Exposure to a community-wide campaign is associated with physical activity and sedentary behavior among Hispanic adults on the Texas-Mexico border

Abstract

BackgroundDespite evidence for the use of community-wide campaigns to promote physical activity, few evaluations of community–wide campaigns in Hispanic communities exist. This study assessed the associations of exposure to a community-wide campaign with physical activity and sedentary behavior among Hispanic adults living on the Texas-Mexico border.MethodsThe intervention, Tu Salud ¡Si Cuenta! (Your Health Matters!; TSSC), included a newsletter, community health worker discussion, TV and radio segments, which were conducted from 2005 to 2010. We matched an intervention (N = 399) and a control community (N = 400) on demographics and used a cross-sectional assessment in 2010 with randomly sampled adults from both communities. We collected exposure to the campaign, as well as physical activity and sedentary behavior with the International Physical Activity Questionnaire. We conducted bivariate analyses and multivariable logistic regression models to assess the association of TSSC exposure and its components with meeting moderate-to-vigorous intensity physical activity (MVPA) guidelines and exhibiting excessive sedentary behavior, controlling for covariates.ResultsAs compared to the control community, the intervention community has 3 times the odds of meeting MVPA guidelines (Adjusted OR [AOR] = 3.01, 95% CI = 1.85–4.88, p < .05) and 2 times lower odds of excessive sedentary behavior ((AOR = 0.46, 95% CI = 0.30–0.70, p < .05). Exposure in the intervention group to any component was associated with five times the odds of meeting MVPA guidelines (AOR = 5.10, 95% CI 2.88–9.03, p < .001) and 3 times lower odds of excessive sedentary behavior (AOR = 0.32, 95% CI 0.17–0.60, p < .001), compared with those unexposed in the control community. Exposure to newsletters, CHW discussions and TV segments were associated with significantly lower odds of excessive sedentary behavior and higher odds of meeting MVPA guidelines. Exposure to radio segments was only associated with a significantly higher odds of meeting MVPA guidelines (AOR = 4.21, 95% CI = 1.17–15.09).ConclusionsThis study provides some evidence of the association of community-wide campaigns and its components in Hispanic communities with higher levels of MVPA and lower levels of excessive sedentary behavior.Trial registration number NCT00788879 Date: November 11, 2008.

Opposite trends in hospitalization and mortality after implementation of a chronic care model-based regional program for the management of patients with heart failure in primary care

“…Accordingly, regular follow-up visits were proactively scheduled for each patient and recalls were set up for patients who were not showing up. Particular care was given to provide adequate and systematic counselling for therapy adherence and lifestyle modifications – including regular physical activity, weight loss when appropriate, smoke cessation, and adequate dietary intake – and to establish an effective patient-provider relationship based on collaborative care and self-management education [ 24 , 25 ]. The GPs adhered to the project on a voluntary basis.…”

Make Your Move Experience: A Worksite Wellness Pilot in South Texas

“…Make Your Move Experience is currently the largest worksite wellness program in the Rio Grande Valley and has potential to continue its growth into other communities, evident by existing partner interventions and their expansion. [13][14][15][16]19 Participation in MYME may serve to develop worksite wellness norms that support sustained physical activity at both the individual and organizational levels and thereby support the wider community-based efforts in the region [13][14][15][16]19 to create healthier lifestyles.…”

“…Creating healthier lifestyles in South Texas is a collaborative effort between several public and private organizations that takes a systematic evidence-based and community-wide approach using culturally and linguistically vetted approaches, media messages, and materials designed to tackle this problem. 13,14 Key partners in the implementation of the community-wide campaign, referred to as Tu Salud ¡Si Cuenta! (Your Health Matters!…”

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