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A Web-App Based Lifestyle Physical Activity Promotion Program to Improve Depressive Symptom Experience: Midlife Korean American Women

Award Number: R01NR020334
ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 04/06/2022
PERIOD OF PERFORMANCE END DATE: 01/31/2027

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A Web-App Based Lifestyle Physical Activity Promotion Program to Improve Depressive Symptom Experience: Midlife Korean American Women - With the growing population of aging women in the United States, depressive symptoms during midlife—particularly throughout the menopausal transition— have become a significant public health concern. This life stage involves a complex interplay of hormonal, psychological, and social changes that heighten the risk of depression. Hormonal fluctuations during menopause are closely linked to mood disturbances, while midlife stressors such as caregiving, career shifts, and evolving family roles can further exacerbate emotional distress. Physical activity is widely recommended for reducing depressive symptoms, offering benefits such as stress relief, mood enhancement, and social support. A technology-based intervention—delivered via a web app without face-to-face interaction—offers an innovative and accessible approach to promoting physical activity in a way that aligns with midlife women’s preferences. Based on Preliminary Studies, the research team developed and pilot-tested a web app based physical activity promotion program in improving depressive symptom experience of midlife women during their menopausal transition. As the initial group to approach, midlife Korean American women were selected as the target population due to their comparatively higher prevalence rate of depression relative to other groups. The program incorporates several unique features, including both surface- and deep-level tailoring and integrated social media functions. The purpose of this randomized intervention study is to determine the efficacy of the program in improving depressive symptom experience of midlife women, with Korean American women selected as the initial target population. The specific aims are to: (a) determine whether the intervention group will show significantly greater improvements than the control group in self-reported depressive symptom experience from a pre-test (T0) to post 6-months (T1) and post 12-months (T2); (b) determine whether the intervention group will show significantly greater improvements than the control group in self-reported lifestyle physical activity experience from T0 to T1 and T2; (c) identify whether physical activity experience mediates the intervention effects of the WPAPP-K on depressive symptom experience from T0 to T2; and (d) determine whether the effects of WPAPP-K on depressive symptom experience are moderated by selected factors. The study is theoretically guided by the Bandura’s Theory of Behavioral Change and the Stress and Coping framework by Lazarus and Folkman. The study adopts a randomized repeated measures pretest/posttest control group design among 300 midlife Korean American women who are nationally recruited. Long-term goals are to scale the program across various settings and among the general population in the U.S., while advancing innovative methodologies and frameworks for highly tailored, technology-based interventions designed for the U.S. population.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $553,680 )
2025	2025	UNIVERSITY OF TEXAS AT AUSTIN	110 INNER CAMPUS DR	AUSTIN	TX	78712	TRAVIS	USA	Nursing Research	000	5	2/13/2025	NON-COMPETING CONTINUATION	$498,313
2025	2025	UNIVERSITY OF TEXAS AT AUSTIN	110 INNER CAMPUS DR	AUSTIN	TX	78712	TRAVIS	USA	Nursing Research	001	5	6/25/2025	NON-COMPETING CONTINUATION	$55,367
														Subtotal = $553,680

Issue Date FY: 2024 ( Subtotal = $552,155 )
2024	2024	UNIVERSITY OF TEXAS AT AUSTIN	110 INNER CAMPUS DR	AUSTIN	TX	78712	TRAVIS	USA	Nursing Research	003	4	5/2/2024	NON-COMPETING CONTINUATION	$55,215
2024	2024	UNIVERSITY OF TEXAS AT AUSTIN	110 INNER CAMPUS DR	AUSTIN	TX	78712	TRAVIS	USA	Nursing Research	004	4	7/29/2024	NON-COMPETING CONTINUATION	$0
2024	2024	UNIVERSITY OF TEXAS AT AUSTIN	110 INNER CAMPUS DR	AUSTIN	TX	78712	TRAVIS	USA	Nursing Research	002	4	1/10/2024	NON-COMPETING CONTINUATION	$496,940
2024	2023	UNIVERSITY OF TEXAS AT AUSTIN	110 INNER CAMPUS DR	AUSTIN	TX	78712	TRAVIS	USA	Nursing Research	001	3	1/8/2024	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$125,295
2024	2022	EMORY UNIVERSITY	201 DOWMAN DR NE	ATLANTA	GA	30322	DEKALB	USA	Nursing Research	000	1	1/8/2024	NEW	-$125,295
														Subtotal = $552,155

Issue Date FY: 2023 ( Subtotal = $551,428 )
2023	2023	UNIVERSITY OF TEXAS AT AUSTIN	110 INNER CAMPUS DR	AUSTIN	TX	78712	TRAVIS	USA	Nursing Research	002	3	9/15/2023	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$551,428
2023	2023	EMORY UNIVERSITY	201 DOWMAN DR	ATLANTA	GA	30322	DEKALB	USA	Nursing Research	001	2	9/15/2023	NON-COMPETING CONTINUATION	-$544,471
2023	2023	EMORY UNIVERSITY	201 DOWMAN DR	ATLANTA	GA	30322	DEKALB	USA	Nursing Research	000	2	1/20/2023	NON-COMPETING CONTINUATION	$544,471
														Subtotal = $551,428

Issue Date FY: 2022 ( Subtotal = $547,750 )
2022	2022	EMORY UNIVERSITY	201 DOWMAN DR	ATLANTA	GA	30322	DEKALB	USA	Nursing Research	000	1	4/7/2022	NEW	$547,750
														Subtotal = $547,750

Grand Total All Awards = $2,205,013

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A Web-App Based Lifestyle Physical Activity Promotion Program to Improve Depressive Symptom Experience: Midlife Korean American Women

Award Number: R01NR020334

ORGANIZATION: NATIONAL INSTITUTE OF NURSING RESEARCH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 04/06/2022

PERIOD OF PERFORMANCE END DATE: 01/31/2027

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