Evaluation of a Shelter-Based Diet and Physical Activity Intervention for Homeless Adults

Kendzor, Darla E.; Allicock, Marlyn; Businelle, Michael S.; Sandon, Lona; Gabriel, Kelley Pettee; Frank, Summer

doi:10.1123/jpah.2016-0343

Cited by 29 publications

(45 citation statements)

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“…We conducted a randomized pilot study, Health-e-Strides, at The Bridge in Dallas, Texas, where over 3,100 individuals experience homelessness on a given night [17,15]. The mission of the Bridge is to end long-term homelessness by delivering services for emergency shelter, health care, education, and housing.…”

Section: What We Didmentioning

confidence: 99%

“…Participants received $20 or $30 per weekly visit. The primary study outcomes are described elsewhere [17].…”

Section: What We Didmentioning

confidence: 99%

“…At study follow-up, most participants reported that the intervention was extremely/very helpful (70.6%) for increasing daily intake of fruits and vegetables and extremely/very (70.6%) helpful for increasing physical activity [17].…”

Section: What We Didmentioning

confidence: 99%

“…Thus, the current report describes the conceptualization of a theory-based intervention, Health-e-Strides, a recently published intervention that promoted fruit and vegetable consumption and daily physical activity among sheltered homeless adults [17]. We discuss the rationale for specific intervention strategies and barriers to intervention implementation and behavior change we encountered.…”

Section: Introductionmentioning

confidence: 99%

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Targeting Diet and Physical Activity: Reaching Homeless Adults through Customized Interventions

Markus¹,

Allicock²,

Businelle³

et al. 2018

Divers Equal Health Care

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Over six percent of the American population experience homelessness in their lifetime, and poor health is commonplace among individuals experiencing this condition. Homelessness is a risk factor for both acute and chronic diseases; homeless populations experience an age-adjusted mortality rate 3-4 times greater than the general population. In fact, despite the high prevalence of poor health behaviors and the well-documented disparities in health care outcomes among homeless adults, interventions for this population are scarce, likely due to the fact that they are challenging to implement. Consequently, there are few published interventions on diet/physical activity interventions targeting this population to date. Health-eStrides, a novel randomized pilot lifestyle intervention for 32 transitional shelter residents, took place at The Bridge in Dallas, Texas. This paper reports on the lessons learned and approaches for intervening in this vulnerable population.Participants were randomized into either the experimental arm or control arm of the study. The experimental arm included a 4-week shelter-based diet, physical activity intervention, tailored educational newsletters, and supplemental fruits and vegetables; the control arm was not given any additional resources and compensated for completing assessments at the conclusion of the study. 71% of participants reported that the intervention was "extremely/very helpful" for both increasing daily intake of fruits and vegetables and for increasing physical activity.Based on this intervention, this paper discusses barriers and facilitators for lifestyle improvements among homeless adults. This intervention demonstrated the effectiveness of customized lifestyle interventions in improving health care outcomes for homeless adults and affirms the need for more research and innovation on this vulnerable population, especially in terms of long-term and sustainable solutions.

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Section: What We Didmentioning

confidence: 99%

“…Participants received $20 or $30 per weekly visit. The primary study outcomes are described elsewhere [17].…”

Section: What We Didmentioning

confidence: 99%

Section: What We Didmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Targeting Diet and Physical Activity: Reaching Homeless Adults through Customized Interventions

Markus¹,

Allicock²,

Businelle³

et al. 2018

Divers Equal Health Care

Self Cite

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“…Despite this clear rationale, only a handful of interventions have been carried out that have attempted to promote physical activity in the homeless 14. One study examined the extent to which 12 weeks of street soccer training affected the physical fitness and cardiovascular health profiles of homeless men (n=55).…”

Section: Introductionmentioning

confidence: 99%

Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomised controlled trial protocol

Stringer

Loosemore

Moller³

et al. 2019

BMJ Open

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IntroductionPeople who are homeless, or at risk of homelessness, have substantially poorer health. Sustained and regular participation in physical activity is beneficial for both mental and physical health. Limited data suggest that levels of physical activity in the homeless and those at risk of homelessness are low, and access to community-based exercise is limited or non-existent for this population. Nonetheless, exercise programmes for the homeless could provide a feasible and scalable intervention for providing beneficial effects on physical and mental health in this population. The primary aim of this study is to evaluate the impact of a group exercise intervention on activity levels in people who are homeless or at risk of homelessness in central London, UK. The secondary aim is to evaluate the impact of the intervention on mental and physical health outcomes.Method and analysisA 2-arm, individually randomised controlled trial in people who are homeless and those vulnerable and at risk of homelessness in central London, UK. Participants will be recruited through a London-based homeless charity, Single Homeless Project. Following baseline assessments and allocation to intervention (exercise classes) or control (usual care), participants will be followed up at 3, 6, 9 and 12 months. The primary outcomes will be change in objective physical activity. The secondary outcomes will include change in fitness assessments and mental health parameters. Changes in drug use and alcohol dependency will also be explored.Ethics and disseminationEthical approval to process and analyse data and disseminate findings was obtained through the Anglia Ruskin University Department of Sport and Exercise Sciences Research Ethics Committee. Results of this study will be disseminated through peer-reviewed publications and scientific presentations.

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Diet and Obesity Issues in the Underserved

Grubb

Levine

Zoorob

2019

Physician Assistant Clinics

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Evaluation of a Shelter-Based Diet and Physical Activity Intervention for Homeless Adults

Abstract: Findings highlight the potential to improve dietary quality and increase physical activity among sheltered homeless adults.

Cited by 29 publications

References 0 publications

Targeting Diet and Physical Activity: Reaching Homeless Adults through Customized Interventions

Targeting Diet and Physical Activity: Reaching Homeless Adults through Customized Interventions

Promoting physical activity in vulnerable adults ‘at risk’ of homelessness: a randomised controlled trial protocol

Diet and Obesity Issues in the Underserved

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