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Stepping Up to Health - Expanding the Reach


The goal of this project is to expand the web-based Stepping Up to Health intervention to more individuals. The original intervention used enhanced pedometers and email-based tailored feedback to promote physical activity in people with type 2 diabetes. Expanding the Reach extends the tailored messages to promote physical activity to sedentary adults who are at risk for developing cancer, heart disease or diabetes, along with continuing to provide tailored messages for individuals with type 2 diabetes.


Aim 1. Expand the target population of the original Stepping Up To Health to include individuals who do not have type 2 diabetes, with a particular focus on those who are overweight and sedentary and who are thus at increased risk of developing cancer, diabetes, and heart disease.

Aim 2. Pilot and user-test the modified and expanded Stepping Up to Health intervention in ten sedentary and overweight or obese participants who are at risk for developing cancer, diabetes, or heart disease.

Aim 3. Write and submit an RO1 proposal to conduct a larger randomized controlled study of this intervention among sedentary individuals at risk for developing cancer.


Adults age 18 or older who are overweight or obese (BMI > 25), sedentary (exercise at a moderate intensity < 150 minutes per week), and who are at risk for developing cancer, heart disease or diabetes, or who have type 2 diabetes or coronary artery disease. Participants are recruited using community flyers, local newspapers, clinic-based recruitment and listing on the University of Michigan Engage web site (for research volunteers).

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