Cardiovascular Disease Prevention Preferences of a Sample of Urban American Indians

2011 ◽  
Vol 23 (6) ◽  
pp. 428-434 ◽  
Author(s):  
Kathryn S. Keim ◽  
Janyce Cagan Agruss ◽  
Ellen M. Williams ◽  
Louis Fogg ◽  
Ann Minnick ◽  
...  

This study identified program delivery preferences and barriers to physical activity and healthy eating. Ninety-nine urban dwelling American Indians completed a questionnaire at powwows, community events, and a community health center. Most frequently selected program delivery preferences were coaching or other human contact, with fewer willing to use computer or telephone coaching. Fifty-six selected attending 8, 12, or 16 sessions. Most frequently selected barriers to physical activity were lack of time ( n = 48) and pain from existing problems ( n = 33). Frequently identified barriers to eating healthy foods included expense ( n = 42), uncertainty regarding what foods are healthy ( n = 25), extra time needed for preparation ( n = 22), and lack of knowledge of how to prepare healthy food ( n = 22). Findings showed the need for programs to focus on decreasing the barriers of time for physical activity and healthy eating and encourage doing organized physical activity (not necessarily exercise) with others to increase physical activity.

2016 ◽  
Vol 10 (6) ◽  
pp. NP155-NP157 ◽  
Author(s):  
Adam G. Gavarkovs ◽  
Shauna M. Burke ◽  
Kristen C. Reilly ◽  
Robert J. Petrella

Chronic disease is becoming increasingly prevalent in Canada. Many of these diseases could be prevented by adoption of healthy lifestyle habits including physical activity and healthy eating. Men, especially those in rural areas, are disproportionately affected by chronic disease. However, men are often underrepresented in community-based chronic disease prevention and management (CDPM) programs, including those that focus on physical activity and/or healthy eating. The purpose of this study was to explore the experiences and perceptions of program delivery staff regarding the challenges in recruitment and participation of men in physical activity and healthy eating programs in rural communities, and suggestions for improvement. Semistructured interviews were conducted by telephone with 10 CDPM program delivery staff from rural communities in Southwest Ontario, Canada. Time and travel constraints, relying on spouses, and lack of male program leaders were cited as barriers that contributed to low participation levels by men in CDPM programs. Hiring qualified male instructors and engaging spouses were offered as strategies to increase men’s participation. The results of this study highlight many of the current issues faced by rural health organizations when offering CDPM programming to men. Health care organizations and program delivery staff can use the recommendations in this report to improve male participation levels.


2016 ◽  
Vol 11 (2) ◽  
pp. 330-343 ◽  
Author(s):  
Lee M. Ashton ◽  
Melinda J. Hutchesson ◽  
Megan E. Rollo ◽  
Philip J. Morgan ◽  
Clare E. Collins

Many Australian young men (18-25 years) fail to meet recommendations in national dietary or physical activity (PA) guidelines. However, there is a lack of understanding of their perspectives on PA and diet to inform intervention design. This study examined young men’s motivators and barriers to healthy eating and PA, along with differences by demographic and behavioral factors. A cross-sectional online survey was completed by 282 men aged 18 to 25 years in Australia. Results identified the most common motivators for healthy eating included improving health (63.5%), body image (52.3%), and increasing energy (32.1%). Motivators for PA included improving body image (44.6%), fitness (44.2%), and health (41.0%). Common barriers to healthy eating were access to unhealthy foods (61.1%), time to cook/prepare healthy foods (55.0%), and motivation to cook healthy foods (50.7%). Barriers for PA included motivation (66.3%), time (57.8%), and cost of equipment/facilities (33.3%). Significant differences ( p < .01) in motivators to healthy eating and/or PA were identified for BMI category, marital status, PA level, alcohol intake, and stress levels. Significant differences were identified for barriers to healthy eating and/or PA by BMI, PA level, stress, and fruit and vegetable intake, assessed using Pearson’s chi-square test. Findings suggest that promotion of benefits related to health, appearance/body image, increased energy and fitness, and addressing key barriers including motivation, time, financial restraints, and accessibility of unhealthy foods, could engage young men in improving lifestyle behaviors. Differences by demographic and behavioral factors suggest development of tailored programs to address diversity among young men may be required.


2012 ◽  
Vol 17 (3) ◽  
pp. 700-707 ◽  
Author(s):  
Christina Black ◽  
Wendy Lawrence ◽  
Sue Cradock ◽  
Georgia Ntani ◽  
Tannaze Tinati ◽  
...  

AbstractObjective(i) To assess change in confidence in having conversations that support parents with healthy eating and physical activity post-training. (ii) To assess change in staff competence in using ‘open discovery’ questions (those generally beginning with ‘how’ and ‘what’ that help individuals reflect and identify barriers and solutions) post-training. (iii) To examine the relationship between confidence and competence post-training.DesignA pre–post evaluation of ‘Healthy Conversation Skills’, a staff training intervention.SettingSure Start Children's Centres in Southampton, England.SubjectsA total of 145 staff working in Sure Start Children's Centres completed the training, including play workers (43 %) and community development or family support workers (35 %).ResultsWe observed an increase in median confidence rating for having conversations about healthy eating and physical activity (both P < 0·001), and in using ‘open discovery’ questions (P < 0·001), after staff attended the ‘Healthy Conversation Skills’ training. We also found a positive relationship between the use of ‘open discovery’ questions and confidence in having conversations about healthy eating post-training (r = 0·21, P = 0·01), but a non-significant trend was observed for having conversations about physical activity (r = 0·15, P = 0·06).ConclusionsThe ‘Healthy Conversation Skills’ training proved effective at increasing the confidence of staff working at Sure Start Children's Centres to have more productive conversations with parents about healthy eating. Wider implementation of these skills may be a useful public health nutrition capacity building strategy to help community workers support families with young children to eat more healthy foods.


2016 ◽  
Vol 31 (3) ◽  
pp. 192-199 ◽  
Author(s):  
Kimberly R. Jacob Arriola ◽  
April Hermstad ◽  
Shauna St.Clair Flemming ◽  
Sally Honeycutt ◽  
Michelle L. Carvalho ◽  
...  

Purpose. The Emory Prevention Research Center’s Cancer Prevention and Control Research Network mini-grant program funded faith-based organizations to implement policy and environmental change to promote healthy eating and physical activity in rural South Georgia. This study describes the existing health promotion environment and its relationship to church member behavior. Design. Cross-sectional. Setting. Data were obtained from parishioners of six churches in predominantly rural South Georgia. Subjects. Participants were 319 church members with average age of 48 years, of whom 80% were female and 84% were black/African-American. Measures. Questionnaires assessed perceptions of the existing church health promotion environment relative to nutrition and physical activity, eating behavior and intention to use physical activity facilities at church, and eating and physical activity behaviors outside of church. Analysis. Multiple regression and ordinal logistic regression using generalized estimating equations were used to account for clustered data. Results. Results indicate that delivering messages via sermons and church bulletins, having healthy eating programs, and serving healthy foods are associated with participants’ self-reported consumption of healthy foods at church (all p values ≤ .001). Serving more healthy food and less unhealthy food was associated with healthier eating in general but not to physical activity in general (p values ≤ .001). Conclusion. The church environment may play an important role in supporting healthy eating in this setting and more generally.


2017 ◽  
Vol 5 (11) ◽  
pp. 15
Author(s):  
Dimple Singh-Ackbarali ◽  
Rohanie Maharaj

This paper examined local self-reported perceptions on healthy eating, nutrition and obesity among select groups of the population and how these varied with gender, age, socioeconomic status/professional/educational training, and ethnicity.  97% of participant volunteers believed that what you eat is one of the most important factors for maintaining health, there were a number of attitudinal and perceived environmental barriers to healthy eating and increasing physical activity. Results showed that while 85.8% of participant volunteers declared that they would like to get in better shape 65.8% reported that they are currently trying to improve their weight and 48.3% confessed to having poor or only ok eating habits. Busy schedule, cost of healthy foods and lack of convenience to eat or shop healthy were found to be the main barriers to healthy eating. There are significant differences in these barriers for the different age categories. The lack of motivation to do physical activity, insufficient support from friends, and lack of time to do physical activity were the main barriers to physical activity. The difference between the different age categories were significant for several of the barriers while the difference between males and females was only significant for one barrier. Finally it was found that the perceived barriers to healthy eating and physical activity did not vary by socio-economic status or overweight status. A limitation of this study was that the barriers were not assessed objectively, but rather through self-reports. It can be concluded that more efficient measure to reduce obesity might require a shift away from the traditional focus on individual behavior change towards strategies which deal with the environment in which such behaviors occur. The successful challenge to obesity therefore lies not in interventions at the individual level but in the public policy domain.


2015 ◽  
Vol 1 (2) ◽  
pp. 74-86
Author(s):  
David W. Hey ◽  
Kristina M. Kelly ◽  
Stephanie Teaford ◽  
Ann Yelmokas McDermott

2008 ◽  
Vol 33 (2) ◽  
pp. 338-346 ◽  
Author(s):  
John Dwyer ◽  
Lisa Needham ◽  
Janis Randall Simpson ◽  
Elizabeth Shaver Heeney

There is an increasing trend in childhood obesity in Canada and many preschool children are overweight or obese. The objective of this study was to explore parents’ experiences and challenges in supporting healthy eating and physical activity among their preschool children. A qualitative descriptive study involving 5 focus groups was conducted. A convenience sample of 39 parents from 3 childcare centres in Hamilton, Ontario, participated. Parents were English speaking and had a child aged 2–5 years attending the childcare centre for at least 3 months. The research team read transcripts of the audio-taped sessions and used a constant comparison approach to develop themes, which involved coding comments by continually referring to previously coded comments for comparison. The social ecological model was used to organize the themes into 3 higher-level categories: (i) intrapersonal (individual): preschoolers’ preferences and health; (ii) interpersonal (interactions): parents’ and others’ different views and practices, influence of the childcare centre, parents’ lack of time, and family structure; and (iii) physical environment: accessibility of healthy foods, preschoolers with special needs, media influence, weather, lack of safety, and inaccessible resources. Parents perceived that there are various intrapersonal, interpersonal, and environmental barriers to supporting healthy eating and physical activity among their children. Program planners and health professionals can consider these barriers when developing interventions to promote healthy bodyweights among preschoolers.


2004 ◽  
Author(s):  
John Dwyer ◽  
Ken Allison ◽  
Hyacinth Irving ◽  
Karen Yoshida

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