Abstract
This study examined the effect of a behavioral contract on adherence to a walking program in postmenopausal African American women. A convenience sample of 43 postmenopausal African American women was used. Participants were randomly assigned to an experimental or control group. Those in the experimental group signed a behavioral contract. A pedometer, daily log, 7-day physical activity recall, and qualitative analysis were used during a 7-week program. The contract group adhered more to the brisk walking goal (P = .006). A behavioral contract is effective in increasing exercise adherence in postmenopausal African American women.