A Civic Engagement Approach to Encourage Healthy Eating and Active Living in Rural Towns: The HEART Club Pilot Project

Seguin, Rebecca A.; Sriram, Urshila; Connor, Leah M.; Silver, Ashley; Niu, Beining; Bartholomew, Alexis N.

doi:10.1177/0890117117748122

Cited by 6 publications

(18 citation statements)

References 43 publications

(76 reference statements)

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“…Studies took place in the United States (n = 5), 19 - 23 Australia (n = 3), 24 - 26 Canada (n = 2), 27 , 28 and South Africa (n = 1), 29 with one study comparing communities in the United States and Australia. 30 Community or county population ranged from 180 to 77 468 people and was not reported in seven of the included articles.…”

Section: Results and Synthesismentioning

confidence: 99%

Implementation of Physical Activity Interventions in Rural, Remote, and Northern Communities: A Scoping Review

Pelletier

Pousette

Ward

et al. 2020

INQUIRY

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Compared with urban centers, rural, remote, and northern communities face substantial health inequities and increased rates of noncommunicable disease fuelled, in part, by decreased participation in physical activity. Understanding how the unique sociocultural and environmental factors in rural, remote, and northern communities contribute to implementation of physical activity interventions can help guide health promotion policy and practice. A scoping review was conducted to map literature describing the implementation of physical activity interventions in rural, remote, and/or northern communities. Databases MEDLINE, PsycINFO, EMBASE, CINAHL, and SPORTDiscus were searched using a predetermined search strategy. Outcomes of interest included community demographics, program characteristics, intervention results, measures of implementation, and facilitators or barriers to implementation. A total of 1672 articles were identified from a search of databases, and 8 from a targeted hand search. After screening based on inclusion and exclusion criteria, 12 articles were summarized in a narrative review. Prominent barriers to physical activity program implementation included transportation, lack of infrastructure, sociocultural factors, and weather. Facilitators of program success included flexibility and creativity on the part of the implementation team, leveraging community relationships, and shared resources. Few papers reported on traditional implementation outcomes such as fidelity, dose, and quality. There is a lack of rigorous implementation evaluations of physical activity interventions delivered in rural, remote, or northern communities. Positive aspects of rural life, such as social cohesion and willingness to share resources, appear to contribute to successful program implementation.

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Section: Results and Synthesismentioning

confidence: 99%

Implementation of Physical Activity Interventions in Rural, Remote, and Northern Communities: A Scoping Review

Pelletier

Pousette

Ward

et al. 2020

INQUIRY

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show abstract

“…Participation in civic engagement programs may also affect behavior change by fostering self-efficacy and enhancing social support, which are associated with positive health behaviors. [5,9] The relatively narrow scope of the present study limited our ability to assess individual and population-level changes in health behaviors as a result of eHEART projects. However, this remains an important area for future research.…”

Section: Discussionmentioning

confidence: 99%

“…Creating environmental change through civic engagement is one promising strategy for improving access to food and physical activity resources. Existing studies suggest that engaging local residents can lead to meaningful built environment and policy changes in urban and rural settings [5][6][7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

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Web-Based Dissemination of a Civic Engagement Curriculum to Promote Healthy Eating and Active Living in Rural Towns: The eHEART Study

Seguin‐Fowler¹,

Graham

Sriram³

et al. 2020

IJERPH

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Civic engagement interventions aimed at improving food and physical activity environments hold promise in addressing rural health disparities, but ensuring feasible and sustained dissemination remains a challenge. The present study aimed to evaluate the feasibility of a civic engagement curriculum adapted for online dissemination (Healthy Eating and Activity in Rural Towns (eHEART)). The eHEART curriculum and website were developed based on feedback from local health educators and community members. eHEART groups were facilitated by local Extension educators across three rural towns in three U.S. states (Montana, Wisconsin, and Alaska). Implementation feasibility was assessed through monthly project reports and interviews with educators. All eHEART groups successfully completed curriculum activities and met their project goals after nine months (November 2018 to July 2019). Groups ranged in size from 4 to 8 community residents and implemented varied strategies to improve aspects of their local food and/or physical activity environments. Facilitators of implementation included clear guidance on facilitating curriculum activities and the flexible and community-driven nature of eHEART projects. Recommended changes included more guidance on evaluating projects and contacting stakeholders as well as providing online tools and support for project management. Findings from this work have important implications for creating healthier rural environments. Local health educators and other community groups can feasibly use the eHEART curriculum to foster environmental changes that support healthy eating and active living.

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“…For instance, SHHC includes aerobic and strength training (individual level), class discussions about strategies building social support for exercising outside of class (social level), and grocery store and town walking audits (environmental level). SHHC includes key elements of three previous StrongWomen curricula: strength training [31][32][33], aerobic exercise [34,35], nutrition education and behavioral strategies [34,35], and civic and social engagement strategies [36][37][38]. SHHC included formative research to gather information about barriers and facilitators to healthy living, particularly within the rural context.…”

Section: Introductionmentioning

confidence: 99%

Strong Hearts for New York: A multilevel community-based randomized cardiovascular disease risk reduction intervention for rural women

Seguin¹,

Graham²,

Eldridge³

et al. 2019

Contemporary Clinical Trials

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Background: Rural midlife and older women have high rates of cardiovascular disease (CVD) risk factors and lower access to healthy living resources. The Strong Hearts, Healthy Communities (SHHC) intervention, tailored to the needs of rural women, demonstrated effectiveness on many outcomes. The purpose of the Strong Hearts for New York (SHNY) study is to evaluate the efficacy of an enhanced version of the curriculum (SHHC-2.0). Methods: SHNY is a randomized controlled efficacy intervention, comparing participants receiving the SHHC-2.0 curriculum with a delayed intervention control group. SHHC, informed by formative research, includes core elements from three evidence-based programs. Changes based on extensive outcome and process evaluation data were made to create SHHC-2.0. Classes will meet twice weekly for 24 weeks and include individual, social, and environmental components. Overweight women age 40 and over will be recruited from 11 rural, medically underserved communities in New York; data will be collected at baseline and 12, 24, 36, and 48 weeks across individual, social, and environmental levels. Primary outcome is body weight. Secondary outcomes include Simple 7 (composite CVD risk score), anthropometric, physiologic, biochemical, physical activity, and dietary intake measures; healthy eating and exercise selfefficacy and attitudes; and self-efficacy of the social network of participants.

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A Civic Engagement Approach to Encourage Healthy Eating and Active Living in Rural Towns: The HEART Club Pilot Project

Abstract: These findings suggest that resident-driven initiatives that build upon local resources and establish feasible goals can successfully foster environmental change in rural communities.

Cited by 6 publications

References 43 publications

Implementation of Physical Activity Interventions in Rural, Remote, and Northern Communities: A Scoping Review

Implementation of Physical Activity Interventions in Rural, Remote, and Northern Communities: A Scoping Review

Web-Based Dissemination of a Civic Engagement Curriculum to Promote Healthy Eating and Active Living in Rural Towns: The eHEART Study

Strong Hearts for New York: A multilevel community-based randomized cardiovascular disease risk reduction intervention for rural women

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