scholarly journals Qualitative evaluation of a physical activity-based chronic disease prevention program in a low-income, rural South African setting

2010 ◽  
Author(s):  
Catherine Draper ◽  
Simon Nemutandani ◽  
Anna Grimsrud ◽  
Michael Rudolph ◽  
Tracy Kolbe-Alexander ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Disease Prevention ◽  
South African ◽  
Low Income ◽  
Prevention Program ◽  
Qualitative Evaluation ◽  
Chronic Disease Prevention ◽  
Rural South ◽  
African Setting

Chronic Disease Prevention: Tobacco, Physical Activity, and Nutrition for a Healthy Start: A Vital Direction for Health and Health Care

2016 ◽  
Vol 6 (9) ◽  
Author(s):  
William H. Dietz ◽  
◽  
Ross C. Brownson ◽  
Clifford E. Douglas ◽  
John J. Dreyzehner ◽  
...  
Keyword(s):  
Physical Activity ◽  
Health Care ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Healthy Start ◽  
Chronic Disease Prevention

scholarly journals A Critical Review on New Approaches for Chronic Disease Prevention in Brazil and Canada: From Wholistic Dietary Guidelines to Physical Activity Security

2021 ◽  
Vol 8 ◽  
Author(s):  
Juliano Schwartz ◽  
Paul Oh ◽  
Maira B. Perotto ◽  
Ryan E. Rhodes ◽  
Wanda Firth ◽  
...  
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Critical Review ◽  
Well Being ◽  
Overweight And Obesity ◽  
Dietary Guidelines ◽  
Chronic Disease Prevention ◽  
Cultural Economic ◽  
Socioeconomic Condition

In light of new evidence on the prevention of chronic diseases and the elevated rates of overweight and obesity in Brazil and Canada, this critical review aims to interpret and synthesize current aspects regarding dietary and physical activity initiatives in both countries and make future recommendations. The pioneering work presented in the last Brazilian dietary guidelines has been called a model that can be applied globally, given its conceptualization of healthy eating that translates easily to practical guidance. The new Canadian Food Guide has incorporated similar aspects, also putting the country as a leader in dietary guidance. With these new recommendations, citizens in both Brazil and Canada have access to impactful evidence-informed nutritional guidelines. Both documents propose eating patterns that focus not only on health benefits, such as chronic disease prevention, but also incorporate well-being concerning cultural, economic, sociodemographic, biological, and ecological dimensions. A similar approach is required for physical activity to allow individuals to have attainable health and life goals and thereby fully enjoy their lives, regardless of geographical location, health status, and socioeconomic condition, a concept recently described as physical activity security. The wholistic dietary guidelines from both countries represent a change in paradigm in public health. Likewise, national evidence-based policies are warranted to reduce disparities in physical activity, allowing healthier and more active lifestyles for everyone.

scholarly journals Barriers to Recruiting Men Into Chronic Disease Prevention and Management Programs in Rural Areas

2016 ◽  
Vol 10 (6) ◽  
pp. NP155-NP157 ◽  
Author(s):  
Adam G. Gavarkovs ◽  
Shauna M. Burke ◽  
Kristen C. Reilly ◽  
Robert J. Petrella
Keyword(s):  
Physical Activity ◽  
Chronic Disease ◽  
Rural Communities ◽  
Disease Prevention ◽  
Healthy Eating ◽  
Rural Areas ◽  
Healthy Lifestyle ◽  
Chronic Disease Prevention ◽  
Program Delivery ◽  
Men Health

Chronic disease is becoming increasingly prevalent in Canada. Many of these diseases could be prevented by adoption of healthy lifestyle habits including physical activity and healthy eating. Men, especially those in rural areas, are disproportionately affected by chronic disease. However, men are often underrepresented in community-based chronic disease prevention and management (CDPM) programs, including those that focus on physical activity and/or healthy eating. The purpose of this study was to explore the experiences and perceptions of program delivery staff regarding the challenges in recruitment and participation of men in physical activity and healthy eating programs in rural communities, and suggestions for improvement. Semistructured interviews were conducted by telephone with 10 CDPM program delivery staff from rural communities in Southwest Ontario, Canada. Time and travel constraints, relying on spouses, and lack of male program leaders were cited as barriers that contributed to low participation levels by men in CDPM programs. Hiring qualified male instructors and engaging spouses were offered as strategies to increase men’s participation. The results of this study highlight many of the current issues faced by rural health organizations when offering CDPM programming to men. Health care organizations and program delivery staff can use the recommendations in this report to improve male participation levels.

scholarly journals Better Health Durham: Community Engagement in a Cluster RCT of a Prevention Practitioner Intervention in Low-Income Neighbourhoods

2018 ◽  
Vol 4 (Supplement 2) ◽  
pp. 22s-22s
Author(s):  
M.A. O'Brien ◽  
A. Lofters ◽  
B. Wall ◽  
A.D. Pinto ◽  
R. Elliott ◽  
...  
Keyword(s):  
Public Health ◽  
Primary Care ◽  
Chronic Disease ◽  
Disease Prevention ◽  
Community Engagement ◽  
Social Services ◽  
Low Income ◽  
Community Outreach ◽  
Chronic Disease Prevention ◽  
Cluster Rct

Background: The Building on Existing Tools to Improve Chronic Disease Prevention and Screening (BETTER) intervention has improved uptake of chronic disease prevention and screening activities in primary care. The BETTER intervention consists of 1:1 visits between prevention practitioners (PPs) and patients (40-65 years). It is unknown if an adapted BETTER could be effective in the community with public health nurses as PPs. Aim: The presentation objective is to describe community engagement strategies in a cluster RCT in low income neighborhoods with low cancer screening rates and low uptake of primary care. Methods: Principles of community-based participatory research were used to design the community engagement strategy in Durham region, Ontario. Key elements included close collaboration with public health partners to identify stakeholders and creating a community advisory committee (CAC) and a primary care engagement group to provide advice. Results: We identified 15 community stakeholder groups (∼47 subgroups) including service organizations, faith groups, and charitable organizations representing diverse constituents. Community outreach activities included in-person meetings and information displays at local events. The CAC is comprised of members of the public and representatives from primary care, social services, and community organizations. The CAC and primary care engagement groups have provided advice on trial recruitment strategies and on the design of the PP visit. Conclusion: The partnership between public health, primary care, and the study team has been crucial to connect with community stakeholders. Community engagement is essential in raising awareness about the study and will contribute to successful recruitment. Trial Registration: NCT03052959

Understanding Participants’ Perceptions of Access to and Satisfaction With Chronic Disease Prevention Programs

2019 ◽  
Vol 46 (4) ◽  
pp. 689-699 ◽  
Author(s):  
Rebecca Perry ◽  
Jennifer Gard Read ◽  
Caroline Chandler ◽  
Julia Kish-Doto ◽  
Thomas Hoerger
Keyword(s):  
Chronic Disease ◽  
Disease Prevention ◽  
Behavior Change ◽  
Low Income ◽  
Consumer Satisfaction ◽  
Diabetes Management ◽  
Readiness To Change ◽  
Prevention Programs ◽  
Chronic Disease Prevention ◽  
Change Initiatives

Despite the promise of incentive-based chronic disease prevention programs, comprehensive evidence on their accessibility among low-income populations remains limited. We adapted Aday and Andersen’s framework to examine accessibility and consumer satisfaction within the Medicaid Incentives for the Prevention of Chronic Disease (MIPCD) cross-site demonstration. MIPCD provided 10 states with 5-year grants to implement incentivized chronic disease prevention and management programs for low-income and/or disabled—Medicaid enrolled—Americans. We conducted 36 focus group discussions between July 2014 and December 2015 with Medicaid enrollees participating in the MIPCD programs. We assessed participants’ satisfaction by program type (i.e., diabetes prevention, diabetes management, hypertension reduction, smoking cessation, and weight management) related to three components: program enrollment and participation, staff courtesy, and program convenience. Based on Aday and Andersen’s framework, we conducted thematic analysis to determine similarities and differences across MIPCD programs by type. Participant feedback confirmed the importance of several features of the Aday and Andersen framework, particularly programs with easy enrollment and participation procedures, courteous and helpful staff, and those that are convenient and flexible for participants. Participants valued programming around the clock via telephone and flexible, in-person hours of operation as well as proximity of the program to reliable transportation. We observed that most participants, despite enrollment and participation barriers, perceived programs as accessible and were willing to engage and continue to participate. This finding may reflect behavior change theory’s perspective on personal readiness to change. Individuals in the preparation stage of change can effectively change health habits despite barriers they may encounter. In some cases, personal readiness to change was more impactful than consumer satisfaction at encouraging ongoing participation and perceived access to the programs. Thus, program developers may want to consider individual participant readiness to change and its impact on consumer satisfaction when designing, implementing, and evaluating behavior change initiatives.

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