.lastname: Leavitt
mesh_terms: D001741:Black or African American / Q000523:psychology*; D000368:Aged; D001290:Attitude / Q000208:ethnology*; D015444:Exercise; D005260:Female; D006801:Humans; D008875:Middle Aged; D010349:Patient Compliance; D010809:Physical Fitness; D017698:Postmenopause; D016138:Walking