Purpose This secondary analysis examined the immediate and maintaining effects of a 12‐week line‐dancing intervention on upper and lower extremity activities in underserved adults who receive care from a nurse‐managed clinic (NMC). Data sources This one‐group, repeated measures, feasibility study consisted of 40 participants recruited from an urban apartment complex that housed a NMC. Of the 40 participants, 21 participants completed the 12‐week line‐dancing intervention. Physical function of the upper and lower extremities was measured with the Late Life Function and Disability Instrument at baseline, 12, and 18 weeks to determine the maintaining effects. Conclusions Age ranged from 45 to 87 years (M = 63; SD = 7.8), body mass index (BMI) was 33.4 (SD = 7.8), 92% were female, and 75% were African American. At baseline, participants showed limitations in all aspects of physical function. Significant improvements in upper and lower extremity activities were noted at 12 weeks and maintained at 18 weeks. Implications for practice Although line‐dancing mainly involves the lower body, there were significant improvements in upper extremity activities at 12 weeks, which were maintained at 18 weeks. The maintaining effects support line‐dancing as an intervention to improve upper and lower extremity activities needed for independent living. NMCs are important settings for health promotion interventions in underserved adults.
Background: The Nurturing Family Program (NFP) is a family-centered educational curriculum designed to equip parents with tools and techniques to support a nurturing relationship with their child. While there have been many evaluations of the NFP, no evaluations to date measure how the curriculum may influence parenting self-efficacy, how confident a caregiver feels about their ability to foster their child’s development and success, or parenting stress. Methods: This community-based interventional study used a convenience sample of families recruited from community agencies or within a pediatric medical center. Families with one or more children aged 0 to 5 years, premature infants or an infant discharged from the neonatal intensive care unit (NICU), and/or adolescent parents were invited to participate in NFP. Participants were recruited from community agencies that were most likely to work with populations meeting program eligibility criteria. The NFP was offered as in-home and community-based sessions. The primary outcome of interest was perceived parental self-efficacy, measured using the Tool to Measure Parenting Efficacy (TOPSE) at weeks 1, 5, and 10. The secondary outcome of interest was perceived level of stress, as measured by a visual analog scale each week. Results: Participants of community-based sessions (n=45) experienced a significant increase in parenting self-efficacy at week 10, compared to week 1 and week 5 (p <0.01). Overall, participants of the community-based sessions experienced an average increase of 17.7 points on the TOPSE scale (p =0.014). Across all participants (n=79), each session attended resulted in a modest, but significant, 3% reduction in stress (p =0.021). Conclusion: The NFP improved parental self -efficacy among participants of the community-based sessions and reduced perceived stress for all participants.
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