<i>Fe en Acción</i>: Promoting Physical Activity Among Churchgoing Latinas

Arredondo, Elva M.; Elder, John P.; Haughton, Jessica; Slymen, Donald J.; Sallis, James F.; Perez, Lilian G.; Serrano, Natalicio; Parra, Maíra Tristão; Valdivia, Rodrigo; Ayala, Guadalupe X.

doi:10.2105/ajph.2017.303785

Cited by 43 publications

(64 citation statements)

References 29 publications

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“…Individuals with higher physical activity levels have been found to be embedded in networks consisting of others that regularly exercise [ 9 , 10 ]. Data from longitudinal cohort studies reveal that physical activity behaviors are transmitted across social networks overtime suggesting behavioral influence [ 48 , 50 ] Physical activity interventions for Latinos have attempted to leverage social network influence on physical activity but mainly in the form of social support through walking buddies or clubs and structured exercise classes [ 51 – 55 ]. For example, in Fe en Accion members of the community (promotoras) led exercise classes for churchgoing Latinas and significant increases were found in self-reported and objectively measured MVPA after 12 months [ 51 ].…”

Section: Discussionmentioning

confidence: 99%

Egocentric networks and physical activity outcomes in Latinas

Marquez¹,

Norman²,

Fowler³

et al. 2018

PLoS ONE

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ObjectiveDespite data linking the social environment to physical inactivity in Latinas, research on social network predictors of physical activity (PA) is limited. This study examined social network predictors of PA change in Latinas.MethodsEgocentric network data were collected from 102 adult Latinas (egos) participating in a randomized controlled PA intervention trial for underactive women. Moderate-to-vigorous PA (MVPA) was measured in minutes per week using the 7-Day PA Recall Interview and accelerometers at baseline and 12 months. Analyses characterized social network structure, composition, tie strength, homogeneity, and support for PA and determined the relationship between network characteristics and PA outcomes.ResultsNetworks had an average of four social ties (alters). Networks were high in density and transitivity and low in components, indicating high cohesion. Networks were primarily composed of females, Latinos, Spanish-speakers, and family members. Relationship ties were strong as evidenced by close living proximity, in-person contact, high emotional closeness, and long relationship duration. There was high homogeneity in demographics and PA behaviors. Multivariate analyses revealed that network size, familial ties, contact frequency, and ego-alter dissimilarities in age and running but similarities in walking, were associated with increased MVPA. Networks high in support for PA in the form of complimenting ego on exercise, taking over chores to allow ego to exercise, and co-participating with ego in exercise were also associated with greater MVPA.ConclusionThese findings contribute to better understanding interpersonal processes that may influence behavior change in a group with especially low levels of PA.

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Section: Discussionmentioning

confidence: 99%

Egocentric networks and physical activity outcomes in Latinas

Marquez¹,

Norman²,

Fowler³

et al. 2018

PLoS ONE

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“…[28][29][30] The effectiveness of Faith in Action was tested using a cluster randomized controlled trial in 16 churches. 31 At 12 months, there were significant increases in accelerometer-based MVPA and self-report leisuretime MVPA among Latinas in the intervention versus comparison condition, which suggests a greater increase in PA than many other PA interventions. 32 Intervention participants, compared to those in the attention-control condition, had a 66% higher odds of meeting the PA guidelines, reduced BMI, and used more behavioral strategies for engaging in PA compared to the attention-control condition participants.…”

Section: Introductionmentioning

confidence: 85%

Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Haughton

Takemoto

Schneider

et al. 2020

Preprint

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Background: Community engagement is critical to the acceleration of evidence-based interventions into community settings. Harnessing the knowledge and opinions of community leaders increases the likelihood of successful implementation, scale up, and sustainment of evidence-based interventions. Faith in Action (Fe en Acción) is an evidence-based promotora-led physical activity program designed to increase moderate-to-vigorous physical activity among churchgoing Latina women.Methods: We conducted in-depth interviews using a semi-structured interview guide based on the Consolidated Framework for Implementation Research (CFIR) at various Catholic and Protestant churches with large Latino membership in San Diego County, California to explore barriers and facilitators to implementation of Faith in Action and identify promising implementation strategies for program scale-up and dissemination. We interviewed 22 pastors and church staff and analyzed transcripts using an iterative-deductive team approach. Results: Pastors and church staff described barriers and facilitators to implementation within three domains of CFIR: characteristics of individuals (lack of self-efficacy for and knowledge of physical activity; influence on churchgoers’ behaviors), inner setting (church culture and norms, alignment with mission and values, competing priorities, lack of resources), and outer setting (need for buy-in from senior leadership). From the interviews, we identified four promising implementation strategies for the scale-up of faith-based health promotion programs: 1) health behavior change training for pastors and staff; 2) tailored messaging; 3) developing community collaborations; and 4) gaining denominational support.Conclusions: While churches can serve as valuable partners in health promotion, specific barriers and facilitators to implementation must be recognized and understood. Addressing these barriers through targeted implementation strategies at the adopter and organizational level can facilitate improved program implementation and lead the way for scale-up and dissemination.

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“…We focused on the three main approaches recommended by the Guide: (1) behavioral and social strategies, which focus on individually adapted health behavior change programs and social support interventions in the community, (2) campaign and informational strategies, which refer to community-wide communication campaigns, and (3) environmental and policy strategies, focusing on community-scale design and land use policies to increase access to places for PA. Similar to previous studies [ 12 , 13 , 32 , 33 ], we decided to adopt a combination of approaches to increase the potential impact of intervention activities, and to determine their effectiveness in micropolitan communities.…”

Section: Methodsmentioning

confidence: 99%

“…Effective evidence-based interventions have been developed and tested to promote PA at the community level. These interventions have found improvements in PA [ 9 , 10 , 11 , 12 ], blood pressure [ 13 , 14 ], waist circumference [ 13 , 15 ], overall fitness [ 13 ], mental health [ 13 , 16 ], and perceived quality of life [ 17 ]. However, most of these interventions have been conducted in metropolitan (urban) areas.…”

Section: Introductionmentioning

confidence: 99%

Active Ottumwa: Adapting Evidence-Based Recommendations to Promote Physical Activity in a Micropolitan New Destination Community

Baquero

Kava

Ashida

et al. 2018

IJERPH

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Background: Evidence-based interventions have been developed and tested to promote physical activity, but fewer studies have focused on identifying effective intervention strategies for mid-size rural communities, especially new immigrant destinations. We report here on the design and implementation of Active Ottumwa, a community-wide intervention using a lay health advisor approach to increase physical activity in a micropolitan new destination community in the rural state of Iowa. Methods: The Active Ottumwa study is part of a community-academic partnership in Ottumwa, IA. Evidence-based strategies recommended by the Community Guide for Preventive Services guided study implementation and included behavioral and social, campaign and informational, and environmental and policy approaches. Evaluation methods for this study are multi-faceted and include a cross-sectional community survey, longitudinal cohort assessment, observational data, key informant interviews, and project records. Results: We are currently in our second year of intervention implementation, with 45 lay health advisors (termed physical activity leaders here) trained to carry out behavioral and social intervention approaches, including walking groups, tai chi, and yoga. We have completed a communication and informational campaign utilizing five channels. Our longitudinal cohort has been recruited, with baseline and 12-month data collection completed. Conclusions: This study will assess the effectiveness and impact of a community-wide intervention to support physical activity.

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Fe en Acción: Promoting Physical Activity Among Churchgoing Latinas

Abstract: A faith-based intervention was effective in increasing MVPA and decreasing body mass index among participants. Process analyses showed the value of program attendance and motivational interviewing calls.

Cited by 43 publications

References 29 publications

Egocentric networks and physical activity outcomes in Latinas

Egocentric networks and physical activity outcomes in Latinas

Identifying barriers, facilitators, and implementation strategies for a faith-based physical activity program

Active Ottumwa: Adapting Evidence-Based Recommendations to Promote Physical Activity in a Micropolitan New Destination Community

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