scholarly journals Use of Community Based Participatory Research to Design Interventions for Healthy Lifestyle in an Alternative Learning Environment

2021 ◽  
Vol 12 ◽  
pp. 215013272110147
Author(s):  
Valeria Cristiani ◽  
Ashok Kumbamu ◽  
Gladys B. Asiedu ◽  
Shirley K. Johnson ◽  
Janna Rae Gewirtz O’Brien ◽  
...  
Keyword(s):  
Physical Activity ◽  
Learning Environment ◽  
Focus Groups ◽  
Healthy Eating ◽  
Healthy Lifestyle ◽  
Community Based Participatory Research ◽  
Community School ◽  
Community Based ◽  
Alternative Learning ◽  
Alternative Learning Environment

Introduction/Objectives Childhood obesity develops as the result of the interplay between individual and environmental factors. Community based participatory research (CBPR) is an effective tool for improving health of communities. There is limited research on CBPR for facilitating healthy lifestyle in community schools with an alternative learning environment. The objective of the study was to explore student and staff perspectives via focus groups on barriers and facilitators for healthy eating and physical activity in a community school with alternative learning environment and to prioritize, design, and implement suggested interventions to improve healthy lifestyle. Methods We conducted qualitative research through 8 focus groups of middle and high school students (n = 40) and 2 focus groups of school staff (n = 8). The school community and research team subsequently identified and implemented interventions for facilitating healthy lifestyle in students within the school environment. Results Barriers identified for healthy lifestyle included lack of motivation, lack of healthy food options at school, inadequate knowledge about healthy lifestyle and insufficient opportunities for physical activity. Facilitators for healthy lifestyle were support and motivation from mentors and knowledge about healthy nutrition. Key strategies implemented were addition of healthier food options, educational materials for healthy eating, creation of a walk path, standing desks in classrooms and additional equipment in the school gymnasium. Conclusions Formative feedback from students and staff was helpful in the implementation of strategies for facilitating healthy lifestyle among students within a community school with an alternative learning environment.

scholarly journals Using community-based participatory research to identify potential interventions to overcome barriers to adolescents’ healthy eating and physical activity

2009 ◽  
Vol 32 (5) ◽  
pp. 491-502 ◽  
Author(s):  
Ying-Ying Goh ◽  
Laura M. Bogart ◽  
Bessie Ko Sipple-Asher ◽  
Kimberly Uyeda ◽  
Jennifer Hawes-Dawson ◽  
...  
Keyword(s):  
Physical Activity ◽  
Participatory Research ◽  
Healthy Eating ◽  
Community Based Participatory Research ◽  
Community Based

scholarly journals Time to listen: a mixed-method study examining community-based views of mobile technology for interventions to promote physical activity

2020 ◽  
Vol 27 (3) ◽  
pp. e100140
Author(s):  
Sophie E Claudel ◽  
Joniqua N Ceasar ◽  
Marcus R Andrews ◽  
Sherine El-Toukhy ◽  
Nicole Farmer ◽  
...  
Keyword(s):  
Physical Activity ◽  
Focus Groups ◽  
Mobile Technology ◽  
Mixed Method ◽  
Community Based Participatory Research ◽  
Research Process ◽  
Mobile App ◽  
Community Based ◽  
Convenience Sample ◽  
Mhealth Technology

IntroductionA mixed-method, co-design approach to studying the adoption of mobile health (mHealth) technology among African-American (AA) women has not been fully explored. Qualitative data may contextualise existing knowledge surrounding perceptions of mHealth among AA women as part of formative work for designing a physical activity application (app).MethodsA convenience sample of 16 AA women completed an informatics survey prior to participating in focus groups exploring their use of mobile technology and health apps. Survey responses provided frequency data, while iterative transcript analysis of focus groups identified themes.ResultsThe majority of participants (mean age=62.1 years, SD=6.6) felt comfortable using a tablet/smartphone (75.0%). Most (68.8%) reported using health-related apps, primarily focused on physical activity and nutrition. Focus groups revealed four overarching concepts, including (1) user attachment, (2) technology adoption, (3) potential facilitators and (4) potential barriers. Important features which may serve as facilitators or barriers to future adoption of a mobile app for an mHealth intervention include individual app tailoring and software concerns, respectively.DiscussionThematic analysis revealed high user attachment to smartphones and described participants’ process for adopting new mHealth technology.ConclusionEarly engagement of target end users as a part of a broader co-design and community-based participatory research process for developing mHealth technologies may be useful for sustained adoption of these tools in future mHealth behavioural interventions.

Qualitative Focus Groups: Perceived Influences on Decision Making About Diet and Physical Activity Among Hispanic/Latino Participants

2018 ◽  
Vol 20 (6) ◽  
pp. 868-879
Author(s):  
Elizabeth R. Paré ◽  
Katherine Body ◽  
Sarah Gilstorf ◽  
Jennifer Lucarelli
Keyword(s):  
Physical Activity ◽  
Decision Making ◽  
Focus Groups ◽  
Community Based Participatory Research ◽  
Community Based ◽  
Latino Community ◽  
Diet And Physical Activity ◽  
Qualitative Focus Groups ◽  
Food Equity ◽  
Activity Choices

Disparities in minority health are strongly associated with reduced access to culturally familiar food and physical activity opportunities. This qualitative study explores a Midwest, urban Hispanic/Latino community, the members’ experiences with their multidimensional environment and its influence on their nutrition and physical activity choices. Using the principles of community-based participatory research in collaboration with a trusted, local Hispanic/Latino community agency, we conducted five bilingual focus groups with a total of 46 self-selected participants (44 women and 2 men). We find that one’s perception of the environmental factors of access, convenience, affordability, and safety influence food and physical activity decision making. Findings can be used to inform interventions to enhance culturally appropriate outreach, increase food equity, and decrease health disparities.

Identifying barriers, perceptions and motivations related to healthy eating and physical activity among 6th to 8th grade, rural, limited-resource adolescents

2016 ◽  
Vol 116 (2) ◽  
pp. 123-137 ◽  
Author(s):  
Janavi Kumar ◽  
Koushik Adhikari ◽  
Yijing Li ◽  
Erika Lindshield ◽  
Nancy Muturi ◽  
...  
Keyword(s):  
Physical Activity ◽  
Focus Groups ◽  
Healthy Eating ◽  
Healthy Lifestyle ◽  
Peer Pressure ◽  
Personal Characteristics ◽  
Limited Resource ◽  
Eighth Graders ◽  
Food Choices ◽  
Content Type

Purpose – The purpose of this paper is to enable community members to discuss their perceptions of eating habits and physical activity in relation to sixth, seventh, and eighth graders, and reveal facilitators and barriers to healthy eating behavior and physical activity engagement. Design/methodology/approach – Nine focus groups, which included six groups from sixth, seventh, and eighth graders, two parents’ groups, and one teachers’ group, were conducted in a middle school in southwest Kansas. Individual influences, social influences, and larger contextual influences on early adolescent health were assessed by discussing behaviors, personal characteristics, and environmental factors, based on the Socio-Ecological Model (SEM). Findings – Adolescent participants’ knowledge regarding healthful foods was limited. Taste and appearance were the two leading factors that contributed to food choices. Responses from adolescents, parents, and teachers all indicated difficulties when introducing new and healthful food items into adolescents’ diets. Besides physical education (PE) and school-related sports, the sources for physical activity were limited. Certain video games were specified as facilitators of physical activity by adolescents. Peer pressure was a predominant theme motivating most adolescents’ physical activities as well as food choices. These findings suggest numerous interrelated factors associated with healthy lifestyle in the population of this study. Originality/value – By involving adolescents in the in-depth open-ended discussion through the focus groups helped reveal their unique attitudes, perceptions, and motivations toward practicing healthy lifestyles. Interventions targeting both behavior change and environmental change are needed.

Higher Healthy Lifestyle Score is associated with lower presence of non-alcoholic fatty liver disease in middle-aged and older Chinese adults: a community-based cross-sectional study

2021 ◽  
pp. 1-9
Author(s):  
Yun-yang Deng ◽  
Qing-wei Zhong ◽  
Hai-li Zhong ◽  
Feng Xiong ◽  
Yue-bin Ke ◽  
...  
Keyword(s):  
Physical Activity ◽  
Liver Disease ◽  
Fatty Liver Disease ◽  
Healthy Lifestyle ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Community Based ◽  
Cross Sectional ◽  
Alcoholic Fatty Liver ◽  
Alcoholic Fatty Liver Disease

Abstract Objective: Previous studies have reported inverse associations between certain healthy lifestyle factors and non-alcoholic fatty liver disease (NAFLD), but limited evidence showed the synergistic effect of those lifestyles. This study examined the relationship of a combination of lifestyles, expressed as Healthy Lifestyle Score (HLS), with NAFLD. Design: A community-based cross-sectional study. Questionnaires and body assessments were used to collect data on the six-item HLS (ranging from 0 to 6, where higher scores indicate better health). The HLS consists of non-smoking (no active or passive smoking), normal BMI (18·5–23·9 kg/m2), physical activity (moderate or vigorous physical activity ≥ 150 min/week), healthy diet pattern, good sleep (no insomnia or <6 months) and no anxiety (Self-rating Anxiety Scale < 50), one point each. NAFLD was diagnosed by ultrasonography. Setting: Guangzhou, China. Participants: Two thousand nine hundred and eighty-one participants aged 40–75 years. Results: The overall prevalence of NAFLD was 50·8 %. After adjusting for potential covariates, HLS was associated with lower presence of NAFLD. The OR of NAFLD for subjects with higher HLS (3, 4, 5–6 v. 0–1 points) were 0·68 (95 % CI 0·51, 0·91), 0·58 (95 % CI 0·43, 0·78) and 0·35 (95 % CI 0·25, 0·51), respectively (P-values < 0·05). Among the six items, BMI and physical activity were the strongest contributors. Sensitivity analyses showed that the association was more significant after weighting the HLS. The beneficial association remained after excluding any one of the six components or replacing BMI with waist circumference. Conclusions: Higher HLS was associated with lower presence of NAFLD, suggesting that a healthy lifestyle pattern might be beneficial to liver health.

scholarly journals A Community Based Participatory Approach to Training Young Adults to Design and Implement a Social Marketing Framed Lifestyle Intervention on Their College Campus

2018 ◽  
Vol 8 (3) ◽  
pp. 150 ◽  
Author(s):  
Melissa Olfert ◽  
Makenzie Barr ◽  
Kristin Riggsbee ◽  
Kendra Kattelmann ◽  
Krista Leischner ◽  
...  
Keyword(s):  
College Students ◽  
Lifestyle Intervention ◽  
Participatory Research ◽  
Social Marketing ◽  
Healthy Lifestyle ◽  
Community Based Participatory Research ◽  
College Campus ◽  
Research Approach ◽  
Environmental Intervention ◽  
Community Based

Background: Using a Community-Based Participatory Research (CBPR) approach may increase the likelihood of relevance and acceptability of the designed intervention, especially on a college campus. Furthermore, recruiting and training college students to design a social marketing framed healthy lifestyle intervention for their peers will allow the intervention to be tailored to the needs of the campus. Objectives: To describe the process of online-course training college students to develop a campus-based, social marketing health promotion intervention. Methods: Four universities recruited current college students (18+ y.o.) to develop a social marketing and environmental intervention (SMEI), which was completed during a 16-week, online/in-person hybrid semester course. Researchers and Extension professionals trained students to design 24 weeks of intervention events that would be implemented the upcoming year. Results: Seventy-eight students enrolled in the study and social marketing and environmental intervention course among the four intervention states (Florida = 30, South Dakota = 8, Tennessee = 13, West Virginia = 27); students were predominately Caucasian (65.8%), females (84.0%), and sophomore status in college (64.9%). Throughout the semester, students assessed their campus environments, set priorities, and developed weekly events and resources needed to implement the intervention on their campuses. By the end of the semester, with researcher support, students had designed 24 weeks of intervention events (marketing, recruiting, and implementation) focusing on nutrition/food/diet, physical activity, stress management, sleep, and time management. These events and resources were catalogued into a digital toolkit of instructions and activities for each week of intervention events. Conclusion: Using a Community-Based Participatory Research approach with college students interested in health allows for the development of an intervention that stems from grass roots efforts and is tailored to the acceptability and needs of their peers.

scholarly journals Community Engagement in the Development of an mHealth-Enabled Physical Activity and Cardiovascular Health Intervention (Step It Up): Pilot Focus Group Study (Preprint)

2018 ◽  
Author(s):  
Joniqua Nashae Ceasar ◽  
Sophie Elizabeth Claudel ◽  
Marcus R Andrews ◽  
Kosuke Tamura ◽  
Valerie Mitchell ◽  
...  
Keyword(s):  
Physical Activity ◽  
African American ◽  
African American Women ◽  
Participatory Research ◽  
Community Based Participatory Research ◽  
Minority Population ◽  
Washington Dc ◽  
Community Based ◽  
Convenience Sample ◽  
American Women

BACKGROUND Community-based participatory research is an effective tool for improving health outcomes in minority communities. Few community-based participatory research studies have evaluated methods of optimizing smartphone apps for health technology-enabled interventions in African Americans. OBJECTIVE This study aimed to utilize focus groups (FGs) for gathering qualitative data to inform the development of an app that promotes physical activity (PA) among African American women in Washington, DC. METHODS We recruited a convenience sample of African American women (N=16, age range 51-74 years) from regions of Washington, DC metropolitan area with the highest burden of cardiovascular disease. Participants used an app created by the research team, which provided motivational messages through app push notifications and educational content to promote PA. Subsequently, participants engaged in semistructured FG interviews led by moderators who asked open-ended questions about participants’ experiences of using the app. FGs were audiorecorded and transcribed verbatim, with subsequent behavioral theory-driven thematic analysis. Key themes based on the Health Belief Model and emerging themes were identified from the transcripts. Three independent reviewers iteratively coded the transcripts until consensus was reached. Then, the final codebook was approved by a qualitative research expert. RESULTS In this study, 10 main themes emerged. Participants emphasized the need to improve the app by optimizing automation, increasing relatability (eg, photos that reflect target demographic), increasing educational material (eg, health information), and connecting with community resources (eg, cooking classes and exercise groups). CONCLUSIONS Involving target users in the development of a culturally sensitive PA app is an essential step for creating an app that has a higher likelihood of acceptance and use in a technology-enabled intervention. This may decrease health disparities in cardiovascular diseases by more effectively increasing PA in a minority population.

scholarly journals Perceptions of eating practices and physical activity among Malaysian adolescents in secondary schools: a qualitative study with multi-stakeholders

2020 ◽  
pp. 1-13 ◽  
Author(s):  
Shooka Mohammadi ◽  
Tin Tin Su ◽  
Angeliki Papadaki ◽  
Muhammad Yazid Jalaludin ◽  
Maznah Dahlui ◽  
...  
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Secondary Schools ◽  
Focus Groups ◽  
Healthy Eating ◽  
Rural Schools ◽  
School Based ◽  
Adolescent Participation ◽  
Depth Interviews ◽  
Malaysian Adolescents

Abstract Objective: To conduct formative research using qualitative methods among stakeholders of secondary schools to explore their perceptions, barriers and facilitators related to healthy eating and physical activity (PA) among Malaysian adolescents. Design: A qualitative study involving eight focus groups and twelve in-depth interviews. Focus groups and interviews were recorded and transcribed verbatim. An inductive thematic analysis approach was used to analyse the data. Setting: Four secondary schools in Perak and Selangor states (two urban and two rural schools) in Malaysia. Participants: Focus groups were conducted with seventy-six adolescents aged 13–14 years, and in-depth interviews were conducted with four headmasters, four PA education teachers and four food canteen operators. Results: Stakeholders thought that adolescents’ misperceptions, limited availability of healthy options, unhealthy food preferences and affordability were important challenges preventing healthy eating at school. Low-quality physical education (PE) classes, limited adolescent participation and teachers’ commitment during lessons were perceived as barriers to adolescents being active at school. Affordability was the main challenge for adolescents from rural schools. Stakeholders perceived that a future school-based intervention should improve the availability and subsidies for healthy foods, provide health education/training for both adolescents and PE teachers, enhance active adolescent participation in PE and develop social support mechanisms to facilitate engagement with PA. Conclusions: These findings provide important insights into developing school-based lifestyle interventions to improve healthy eating and strengthening PA of Malaysian adolescents.

Formative Research to Develop the IDEFICS Physical Activity Intervention Component: Findings from Focus Groups with Children and Parents

2010 ◽  
Vol 7 (2) ◽  
pp. 246-256 ◽  
Author(s):  
Leen Haerens ◽  
Ilse De Bourdeaudhuij ◽  
Gabriele Eiben ◽  
Fabio Lauria ◽  
Silvia Bel ◽  
...  
Keyword(s):  
Physical Activity ◽  
Young Children ◽  
Focus Groups ◽  
Physical Activity Intervention ◽  
Perceived Barriers ◽  
Activity Levels ◽  
Personal Factors ◽  
Intervention Component ◽  
Community Based ◽  
Children And Parents

Background:The current study aimed at describing influencing factors for physical activity among young children to determine the best approaches for developing the IDEFICS community based intervention.Methods:In 8 European sites a trained moderator conducted a minimum of 4 focus groups using standardized questioning guides. A total of 56 focus groups were conducted including 36 focus groups with parents and 20 focus groups with children, of which 74 were boys and 81 girls. Key findings were identified through independent reviews of focus group summary reports using content analysis methods.Findings:Findings were generally consistent across countries. The greatest emphasis was on environmental physical (eg, seasonal influences, availability of facilities and safety), institutional (eg, length of breaks at school), and social factors (eg, role modeling of parents). Most cited personal factors by parents were age, social economical status, and perceived barriers. Both children and parents mentioned the importance of children’s preferences.Conclusions:To increase physical activity levels of young children the intervention should aim at creating an environment (physical, institutional, social) supportive of physical activity. On the other hand strategies should take into account personal factors like age and social economical status and should consider personal barriers too.

Sign in / Sign up

Export Citation Format

Share Document