scholarly journals A RE-AIM evaluation of Healthy Together: a family-centred program to support children’s healthy weights

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Joan L. Bottorff ◽  
Anne Huisken ◽  
Michele Hopkins ◽  
Catherine Nesmith
Keyword(s):  
Physical Activity ◽  
Healthy Eating ◽  
Low Income ◽  
Real World ◽  
Scale Up ◽  
Community Organizations ◽  
Social Connections ◽  
Refugee Status ◽  
Service Programs ◽  
Core Service

Abstract Background Healthy Together (HT) is family-centered program to support healthy eating and physical activity designed for implementation in community organizations serving families who may be experiencing vulnerabilities (e.g., related to low income, isolation, ethnicity, immigrant/refugee status, and/or Indigenous background). The purpose of this study was to conduct an evaluation of HT in a real-world, scale-up phase using the RE-AIM framework. Methods Using a cross-sectional, non-comparative design, a community-based program evaluation was conducted in 29 organizations implementing HT as part of their core service programs. Data were collected using questionnaires with program participants and facilitators, and interviews with directors of participating organizations. Quantitative data were analyzed using descriptive statistics and qualitative data were content analyzed. Results With regards to Reach, over 3400 caregivers, children and youth attended community programming that offered HT. Among those attending on the scheduled day for the evaluation, 663 completed the questionnaires. The majority of caregiver respondents (n = 431) were female (92%) and attended with children 0–6 years. Respondents also included children 4–6 years (n = 142) and 7–12 years (n = 65), and youth 13–18 years (n = 25). Effectiveness was demonstrated in reported improvements in physical activity, healthy eating, and strengthened social connections. HT was also widely supported by participants and facilitators. Adoption was influenced by the desire to enrich core service programs for families, HT’s fit within existing programs, organizational commitment, and funding support. Implementation experiences indicated that fidelity to the HT program was generally maintained, with some setting specific adaptations. Maintenance of HT was influenced by financial and non-financial resources within community organizations. Most organizations also introduced new initiatives to extend support for healthy eating and physical activity. Conclusion Our findings indicate improvements in healthy eating and physical activity, and social connections among program participants, as well as efforts by community organizations to create environments to support healthy weights. HT was successfully delivered in “real-world” community settings across multiple contexts and with families with diverse backgrounds. This along with strategies to support program implementation and sustainability indicate that HT provides a model for other public health interventions to promote family health and wellbeing. Trial registration ClincialTrials.gov NCT03550248. Registered May 25, 2018

Healthy eating and physical activity among low-income Hispanic adolescents and a school-based intervention

2018 ◽  
Vol 86 ◽  
pp. 151-156 ◽  
Author(s):  
Wyatt Bishop ◽  
Claudia Chavarin ◽  
Hildy A. Gonzales ◽  
Jennifer Iparraguirre ◽  
Jovy Mann ◽  
...  
Keyword(s):  
Physical Activity ◽  
Healthy Eating ◽  
Low Income ◽  
Hispanic Adolescents ◽  
School Based Intervention ◽  
School Based

scholarly journals Informing the real-world implementation of a home-based physical activity program for mothers at risk of postnatal depression: Perspectives from key stakeholders.

2020 ◽  
Author(s):  
Megan Teychenne ◽  
Maria Apostolopoulos ◽  
Kylie Ball ◽  
Ellinor K Olander ◽  
Rachelle S Opie ◽  
...  
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
Real World ◽  
Postnatal Depression ◽  
Scale Up ◽  
Stakeholder Involvement ◽  
Relative Advantage ◽  
Structured Interviews ◽  
Organisational Capacity ◽  
Home Based

Abstract Background Physical activity (PA) is a modifiable risk factor for postnatal depression (PND) and programs are needed to enhance PA amongst women at risk of PND. Key stakeholder involvement in informing development and implementation of such programs is vital. However, little research demonstrates key stakeholder insights to inform development and implementation of PA programs for improving PND. The aim of this study was to explore key stakeholder perspectives on the design and delivery of a home-based PA program for mothers with PND symptoms to inform future real-world implementation and scale-up.Methods In September to November 2019, representatives from various key stakeholder organisations involved in postnatal PA and/or mental health, public health and policy in Australia (n = 11) participated in semi-structured interviews exploring their perceptions on the design and delivery of a home-based PA program for mothers with PND symptoms. The interview schedule was informed by both the Consolidated Framework for Implementation Research (CFIR) and the PRACTical planning for Implementation and Scale-up (PRACTIS) guide. Thematic analyses were used for qualitative data.Results The relative priority of PND and PA was high for most organisations involved, although none implemented PA programs supporting women at risk of PND. Most stakeholders perceived the program as appealing due to addressing barriers to postnatal PA, although identified some feasibility issues regarding funding and delivery mechanisms. Suggestions for program adaptations included an equity focus (e.g. providing socioeconomically disadvantaged women with a greater program dose; translating web-app based content into various languages). Planned components of the program were suggested to align (i.e. relative advantage) with existing initiatives (e.g. equipment hire for nurseries scheme) and screening systems for PND (timing of referral). Perceived barriers to scale-up included logistics/cost of equipment, organisational capacity demands and safety risks/liability. Perceived enablers to scale-up included linking the program with ‘adjunct’ programs and services.Conclusions While the program was appealing and most organisations could see a role in endorsing and/or referring to the program, funding and delivery mechanisms still need to be identified.

Communication Between Low Income Hispanic Patients and Their Healthcare Providers Regarding Physical Activity and Healthy Eating

2017 ◽  
Vol 42 (6) ◽  
pp. 1220-1224 ◽  
Author(s):  
Aliyah Gauri ◽  
Xeniamaria Rodriguez ◽  
Patricia Gaona ◽  
Stephanie Maestri ◽  
Noella Dietz ◽  
...  
Keyword(s):  
Physical Activity ◽  
Healthy Eating ◽  
Low Income ◽  
Healthcare Providers ◽  
Hispanic Patients

Informing the Adaptation and Implementation of a Lifestyle Modification Program in Hispanics: A Qualitative Study Among Low-Income Hispanic Adults

2018 ◽  
Vol 16 (4) ◽  
pp. 204-212 ◽  
Author(s):  
Francia G. Portacio ◽  
Pamela Botero ◽  
Sara M. St. George ◽  
Mark Stoutenberg
Keyword(s):  
Physical Activity ◽  
Qualitative Study ◽  
Behavior Change ◽  
Healthy Eating ◽  
Low Income ◽  
Text Messaging ◽  
Behavioral Interventions ◽  
Lifestyle Modification ◽  
Healthy Behaviors ◽  
Hispanic Adults

Low-income Hispanics are a hard to reach population that face unique challenges in achieving behavior change. Understanding such challenges can inform the adaptation of lifestyle behavioral interventions and increase participant engagement. This descriptive qualitative study aimed to (1) inform lifestyle modification programs focused on improving the physical activity and healthy eating of low-income Hispanic adults and (2) explore potential gender differences necessary for consideration. Five gender-specific focus groups were conducted with Hispanic adults from a free community clinic ( n = 45, 64% women, 53.1 ± 10.1 years). Sessions were audio-recorded, transcribed, and coded using a general inductive approach. The qualitative software program Dedoose was used to perform a content analysis. Emergent themes included topics of interest, methods of increasing engagement in healthy behaviors, and the delivery of lifestyle modification programs. Men expressed greater interest in physical activity, while women desired to learn about healthy eating. Men described the importance of physician communication, while women focused on the role of social support as facilitators for participating in such programs. Both genders described education as key to behavior change and viewed text messaging as a valuable complement. Results from this study can inform the adaptation of lifestyle modification programs and increase the engagement of low-income Hispanic populations.

Promoting Physical Activity and Fruit and Vegetable Consumption Through a Community-School Partnership: The Effects of Marathon Kids® on Low-Income Elementary School Children in Texas

2012 ◽  
Vol 9 (5) ◽  
pp. 739-753 ◽  
Author(s):  
Andrew E. Springer ◽  
Steven H. Kelder ◽  
Nalini Ranjit ◽  
Heather Hochberg-Garrett ◽  
Sherman Crow ◽  
...  
Keyword(s):  
Physical Activity ◽  
Elementary School ◽  
Healthy Eating ◽  
School Children ◽  
Low Income ◽  
Elementary School Children ◽  
Vegetable Consumption ◽  
Fruit And Vegetable Consumption ◽  
Fruit And Vegetable ◽  
The Impact

Background:Marathon Kids® (MK) is a community and school-based program that promotes running, walking, and healthy eating in elementary school children. This study assessed the impact of MK on self-reported physical activity (PA), fruit and vegetable consumption (FVC), and related psycho-social factors in a sample of low-income, 4th- and 5th-grade students in Texas (n = 511). Intervention strategies included structured school running time, behavioral tracking, celebratory events, and rewards.Methods:A quasi-experimental design with 5 intervention (MK) and 3 comparison schools was employed. Students were assessed at baseline in the fall and at 3 time points during 2008 to 09. Mixed-effect regression methods were used to model pooled means, adjusting for baseline and sociodemographic variables.Results:MK students reported a higher mean time of running in past 7 days compared with non-MK students (mean = 4.38 vs. 3.83, respectively. P = .002), with a standardized effect size of 0.16. Mean times of FVC (P = .008), athletic identity self-concept (P < .001), PA outcome expectations (P = .007), and PA and FVC self-efficacy (P < .001 and P = .02, respectively) were also higher in MK students. Fewer differences in social support were observed.Conclusion:Findings provide further evidence on the importance of community and school partnerships for promoting PA and healthy eating in children.

scholarly journals Key stakeholder perspectives on the development and real-world implementation of a home-based physical activity program for mothers at risk of postnatal depression: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Megan Teychenne ◽  
Maria Apostolopoulos ◽  
Kylie Ball ◽  
Ellinor K. Olander ◽  
Rachelle S. Opie ◽  
...  
Keyword(s):  
Physical Activity ◽  
At Risk ◽  
Qualitative Study ◽  
Real World ◽  
Postnatal Depression ◽  
Scale Up ◽  
Relative Advantage ◽  
Structured Interviews ◽  
Stakeholder Perspectives ◽  
Home Based

Abstract Background Physical activity (PA) is a modifiable risk factor for postnatal depression (PND) and programs are needed to enhance PA amongst women at risk of PND. Key stakeholder involvement in informing development and implementation of such programs is vital. However, little research demonstrates key stakeholder insights to inform the design and delivery of PA programs for improving PND. The aim of this study was to explore key stakeholder perspectives on the design and delivery of a home-based PA program for mothers with PND symptoms to inform future real-world implementation and scale-up. Methods A descriptive qualitative study was undertaken whereby semi-structured interviews were conducted with representatives from various key stakeholder organisations involved in postnatal PA and/or mental health, public health and policy in Australia (n = 11). Interviews were conducted between September to November 2019 and explored stakeholder perceptions on the design and delivery of a home-based PA program for mothers with PND symptoms. The interview schedule was informed by both the Consolidated Framework for Implementation Research (CFIR) and the PRACTical planning for Implementation and Scale-up (PRACTIS) guide. Data were analysed thematically using both deductive and inductive coding. Results The relative priority of PND and PA was high for most organisations involved, although none implemented PA programs supporting women at risk of PND. Most stakeholders perceived the program as appealing due to addressing barriers to postnatal PA, although identified some feasibility issues regarding funding and delivery mechanisms. Suggestions for program adaptations included an equity focus (e.g. providing socioeconomically disadvantaged women with a greater program dose; translating web-app based content into various languages). Planned components of the program were suggested to align (i.e. relative advantage) with existing initiatives (e.g. equipment hire for nurseries scheme) and screening systems for PND (timing of referral). Perceived barriers to scale-up included logistics/cost of equipment, organisational capacity demands and safety risks/liability. Perceived enablers to scale-up included linking the program with ‘adjunct’ programs and services. Conclusions While the program was appealing and most organisations could see a role in endorsing and/or referring to the program, funding and delivery mechanisms still need to be identified.

scholarly journals 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 ◽  
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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