scholarly journals Developing Physical Activity Interventions for the School and Home Settings: Lessons Learned from a Community-Academic Partnership

2020 ◽  
Author(s):  
Zachary Ramsey ◽  
Karen Northrup ◽  
Charlotte Workman ◽  
Traci Jarrett ◽  
Nancy O’Hara Tompkins ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Workers ◽  
School Personnel ◽  
Cost Effective ◽  
Lessons Learned ◽  
Rural Setting ◽  
Intervention Package ◽  
Community Members ◽  
Home Environments ◽  
Physical Activity Interventions

Abstract Background Physical activity interventions designed for children living in the rural setting, particularly those that are cost effective and utilize common resources, are increasingly requested. Interventions for school and home settings are available but can be complicated and expensive to deliver. Methods In this study, we developed two physical activity interventions to be implemented in the school and home environments within rural settings of varying sizes and resources. This study, Activate!, was based on the socioecological model (SEM) and informed by local school personnel, families, and community health workers. Community members contributed to the development and implementation of the program. Results The resulting intervention package included several resources that were either already available in the school or home settings or could be easily collected by facilitators. Recommendations for frequency of use, capturing whether it is working, and methods for encouraging children and families were included in the packaging. Conclusions In this project, we successfully incorporated community (school and home) needs from a largely rural state within Appalachia to develop physical activity interventions for children. The Activate! interventions were designed for easy implementation by community members directly in both the school and home environments using common materials and easily reviewed packaging and guidance.

scholarly journals The effect of community dialogues and sensitization on patient reporting of adverse events in rural Uganda: uncontrolled before-after study

2018 ◽  
Author(s):  
Helen Byomire Ndagije ◽  
Leonard Manirakiza ◽  
Dan Kajungu ◽  
Edward Galiwango ◽  
Donna Kusemererwa ◽  
...  
Keyword(s):  
Adverse Events ◽  
Community Engagement ◽  
Adverse Drug Events ◽  
Health Workers ◽  
Household Survey ◽  
Rural Setting ◽  
Health Issues ◽  
Community Members ◽  
Cross Sectional ◽  
Before And After

AbstractBackgroundThe patients that experience adverse events are in the best position to report them, only if they were empowered to do so. Systematic community engagement and support to patients in a rural setting to monitor any potential harm from medicines should provide evidence for patient safety.MethodsThis paper describes an uncontrolled before and after study aimed at assessing the effect of a community engagement strategy, the Community Dialogues and Sensitization (CDS) intervention between January and April 2017, on the knowledge, attitude and practice of reporting adverse drug events by community members in the two eastern Ugandan districts. A representative cross-sectional baseline household survey was done prior to the intervention in September 2016 (n=1034) and the end-line survey (n=827) in July 2017.ResultsAfter implementation of the CDS intervention, there was an overall 20% (95% CI=16- 25) increase in awareness about adverse drug events in the community. The young people (15- 24 years) demonstrated a 41% (95% CI =31-52) increase and the un-educated showed a 50% (95% CI=37-63) increase in awareness about adverse drug events. The attitudes towards reporting increased overall by 5% in response to whether there was a need to report ADEs (95% CI =3-7). An overall 115% (95% CI =137-217) increase in the population that had ever experienced ADEs was also reported.ConclusionOur evaluation shows that the CDS intervention increases knowledge, improves attitudes by catalyzing discussions among community members and health workers on health issues and monitoring safety of medicines.

scholarly journals Task Sharing in Hearing Care: Putting Principles Into Practice to Advance Access to Hearing Care

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 807-807
Author(s):  
Nicole Marrone ◽  
Aileen Wong ◽  
Maia Ingram ◽  
Rosie Piper ◽  
Scott Carvajal ◽  
...  
Keyword(s):  
Hearing Loss ◽  
Health Workers ◽  
Cost Effective ◽  
Rehabilitation Program ◽  
Lessons Learned ◽  
Task Sharing ◽  
Post Intervention ◽  
Aural Rehabilitation ◽  
Age Related ◽  
Mexico Border

Abstract Task sharing, through models such as community health workers (CHWs), is considered an efficacious and cost-effective approach to extending access, addressing disparities, and building capacity. Increasingly, task sharing is recognized as a promising approach within sensory health. This session will share results from an NIH-funded trial of a first-in-kind CHW-delivered intervention along the U.S.-Mexico border. Trained CHWs provided a 5-week group aural rehabilitation program that included education and counseling on age-related hearing loss. A total of 136 Spanish-speaking older adults with hearing loss were randomized. Those in the immediate treatment group reported significantly greater use of communication strategies post-intervention, which was maintained over 1 year. Participants were more likely to report taking action on their hearing at 6 months (OR:1.56, p=0.001) and 1 year (OR:1.82, p=0.001). Building upon lessons learned, including post-intervention focus groups, the presentation will share guiding principles on the application of task sharing to support sensory health.

scholarly journals 102. Improving Implementation of HIV Pre-exposure Prophylaxis: Lessons Learned from Young Women in Rural South Africa

2020 ◽  
Vol 7 (Supplement_1) ◽  
pp. S180-S181
Author(s):  
Alisse Hannaford ◽  
Noxolo Khumalo ◽  
Sarah Norton ◽  
Anthony Moll ◽  
Sheela Shenoi
Keyword(s):  
South Africa ◽  
Young Women ◽  
Health Workers ◽  
Lessons Learned ◽  
Rural Setting ◽  
Patient Centered ◽  
Inconsistent Condom ◽  
Healthcare Facilities ◽  
Exposure Prophylaxis ◽  
Delivery Models

Abstract Background Young women in South Africa are at particularly high risk for acquiring HIV, yet implementation of HIV prevention programmes in rural settings lags. We examined the experiences and perceptions of young women initiating pre-exposure prophylaxis (PrEP) in a rural setting under real-world programmatic conditions, in order to strengthen future PrEP delivery to this population. Methods Young women initiating PrEP in Msinga, a municipality in KwaZulu-Natal province, were interviewed about their motivation to start PrEP and their experiences in taking PrEP. Interviews were conducted at PrEP initiation and longitudinally as they returned to clinic monthly for medication refills. Results Among seventeen sexually active at-risk young women (IQR 18–22.5 years old) who initiated PrEP, 71% lived in a household receiving a government grant, 24% had history of an STI and 71% reported inconsistent condom use. All participants disclosed PrEP use to a family member, but only 20% informed their male sexual partner. All expressed uncertainty regarding their partners’ sexual activities as a primary motivation for PrEP initiation. Social support from family and friends as well as interacting with other young women taking PrEP were identified as important facilitators. Barriers to PrEP included lack of community awareness about PrEP, limited clinics offering PrEP, HIV stigma, and logistics of accessing healthcare facilities. Young women valued a peer PrEP champion to facilitate and maintain successful engagement in care, as well as patient-centered PrEP delivery models that allow for care outside traditional clinic facilities. Conclusion Input from young women has the potential to significantly enhance and expand PrEP implementation. Tailored implementation efforts should include strengthening the role of community health workers, improving community-wide PrEP education, empowering women within their relationships, facilitating skill building for PrEP disclosure to partners, incorporating community PrEP champions, and developing alternative PrEP delivery models including community-based delivery. Disclosures All Authors: No reported disclosures

scholarly journals A Systematic Review of Physical Activity Interventions in Hispanic Adults

2012 ◽  
Vol 2012 ◽  
pp. 1-15 ◽  
Author(s):  
Melinda J. Ickes ◽  
Manoj Sharma
Keyword(s):  
Physical Activity ◽  
Social Support ◽  
Transtheoretical Model ◽  
Social Cognitive ◽  
Cognitive Theory ◽  
Lessons Learned ◽  
Physical Activity Interventions ◽  
Hispanic Adults ◽  
Healthy People 2020 ◽  
Family Based

Healthy People 2020 aims to achieve health equity, eliminate disparities, and improve the health of all groups. Regular physical activity (PA) improves overall health and fitness and has the capability to reduce risk for chronic diseases. Identifying barriers which relate to the Hispanic population is important when designing PA interventions. Therefore, the purpose was to review existing PA interventions targeting Hispanic adults published between 1988 and 2011. This paper was limited to interventions which included more than 35% Hispanic adults (n=20). Most of the interventions were community based (n=16), although clinical, family-based, and faith-based settings were also represented. Interventions incorporated theory (n=16), with social cognitive theory and transtheoretical model being used most frequently. Social support was integral, building on the assumption that it is a strong motivator of PA. Each of the interventions reported success related to PA, social support, and/or BMI. Lessons learned should be incorporated into future interventions.

scholarly journals Building on Lessons Learned in a Mobile Intervention to Reduce Pain and Improve Health (MORPH): Protocol for the MORPH-II Trial (Preprint)

2021 ◽  
Author(s):  
Jason Fanning ◽  
Amber K Brooks ◽  
Katherine L Hsieh ◽  
Kyle Kershner ◽  
Joy Furlipa ◽  
...  
Keyword(s):  
Physical Activity ◽  
Older Adults ◽  
Chronic Pain ◽  
Weight Loss ◽  
Pilot Study ◽  
Cognitive Theory ◽  
Lessons Learned ◽  
Control Group ◽  
Intervention Package ◽  
Improve Health

BACKGROUND Engaging in sufficient levels of physical activity, guarding against sustained sitting, and maintaining a healthy body weight represent important lifestyle strategies for managing older adults’ chronic pain. Our first Mobile Health Intervention to Reduce Pain and Improve Health (MORPH) randomized pilot study demonstrated that a partially remote group-mediated diet and daylong activity intervention (ie, a focus on moving often throughout the day) can lead to improved physical function, weight loss, less pain intensity, and fewer minutes of sedentary time. We also identified unique delivery challenges that limited the program’s scalability and potential efficacy. OBJECTIVE The purpose of the MORPH-II randomized pilot study is to refine the MORPH intervention package based on feedback from MORPH and evaluate the feasibility, acceptability, and preliminary efficacy of this revised package prior to conducting a larger clinical trial. METHODS The MORPH-II study is an iteration on MORPH designed to pilot a refined framework, enhance scalability through fully remote delivery, and increase uptake of the daylong movement protocol through revised education content and additional personalized remote coaching. Older, obese, and low-active adults with chronic multisite pain (n=30) will be randomly assigned to receive a 12-week remote group-mediated physical activity and dietary weight loss intervention followed by a 12-week maintenance period or a control condition. Those in the intervention condition will partake in weekly social cognitive theory–based group meetings via teleconference software plus one-on-one support calls on a tapered schedule. They will also engage with a tablet application paired with a wearable activity monitor and smart scale designed to provide ongoing social and behavioral support throughout the week. Those in the control group will receive only the self-monitoring tools. RESULTS Recruitment is ongoing as of January 2021. CONCLUSIONS Findings from MORPH-II will help guide other researchers working to intervene on sedentary behavior through frequent movement in older adults with chronic pain. CLINICALTRIAL ClinicalTrials.gov NCT04655001; https://clinicaltrials.gov/ct2/show/NCT04655001 INTERNATIONAL REGISTERED REPORT PRR1-10.2196/29013

scholarly journals Lessons Learned About Motivation From a Pilot Physical Activity Intervention for African American Men

2016 ◽  
Vol 18 (1) ◽  
pp. 102-109 ◽  
Author(s):  
Emily K. Cornish ◽  
Sydika A. McKissic ◽  
Donnatesa A. L. Dean ◽  
Derek M. Griffith
Keyword(s):  
Physical Activity ◽  
African American ◽  
Physical Activity Intervention ◽  
African American Men ◽  
White Men ◽  
Lessons Learned ◽  
Life Goals ◽  
Physically Active ◽  
Physical Activity Interventions ◽  
Physical Activity Recommendations

African American men are less likely than White men to meet physical activity recommendations, and few physical activity interventions have focused on the unique needs of African American men. Because health is not more important to men than fulfilling the role of a provider or other socially important roles, one of the biggest challenges in creating interventions for African American men is helping them identify reasons that they should prioritize both health and life goals. In a recent pilot physical activity intervention for 30- to 70-year-old African American men, we used self-determination theory and motivational interviewing principles to create worksheets that helped men identify their core values and life goals and asked them to describe how their values and goals were related to health and physical activity. We used basic statistics and thematic analysis to identify and examine key sources of motivation for men to be healthier and more physically active. We found that being healthy, a good Christian, a good spouse/partner, disciplined, and successful were among men’s most important life goals. This article highlights a strategy for identifying key sources of motivation in African American men’s lives and key themes that can be used in to enhance future interventions.

Top 10 practical lessons learned from physical activity interventions in overweight and obese children and adolescents

2013 ◽  
Vol 38 (3) ◽  
pp. 249-258 ◽  
Author(s):  
Angela S. Alberga ◽  
Emily R. Medd ◽  
Kristi B. Adamo ◽  
Gary S. Goldfield ◽  
Denis Prud'homme ◽  
...  
Keyword(s):  
Physical Activity ◽  
Children And Adolescents ◽  
Lessons Learned ◽  
Obese Children ◽  
Physical Activity Interventions ◽  
Trial Experience ◽  
Clinical Trial Experience ◽  
Proper Design ◽  
Area Of Concern ◽  
The Right

Physical activity (PA) interventions targeting overweight and obese children and adolescents have shown only modest success, and dropout is an area of concern. Proper design and implementation of a PA intervention is critical for maximizing adherence and thus increasing the overall health benefits from PA participation. We propose practical advice based on our collective clinical trial experience with support from the literature on best practices related to PA interventions in overweight and obese children and adolescents. The top 10 lessons learned are (i) PA setting–context is important; (ii) choice of fitness trainer matters; (iii) physical activities should be varied and fun; (iv) the role of the parent–guardian should be considered; (v) individual physical and psychosocial characteristics should be accounted for; (vi) realistic goals should be set; (vii) regular reminders should be offered; (viii) a multidisciplinary approach should be taken; (ix) barriers should be identified early and a plan to overcome them developed; and (x) the right message should be communicated: specifically, what's in it for them? The recommendations in this paper can be used in other pediatric PA programs, physical education settings, and public health programs, with the hope of decreasing attrition and increasing the benefits of PA participation to promote health in children and adolescents.

scholarly journals Malaria outbreak response in urban Santo Domingo, Dominican Republic: lessons learned for community engagement

2020 ◽  
Vol 44 ◽  
pp. 1
Author(s):  
Dianelba Valdez ◽  
Hunter Keys ◽  
Keyla Ureña ◽  
Domingo Cabral ◽  
Francisco Camilo ◽  
...  
Keyword(s):  
Dominican Republic ◽  
Community Engagement ◽  
Active Surveillance ◽  
Health Workers ◽  
Lessons Learned ◽  
Santo Domingo ◽  
Outbreak Response ◽  
Community Members ◽  
Community Based ◽  
Malaria Outbreak

Community engagement is crucial for public health initiatives, yet it remains an under-studied process within national disease elimination programs. This report shares key lessons learned for community engagement practices during a malaria outbreak response in the Los Tres Brazos neighborhood of urban Santo Domingo, Dominican Republic from 2015-2016. In this two-year period, 233 cases of malaria were reported—more than seven times the number of cases (31) reported in the previous two years. The initial outbreak response by the national malaria program emphasized “top-down” interventions such as active surveillance, vector control, and educative talks within the community. Despite a transient reduction in reported cases in mid-2015, transmission resurged at the end of 2015. The program responded by introducing active roles for trained community members that included door-to-door fever screening, testing with rapid diagnostic tests and treatment. Malaria cases declined significantly throughout 2016 and community-based active surveillance infrastructure helped to detect and limit a small episode of transmission in 2017. Results from qualitative research among community members revealed two key factors that facilitated their cooperation with community-based surveillance activities: motivation to help one’s community; and trust among stakeholders (community health workers, their neighbors and other key figures in the community, and malaria program staff and leadership). This experience suggests that community-led interventions and the program’s willingness to learn and adapt under changing circumstances can help control malaria transmission and pave the way for elimination.

It Takes a Village Coach: Cost-Effectiveness of an Intervention to Improve Diet and Physical Activity Among Minority Women

2018 ◽  
Vol 15 (11) ◽  
pp. 819-826
Author(s):  
Iris Buder ◽  
Cathleen Zick ◽  
Norman Waitzman ◽  
Sara Simonsen ◽  
Grant Sunada ◽  
...  
Keyword(s):  
Physical Activity ◽  
Cost Effectiveness ◽  
Health Workers ◽  
Cost Effective ◽  
Health Coaching ◽  
Dietary Guidelines ◽  
Coaching Intervention ◽  
Life Years ◽  
Diet And Physical Activity ◽  
The Cost

Background: This study gauged the cost-effectiveness of a community-based health coaching intervention aimed at improving diet and physical activity among women in culturally diverse communities. Methods: The Coalition for a Healthier Community for Utah Women and Girls recruited women from 5 cultural and ethnic groups and randomized them to receive quarterly versus monthly health coaching. Coaching was performed by trained community health workers from the targeted communities. Cost-effectiveness ratios were estimated to gauge the cost-effectiveness of the intervention. Results: Estimated quality-adjusted life years gained from both increased physical activity and improved diet were positive. Cost-effectiveness ratios varied by intervention arm, but all ratios fell within the favorable range described in the literature. Conclusions: This culturally adapted health coaching intervention was deemed to be cost-effective. Our findings suggest that to achieve the highest level of cost-effectiveness, programs should focus on enrolling at-risk women who do not meet recommended physical activity standards and/or dietary guidelines.

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