Improved Physical Activity Screening Enhances Intervention Effectiveness in Ethnic Minority Women

2016 ◽  
Vol 18 (1) ◽  
pp. 54-61 ◽  
Author(s):  
Scherezade K. Mama ◽  
Heather J. Leach ◽  
Erica G. Soltero ◽  
Rebecca E. Lee

This study identified inconsistencies in physical activity (PA) reported at screening and baseline of a 6-month health promotion intervention and explored how these inconsistencies influenced intervention effectiveness in African American and Hispanic women. Participants completed a telephone screener to determine eligibility for a PA intervention. Inactive participants (≤90 minutes of PA/week) were invited to a baseline assessment, where they completed the International Physical Activity Questionnaire, measuring work, transportation, gardening/housework, and leisure-time PA. Women returned after 6 months to complete an identical post-intervention assessment. Despite being screened as inactive, baseline Questionnaire data indicated that 85.0% of participants (N = 274, M age = 44.6 years, M body mass index = 34.8 kg/m2) were active (>90 minutes of PA/week). Women who reported any work-related PA were 20.9 times more likely to be active at baseline than those who did not (p < .001). Participants who were inactive at both screening and baseline reported greater increases in domestic and gardening PA and total PA from baseline to postintervention (ps < .05). Overweight/obese ethnic minority women may misreport being physically inactive during screening if specific questions about type of PA are not included. Post hoc analyses controlling for screening inaccuracies may improve effectiveness of PA interventions and help intervention programs reach women who may benefit the most.

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
V Kabeya ◽  
S Puthussery ◽  
A Furmanski

Abstract Background Culturally appropriate interventions are needed to improve the uptake of genetic counselling and testing among ethnically diverse communities. This study aims to assess the feasibility and preliminary effectiveness of a “Health Party” intervention to increase awareness, knowledge and uptake of genetic testing for breast and ovarian cancer among ethnic minority women in the UK. Methods The “Health Party” intervention will include an educational session in a party setting. Participants will be taught by professionals about genetic testing and how to access genetic testing services in the UK National Health Service. We will recruit a sample of 60 women aged 18 years and over from key ethnic minority groups in the UK (Black African, Black Caribbean, Indian, Pakistani, Bangladeshi) and will conduct four community based sessions, each with about 15 participants. The outcomes will primarily relate to recruitment and attrition rates, data collection, study resources and intervention delivery. A quantitative pre-post evaluation with measurements before, shortly after, and at 6 months following the intervention will be conducted to assess the preliminary effectiveness on awareness, knowledge and uptake of genetic testing. We will use three way mixed analysis of variance (MANOVA) to analyse changes pre- and post- intervention. The fidelity of the intervention including facilitation strategies, quality of delivery and participant response will be assessed. Conclusions Findings will establish the feasibility of the intervention and will provide insights into its effectiveness to increase the awareness, knowledge and uptake of genetic testing for breast and ovarian cancer among women from ethnic minority groups in the UK. Impact: Depending on its feasibility and effectiveness, the intervention can be used to help women from ethnic minority groups to make informed choices about genetic testing and improve early diagnosis and treatment of breast and ovarian cancer. Key messages “Health Party” may be a feasible intervention for ethnic minority women in the UK. “Health Party” intervention may increase awareness, knowledge and uptake of services.


2007 ◽  
Vol 4 (1) ◽  
pp. 54-65 ◽  
Author(s):  
Wendell C. Taylor ◽  
James F. Sallis ◽  
Emily Lees ◽  
Joseph T. Hepworth ◽  
Karina Feliz ◽  
...  

Background:Middle age and older (mean = 58.7 y), racial/ethnic minority women report low levels of physical activity. Recommendations to change the social and built environments to promote physical activity in this group are underdeveloped. Two research questions guided this study: What environmental changes are recommended by racial/ethnic minority women? What policies are related to the environmental changes?Methods:The findings from nine Nominal Group Technique sessions with 45 subjects were analyzed.Results:More police protection, cleaner streets, removal of drugs from streets, more street lights, walking groups, and free gyms were prioritized by subjects as the most important recommendations. The relevant policies included municipal, police department, sanitation department, public works, and transportation department.Conclusions:Racial/ethnic minority women living in low income, urban areas recommend improvements that affect overall quality of life. Meeting basic needs may be a prerequisite for use of physical activity resources.


1999 ◽  
Vol 14 (2) ◽  
pp. 277-293 ◽  
Author(s):  
Cynthia M. Castro ◽  
James F. Sallis ◽  
Sara A. Hickmann ◽  
Rebecca E. Lee ◽  
Audrey H. Chen

Author(s):  
Melanie M. Hughes

Around the world, countries are increasingly using quotas to enhance the diversity of political representatives. This chapter considers the histories and policy designs of ethnic and gender quotas that regulate national legislatures. Most countries with quotas target only one type of under-represented group—for example, women or ethnic minorities. Even in countries with both gender and ethnic quotas (called ‘tandem quotas’), the policies typically evolved separately and work differently. Women and ethnic minorities are treated as distinct groups, ignoring the political position of ethnic minority women. However, a handful of countries have ‘nested quotas’ that specifically regulate the political inclusion of ethnic minority women. The second half the chapter focuses explicitly on nested quotas. It lays out how nested quotas work, where and how they have been adopted, and the prospect for their spread to new countries in the future. The chapter concludes with reflections on the promises and pitfalls of nested quotas as a vehicle for multicultural feminism.


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