A formative review of physical activity interventions for minority ethnic populations in England

Such, Elizabeth; Salway, Sarah; Copeland, Robert J.; Haake, Steve; Domone, Sarah; Mann, Semran K.

doi:10.1093/pubmed/fdw126

Cited by 10 publications

(8 citation statements)

References 16 publications

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“…Therefore, policies that address the sex gap in physical activity could start with better access and investment and by altering sociocultural norms. In relation to ethnicity, there is evidence that non-White participants have lower levels of physical activity and that their participation in and benefit from physical activity programs are suboptimal, due to lower access and socioeconomic and sociocultural bias [ 59 ]. Our findings suggest that non-White women in particular are less likely to achieve significant benefits from interventions involving wearable trackers.…”

Section: Discussionmentioning

confidence: 99%

Association Between Patient Factors and the Effectiveness of Wearable Trackers at Increasing the Number of Steps per Day Among Adults With Cardiometabolic Conditions: Meta-analysis of Individual Patient Data From Randomized Controlled Trials

Hodkinson¹,

Kontopantelis²,

Zghebi³

et al. 2022

J Med Internet Res

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Background Current evidence supports the use of wearable trackers by people with cardiometabolic conditions. However, as the health benefits are small and confounded by heterogeneity, there remains uncertainty as to which patient groups are most helped by wearable trackers. Objective This study examined the effects of wearable trackers in patients with cardiometabolic conditions to identify subgroups of patients who most benefited and to understand interventional differences. Methods We obtained individual participant data from randomized controlled trials of wearable trackers that were conducted before December 2020 and measured steps per day as the primary outcome in participants with cardiometabolic conditions including diabetes, overweight or obesity, and cardiovascular disease. We used statistical models to account for clustering of participants within trials and heterogeneity across trials to estimate mean differences with the 95% CI. Results Individual participant data were obtained from 9 of 25 eligible randomized controlled trials, which included 1481 of 3178 (47%) total participants. The wearable trackers revealed that over the median duration of 12 weeks, steps per day increased by 1656 (95% CI 918-2395), a significant change. Greater increases in steps per day from interventions using wearable trackers were observed in men (interaction coefficient –668, 95% CI –1157 to –180), patients in age categories over 50 years (50-59 years: interaction coefficient 1175, 95% CI 377-1973; 60-69 years: interaction coefficient 981, 95% CI 222-1740; 70-90 years: interaction coefficient 1060, 95% CI 200-1920), White patients (interaction coefficient 995, 95% CI 360-1631), and patients with fewer comorbidities (interaction coefficient –517, 95% CI –1188 to –11) compared to women, those aged below 50, non-White patients, and patients with multimorbidity. In terms of interventional differences, only face-to-face delivery of the tracker impacted the effectiveness of the interventions by increasing steps per day. Conclusions In patients with cardiometabolic conditions, interventions using wearable trackers to improve steps per day mostly benefited older White men without multimorbidity. Trial Registration PROSPERO CRD42019143012; https://www.crd.york.ac.uk/prospero/display_record.php?RecordID=143012

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Section: Discussionmentioning

confidence: 99%

Association Between Patient Factors and the Effectiveness of Wearable Trackers at Increasing the Number of Steps per Day Among Adults With Cardiometabolic Conditions: Meta-analysis of Individual Patient Data From Randomized Controlled Trials

Hodkinson¹,

Kontopantelis²,

Zghebi³

et al. 2022

J Med Internet Res

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“…From the outset, we focused time and effort on the following success factors of health promotion partnerships: information flow, communication, participation benefits, logistics of practice, understanding and sense of ownership (Ansari et al, 2010). We were also mindful of advocated principles for working with minority ethnic communities using community resources to increase accessibility, to identify and address barriers to access, to encourage the use of appropriate language strategies to promote understanding and learning (Netto et al, 2010) and to enhance capacity-building for increasing PA in BAME communities (Such et al, 2017).…”

Section: Research Paradigm and Principlesmentioning

confidence: 99%

Women, wellbeing and the city: A model of participatory health research exploring physical activity in Black, Asian and minority ethnic communities

Peerbhoy

Minou

Stratton

2020

Health Education Journal

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Objective: The aim of this project was to document a partnership working process from a cross-sectoral and cross-cultural participatory health research study focused on promoting physical activity among women from Black, Asian and minority ethnic (BAME) backgrounds. Design: A participatory health research paradigm was used to support this pilot feasibility study into partnership working for health promotion. Action research and community development principles underpinned the design, delivery and interpretation of findings from a community-based survey, data from four focus groups and bespoke interventions. Setting: Community groups from education, leisure, health and religious community sectors, and charity sectors, in the City of Liverpool, met in different venues representing those sectors. Method: Reflection on the process of community engagement in a research study guided by socio-ecological model, community development and action research principles. Results: Seven emerging collaborative processes based on effective partnership working, capacity-building practice and sustaining health and wellbeing evolved from a partnership between a Community Researchers Advisory Group and a Partners Advisory Group. BAME ‘community connectors’ were key to obtaining feedback from 213 women from 16 ethnic groups, which influenced the development of bespoke interventions and local sport and physical activity long-term policy, as one means of reducing social inequalities for women from BAME backgrounds. Conclusion: This feasibility study demonstrates the effectiveness and limitations of partnership working as a public health tool. The local Sport and Physical Activity Alliance and council department worked together to promote the sustainability of BAME-focused programmes as part of their governance and policy frameworks.

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“…The interconnected issues of widening social disparities, inequitable access to sport and persistent health inequalities (affecting quality of life and expectancy) have been consistently associated with lower participation. These involve populations such as those on low incomes, women, people with disabilities and chronic illness, older persons and those from ethnicity minorities (Cleland et al, 2018;Such et al, 2017). In addition to 'top down' policy approaches, calls have been made to develop 'ground up' and practiceled knowledge of physical activity promotion through analysis of community-based events (i.e.…”

Section: Introductionmentioning

confidence: 99%

Action research with parkrun UK volunteer organizers to develop inclusive strategies

Fullagar

Petris

Sargent

et al. 2019

Health Promotion International

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This article addresses the challenge of promoting physical activity through a focus on equity and engaging physically inactive citizens through the development of inclusive strategies within parkrun UK—a free, volunteer-led, weekly mass community participation running event. We discuss how a UK-based action research design enabled collaboration with volunteer event organizers to understand participant experiences, constraints and develop localized inclusive practices. In contrast with ‘expert’-driven health behaviour interventions, our research pursued a ‘ground up’ approach by asking what can be learnt from the successes and challenges of organizing community events, such as parkrun UK, to promote inclusion? A modified participatory action research approach was used with four parkrun sites across England, Scotland and Northern Ireland, that involved quantitative and qualitative analysis of survey data (n = 655) that informed the process. Our analysis explored parkrunners’ and volunteer organizers’ perceptions relating to (i) the demographics of parkrun participation and (ii) actions for change in relation to the challenges of engaging marginalized groups (women, ethnic minorities, low income, older people, those with disabilities or illness). We discuss the challenges and opportunities for addressing (in)equity and inclusion through volunteer-based organizations and the implications for translating knowledge into organizational strategies.

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A formative review of physical activity interventions for minority ethnic populations in England

Abstract: Background: Physical activity (PA) levels are lower among some UK Black and minority ethnic (BME)

Cited by 10 publications

References 16 publications

Association Between Patient Factors and the Effectiveness of Wearable Trackers at Increasing the Number of Steps per Day Among Adults With Cardiometabolic Conditions: Meta-analysis of Individual Patient Data From Randomized Controlled Trials

Association Between Patient Factors and the Effectiveness of Wearable Trackers at Increasing the Number of Steps per Day Among Adults With Cardiometabolic Conditions: Meta-analysis of Individual Patient Data From Randomized Controlled Trials

Women, wellbeing and the city: A model of participatory health research exploring physical activity in Black, Asian and minority ethnic communities

Action research with parkrun UK volunteer organizers to develop inclusive strategies

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