Promoting physical activity in a low-income neighborhood of the Paris suburb of Saint-Denis: effects of a community-based intervention to increase physical activity

Focused on community play memories, the goals of this project were to (1) uncover the variety and degree of playful learning memories; (2) ascertain whether community members would spontaneously share memories of play, and (3) appraise whether memories differed between low-income and mixed-income communities. Results indicated that although community members freely shared play memories, the responses differed between the two communities. Those from the lower-income neighborhood were more likely to share experiences of playful learning; these embraced multiple dimensions of development (e.g. cognitive, social, physical); describing a rarely acknowledged strength of lower-income communities. It is concluded that a community project can elicit fond memories of playful learning and the wider range of play experiences. This portrait of a playful learning community can be achieved through a fun and rich neighborhood experience. This study has implications for community engagement and supporting play as a vehicle for community learning across diverse communities.

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The Implementation of Evidence-Based Obesity Education Curricula to Prevent Cancer in a Predominantly Mexican–American Community on the U.S.-Mexico Border

Journal of Cancer Education ◽

10.1007/s13187-021-02101-3 ◽

2021 ◽

Author(s):

Roy Valenzuela ◽

Alma Morales ◽

Jon Sheen ◽

Sylvia Rangel ◽

Jennifer J. Salinas

Keyword(s):

Physical Activity ◽

Low Income ◽

Mexican Americans ◽

Weight Status ◽

Cognitive Theory ◽

Underserved Populations ◽

Evidence Based ◽

Community Based ◽

Incidence And Mortality ◽

Low Income Housing

Abstract Although cancer is the leading cause of death among Mexican-Americans, few community-based programs target obesity reduction as a way to reduce the prevalence of obesity-related cancer in underserved populations. Evidence suggests that obesity correlates with 13 types of cancer. The objective is to provide an overview of evaluation and selection of evidence-based content; details of the implementation process; modifications needed to tailor education programs to specific needs of different target audiences; and demonstrate challenges of implementing a community-based prevention program intended to reduce cancer incidence and mortality in Mexican-Americans. We used the Social Cognitive Theory (SCT) to develop a 10-topic menu of educational classes using elements of multiple evidence-based curricula. Outcome measures for physical activity and nutrition were determined using the International Physical Activity Questionnaire (IPAQ) and the Dietary Screener Questionnaire (DSQ). Weight status was determined using weight, body fat, and body mass index (BMI). To date, 2845 adults received wellness education from our program. Multiple delivery models were used to reach a larger audience; they included a 4-week model, 5-week model, employer model, low-income housing, 1- and 2-h sessions, and clinic encounters. Individuals were given education at multiple community locations including senior centers (14%), churches (0.6%), employers (17.6%), low-income housing (8.2%), community centers (16.6%), clinics (11.5%), and schools (32.5%). Our study indicates that our delivery model is feasible and can disseminate evidence-based obesity education. Further investigation is necessary to assess long-term behavioral change and to assess the most effective model for delivery.

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Abstract 070: Community-based, Cluster Randomized Controlled Trial Increases Physical Activity In Diverse, Low Income Older Adults Over 2-year Period

Circulation ◽

10.1161/circ.143.suppl_1.070 ◽

2021 ◽

Vol 143 (Suppl_1) ◽

Author(s):

Katie Crist ◽

Fatima Tuz Zahra ◽

Kelsie M Full ◽

Marta M Jankowska ◽

Loki Natarajan

Keyword(s):

Physical Activity ◽

Older Adults ◽

Randomized Controlled Trial ◽

Depressive Symptoms ◽

Low Income ◽

Controlled Trial ◽

Community Based ◽

Randomized Controlled ◽

Income Status ◽

Cluster Randomized

Objective: Older adults are the least active population group in the U.S. Low income and ethnically diverse communities have fewer physical activity (PA) related resources and facilities, which contributes to lower PA levels and disparities in cardiovascular (CVD) risk factors and disease outcomes. This study assessed the hypothesis that low income and diverse older adults participating in the multilevel Peer Empowerment Program 4 Physical Activity (PEP4PA) would increase moderate-to-vigorous PA (MVPA), improve blood pressure (BP), perceived quality of life (PQoL), and depressive symptoms to a greater extent than older adults receiving usual senior center programming. Methods: In a cluster-randomized controlled trial (RCT) in 12 senior centers, 476 older adults (mean age 71.4 years, 76% female, 60% low income, 38% minority) were assigned to a PA intervention (n=267) or control (n=209) condition. The peer-led intervention included individual self-monitoring and counseling, group walks and social support, and community advocacy to improve walking conditions. Outcomes included minutes of MVPA per day (7-day accelerometer), systolic and diastolic BP (automatic cuff), PQoL (PQoL-20) and depressive symptoms (CES-D 10) at baseline, 6, 12, 18 and 24 months. To account for multiple measurement days and clustering of participants within senior centers, mixed effects regression models with random effects estimated the intervention effects on all outcomes between groups over time. Models were adjusted for imbalanced baseline covariates. A three-way interaction term assessed whether intervention effects differed by income status. Results: Compared to the control group, intervention participants significantly increased MVPA from baseline at 6, 12, 18 and 24 months by 8, 11, 9 and 9 minutes/day respectively (p<0.001), with increases remaining statistically significant across the 2-year period. The intervention group significantly increased mean PQoL scores from 7.2 at baseline to 7.6 (p<0.001), 7.8 (p=0.008) and 7.7 (p<0.001) at 12, 18 and 24 months, compared to control participants. No significant effects were observed for BP or depressive symptoms. Low income participants decreased minutes of MVPA, compared to higher income participants, at 12 and 24 months (β=-7.9, p=0.008 and β=-10.8, p=0.001). Conclusions: The multilevel RCT achieved sustained increases in MVPA and QoL in a diverse cohort of older adults across 2 years of follow up. The peer-led, community-based intervention provides a sustainable model to improve health behaviors related to CVD in an at-risk and often difficult to reach aging population. Further exploration is needed to understand what components of the intervention may be modified to address the differential effects by income status.

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Correlates of physical activity among depressed older people in six low-income and middle-income countries: A community-based cross-sectional study

International Journal of Geriatric Psychiatry ◽

10.1002/gps.4796 ◽

2017 ◽

Vol 33 (2) ◽

pp. e314-e322 ◽

Cited By ~ 7

Author(s):

Davy Vancampfort ◽

Brendon Stubbs ◽

Nicola Veronese ◽

James Mugisha ◽

Nathalie Swinnen ◽

...

Keyword(s):

Physical Activity ◽

Older People ◽

Low Income ◽

Cross Sectional Study ◽

Sectional Study ◽

Community Based ◽

Cross Sectional ◽

Middle Income ◽

Middle Income Countries

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Using social networks to scale up and sustain community-based programmes to improve physical activity and diet in low-income and middle-income countries: a scoping review protocol

BMJ Open ◽

10.1136/bmjopen-2021-053586 ◽

2021 ◽

Vol 11 (9) ◽

pp. e053586

Author(s):

Nina Abrahams ◽

Estelle V Lambert ◽

Frederick Marais ◽

Zoi Toumpakari ◽

Charlie Foster

Keyword(s):

Physical Activity ◽

Social Networks ◽

Scoping Review ◽

Low Income ◽

Scale Up ◽

Community Based ◽

Middle Income ◽

Middle Income Countries ◽

Review Protocol

IntroductionThe World Health Organisation endorses community-based programmes as a cost-effective, feasible and a ‘best buy’ in the prevention and management of non-communicable diseases (NCDs). These programmes are particularly successful when the community actively participates in its design, implementation and evaluation. However, they may be only useful insofar as they can be scaled up and sustained in some meaningful way. Social network research may serve as an important tool for determining the underlying mechanisms that contribute to this process. The aim of this planned scoping review is to map and collate literature on the role of social networks in scaling-up and sustaining community-based physical activity and diet programmes in low-income and middle-income countries.Methods and analysisThis scoping review protocol has been planned around the Arksey and O'Malley framework and its enhancement. Inclusion criteria are peer-reviewed articles and grey literature exploring the role of social networks in the scale-up and/or sustainability of NCD prevention community-based programmes in adult populations. Studies must have been published since 2000, in English, and be based in a low-income or middle-income country. The following databases will be used for this review: PubMed, Cochrane, Scopus, Web of Science, CINAHL, SocIndex, the International Bibliography of the Social Sciences, Google and Google Scholar. Books, conference abstracts and research focused only on children will be excluded. Two reviewers will independently select and extract eligible studies. Included publications will be thematically analysed using the Framework Approach.Ethics and disseminationEthical approval will not be sought for this review as no individual-level data or human participants will be involved. This protocol is registered on the Open Science Framework (https://doi.org/10.17605/OSF.IO/KG7TX). The findings from the review will be published in an accredited journal. The Preferred Reporting Items for Systematic Reviews and Meta-analyses extension for Scoping Reviews checklist will be used to support transparency and guide translation of the review.

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