A gender-based approach to developing a healthy lifestyle and healthy weight intervention for diverse Utah women

Simonsen, Sara E.; Digre, Kathleen B.; Ralls, Brenda; Mukundente, Valentine; Davis, France A.; Rickard, Sylvia; Tavake-Pasi, Fahina; Napia, Eru; Aiono, Heather; Chirpich, Meghan; Stark, Louisa A.; Sunada, Grant; Keen, Kassy; Johnston, Leanne; Frost, Caren J.; Varner, Michael W.; Alder, Stephen C.

doi:10.1016/j.evalprogplan.2014.12.003

Cited by 15 publications

(13 citation statements)

References 49 publications

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“…CFU is a partnership among the University of Utah, the Utah Department of Health and leaders of five ethnically diverse communities in the state of Utah (African refugee/immigrant, African-American, American Indian/Alaskan Native, Hispanic/Latino and Pacific Islander); CFU is dedicated to improving health equity and access with local healthcare partners. 19 The leaders of the five communities queried their members to identify individuals or family who had a critical illness or had been admitted to an ICU. Participants who met study inclusion criteria were provided with oral and written information about the study.…”

Section: Participantsmentioning

confidence: 99%

Persistence of patient and family experiences of critical illness

Butler

Francis

Davis³

et al. 2020

BMJ Open

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ObjectiveTo investigate: (1) patient and family experiences with healthcare and the intensive care unit (ICU); (2) experiences during their critical illness; (3) communication and decision making during critical illness; (4) feelings about the ICU experience; (5) impact of the critical illness on their lives; and (6) concerns about their future after the ICU.DesignFour semistructured focus group interviews with former ICU patients and family members.SettingsMulticultural community group and local hospitals containing medical/surgical ICUs.ParticipantsPatients and family who experienced a critical illness within the previous 10 years.InterventionsNone.Measurements and main resultsFour separate focus groups each lasting a maximum of 150 min and consisting of a total of 21 participants were held. Focus groups were conducted using a semistructured script including six topics relating to the experience of critical illness that facilitated deduction and the sorting of data by thematic analysis into five predominant themes. The five main themes that emerged from the data were: (1) personalised stories of the critical illness; (2) communication and shared decision making, (3) adjustment to life after critical illness, (4) trust towards clinical team and relevance of cultural beliefs and (5) end-of-life decision making. Across themes, we observed a misalignment between the medical system and patient and family values and priorities.ConclusionsThe experience of critical illness of a diverse group of patients and families can remain vivid for years after ICU discharge. The identified themes reflect the strength of memory of such pivotal experiences and the importance of a narrative around those experiences. Clinicians need to be aware of the lasting effects of critical illness has on patients and families.

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Section: Participantsmentioning

confidence: 99%

Persistence of patient and family experiences of critical illness

Butler

Francis

Davis³

et al. 2020

BMJ Open

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“…Detailed information about UWAG study methods and the costeffectiveness of the intervention have been previously published. [15][16][17] All study procedures were approved by the University of Utah Institutional Review Board and the Phoenix Area Indian Health Service Institutional Review Board. Verbal informed consent was obtained from all subjects/patients.…”

Section: Study Populationmentioning

confidence: 99%

Food Insecurity and the Risk of Obesity, Depression, and Self-Rated Health in Women

Willis

Simonsen

Hemmert

et al. 2020

Women's Health Reports

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Background/Introduction/Objective: Recent studies have shown that food insecurity is associated with obesity, depression, and other adverse health outcomes although little research has been focused on these relationships in underrepresented cultural and social groups. In this study we elucidate the relationship between food insecurity, community factors, dietary patterns, race/ethnicity and health among underrepresented women. Materials and Methods: The data for this investigation come from a cross-sectional survey of women drawn from five urban Utah communities of color, including African immigrants/refugees, African Americans, Hispanics, American Indians/Alaska Natives, and Pacific Islanders, and women from four rural Utah counties. Multivariate logistic regression was used to assess the relationship between food insecurity and obesity risk, self-reported depression, and self-assessed health. Results: Urban women of color were more likely to report food insecurity than rural non-Hispanic white women. Obesity and depression scores were positively associated with food insecurity. Conclusions: Utah women of color had higher levels of food insecurity than reported in state or national data, highlight an important disparity. Nutritional education initiatives, evaluating food assistance programs, and screenings in clinical settings targeting specific racial/ethnic groups may help address the disparities observed in this study.

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“…Developers documented why a new intervention was needed through reference to the research literature [29], healthcare policy [10], their own expertise in research [30] or practice [31], previous research findings [32], consultation with community members [33], or a combination of these [34]. The rationale for this was to justify the development of a new intervention by identifying an unmet health need.…”

Section: Action 1: Identify a Need For An Interventionmentioning

confidence: 99%

“…Mummah et al [59]), or from a combination of all of these (e.g. Simonsen et al [33]). Programme theory generated during development was sometimes articulated in a logic model specific to the intervention (e.g.…”

Section: Action 7: Involve Stakeholdersmentioning

confidence: 99%

Developing interventions to improve health: a systematic mapping review of international practice between 2015 and 2016

Croot

O’Cathain

Sworn

et al. 2019

Pilot Feasibility Stud

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Background: Researchers publish the processes they use to develop interventions to improve health. Reflecting on this endeavour may help future developers to improve their practice. Methods: Our aim was to collate, describe, and analyse the actions developers take when developing complex interventions to improve health. We carried out a systematic mapping review of empirical research studies that report the development of complex interventions to improve health. A search was undertaken of five databases over 2015-2016 using the term 'intervention dev*'. Eighty-seven journal articles reporting the process of intervention development were identified. A purposive subset of 30 articles, using a range of published approaches to developing interventions, was selected for in-depth analysis using principles of realist synthesis to identify the actions of intervention development and rationales underpinning those actions. Results: The 87 articles were from the USA (39/87), the UK (32/87), continental Europe (6/87), and the rest of the world (10/87). These mainly took a pragmatic self-selected approach (n = 43); a theory-and evidence-based approach, e.g. Intervention Mapping, Behaviour Change Wheel (n = 22); or a partnership approach, e.g. community-based participatory research, co-design (n = 10). Ten actions of intervention development were identified from the subset of 30 articles, including identifying a need for an intervention, selecting the intervention development approach to follow, considering the needs of the target population, reviewing published evidence, involving stakeholders, drawing or generating theory, and designing and refining the intervention. Rationales for these actions were that they would produce more engaging, acceptable, feasible, and effective interventions. Conclusions: Developers take a variety of approaches to the international endeavour of complex intervention development. We have identified and described a set of actions taken within this endeavour regardless of whether developers follow a published approach or not. Future developers can use these actions and the rationales that underpin them to help them make decisions about the process of intervention development.

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A gender-based approach to developing a healthy lifestyle and healthy weight intervention for diverse Utah women

Cited by 15 publications

References 49 publications

Persistence of patient and family experiences of critical illness

Persistence of patient and family experiences of critical illness

Food Insecurity and the Risk of Obesity, Depression, and Self-Rated Health in Women

Developing interventions to improve health: a systematic mapping review of international practice between 2015 and 2016

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