Applying Exercise Stage of Change to a Low-income Underserved Population

2003 ◽  
Vol 27 (2) ◽  
pp. 99-107 ◽  
Author(s):  
Cindy L. Carmack Taylor ◽  
Edwin D. Boudreaux ◽  
Shawn K. Jeffries ◽  
Isabel C. Scarinci ◽  
Phillip J. Brantley
2002 ◽  
Vol 25 (2) ◽  
pp. 122-134 ◽  
Author(s):  
Dianne Morrison-Beedy ◽  
Michael P. Carey ◽  
Brian P. Lewis

2003 ◽  
Vol 17 (5) ◽  
pp. 329-336 ◽  
Author(s):  
Edwin D. Boudreaux ◽  
Karen B. Wood ◽  
Dan Mehan ◽  
Isabel Scarinci ◽  
Cindy L. Carmack Taylor ◽  
...  

Purpose. The current study examines the relations between decisional balance and self-efficacy variables on stage of change between the behaviors of avoiding dietary fat and increasing exercise. Design. A cross-sectional design was used. Setting. The current study took place in public primary care clinics from four sites across Louisiana. Clinics were associated with teaching hospitals and located in urban and rural areas. Subjects. Subjects included 515 adult outpatients, 60% African-American, 81% women, and 43% married. The age ranged from 18 to 87 years old, and the mean age was 45 (SD = 14). Patients were predominantly low-income (mean household income of $490 per month) and uninsured (71%). Measures. Standard questionnaires were given to assess stage of change, decisional balance, and self-efficacy for exercise and dietary fat reduction. Results. Although the χ2 analysis revealed that dietary fat and exercise stage of change were significantly related, Pearson χ2 (df = 16) = 74.30, p < .001, 35% of the sample was stage incongruent between behaviors (e.g., a significant percentage of exercise maintainers were precon-templators for reducing dietary fat). Only 27% of the sample was in the same stage for both behaviors. Correlations and multivariate analyses of variance (MANOVAs) indicated that relationships between behaviors were similar to those found previously within behaviors; however, the effect sizes were markedly attenuated. Conclusions. These results have implications for healthcare providers working with weight management. Accurate assessment of readiness for change for both exercise and dietary fat consumption is critical. For many patients, readiness for change differs dramatically between the two behaviors, and interventions may need to be tailored more precisely. Providers may need to use more active, behaviorally focused interventions for the more advanced behavior while simultaneously implementing more cognitively focused interventions for the less advanced one.


2017 ◽  
Vol 14 (1) ◽  
pp. 3-7 ◽  
Author(s):  
Robert Medairos ◽  
Vicky Kang ◽  
Carissa Aboubakare ◽  
Matthew Kramer ◽  
Sheila Ann Dugan

Background:This study aims to identify patterns of use and preferences related to technology platforms that could support physical activity (PA) programs in an underserved population.Methods:A 29-item questionnaire was administered at 5 health and wellness sites targeting low income communities in Chicago. Frequency tables were generated for Internet, cell phone, and social media use and preferences. Chi-squared analysis was used to evaluate differences across age and income groups.Results:A total of 291 individuals participated and were predominantly female (69.0%). Majority reported incomes less than $30,000 (72.9%) and identified as African American/Black/Caribbean (49.3%) or Mexican/Mexican American (34.3%). Most participants regularly used smartphones (63.2%) and the Internet (75.9%). Respondents frequently used Facebook (84.8%), and less commonly used Instagram (43.6%), and Twitter (20.0%). Free Internet-based exercise programs were the most preferred method to increase PA levels (31.6%), while some respondents (21.0%) thought none of the surveyed technology applications would help.Conclusion:Cell phone, Internet, and social media use is common among the surveyed underserved population. Technology preferences to increase PA levels varied, with a considerable number of respondents not preferring the surveyed technology platforms. Creating educational opportunities to increase awareness may maximize the effectiveness of technology-based PA interventions.


2008 ◽  
Vol 20 (1) ◽  
pp. 257-273 ◽  
Author(s):  
Susan K. Steele-Moses ◽  
Kathleen M. Russell ◽  
Matthew Kreuter ◽  
Patrick Monahan ◽  
Sara Bourff ◽  
...  

1999 ◽  
Vol 58 (4) ◽  
pp. 378-388 ◽  
Author(s):  
Liz Batten ◽  
Hilary Graham ◽  
Sue High ◽  
Laurie Ruggiero ◽  
Joseph Rossi

2019 ◽  
Vol 62 (6) ◽  
pp. 1775-1786 ◽  
Author(s):  
Lucía I. Méndez ◽  
Gabriela Simon-Cereijido

Purpose This study investigated the nature of the association of lexical–grammatical abilities within and across languages in Latino dual language learners (DLLs) with specific language impairment (SLI) using language-specific and bilingual measures. Method Seventy-four Spanish/English–speaking preschoolers with SLI from preschools serving low-income households participated in the study. Participants had stronger skills in Spanish (first language [L1]) and were in the initial stages of learning English (second language [L2]). The children's lexical, semantic, and grammar abilities were assessed using normative and researcher-developed tools in English and Spanish. Hierarchical linear regressions of cross-sectional data were conducted using measures of sentence repetition tasks, language-specific vocabulary, and conceptual bilingual lexical and semantic abilities in Spanish and English. Results Results indicate that language-specific vocabulary abilities support the development of grammar in L1 and L2 in this population. L1 vocabulary also contributes to L2 grammar above and beyond the contribution of L2 vocabulary skills. However, the cross-linguistic association between vocabulary in L2 and grammar skills in the stronger or more proficient language (L1) is not observed. In addition, conceptual vocabulary significantly supported grammar in L2, whereas bilingual semantic skills supported L1 grammar. Conclusions Our findings reveal that the same language-specific vocabulary abilities drive grammar development in L1 and L2 in DLLs with SLI. In the early stages of L2 acquisition, vocabulary skills in L1 also seem to contribute to grammar skills in L2 in this population. Thus, it is critical to support vocabulary development in both L1 and L2 in DLLs with SLI, particularly in the beginning stages of L2 acquisition. Clinical and educational implications are discussed.


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