National Dissemination of StrongWomen–Healthy Hearts: A Community-Based Program to Reduce Risk of Cardiovascular Disease Among Midlife and Older Women

Folta, Sara C.; Seguin, Rebecca A.; Chui, Kenneth; Clark, Valerie; Corbin, Marilyn A.; Goldberg, Jeanne P.; Heidkamp-Young, Eleanor; Lichtenstein, Alice H.; Wiker, Nancy; Nelson, Miriam E.

doi:10.2105/ajph.2015.302866

Cited by 21 publications

(46 citation statements)

References 31 publications

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“…Table (characteristics of included studies) provides information on the 10 included scaled‐up trials, four of which were conducted in Australia, two each from the United Kingdom and the United States, and one each from New Zealand and the Netherlands …”

Section: Resultsmentioning

confidence: 99%

Scaling‐up evidence‐based obesity interventions: A systematic review assessing intervention adaptations and effectiveness and quantifying the scale‐up penalty

et al. 2019

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Maximizing the benefits of investments in obesity research requires effective interventions to be adopted and disseminated broadly across populations (scaled-up).However, interventions often need considerable adaptation to enable implementation at scale, a process that can reduce the effects of interventions. A systematic review was undertaken for trials that sought to deliver an obesity intervention to populations on a larger scale than a preceding randomized controlled trial (RCT) that established its efficacy. Ten scaled-up obesity interventions (six prevention and four treatment) were included. All trials made adaptations to interventions as part of the scale-up process, with mode of delivery adaptations being most common. A metaanalysis of body mass index (BMI)/BMI z score (zBMI) from three prevention RCTs found no significant benefit of scaled-up interventions relative to control (standardized mean difference [SMD] = 0.03; 95% CI, −0.09 to 0.15, P = 0.639 − I 2 = 0.0%). All four treatment interventions reported significant improvement on all measures of weight status. Pooled BMI/zBMI data from prevention trials found significantly lower effects among scaled-up intervention trials than those reported in prescale-up efficacy trials (SMD = −0.11; 95% CI, −0.20 to −0.02, P = 0.018 − I 2 = 0.0%). Across measures of weight status, physical activity/sedentary behaviour, and nutrition, the effects reported in scaled-up interventions were typically 75% or less of the effects reported in pre-scale-up efficacy trials. The findings underscore the challenge of scaling-up obesity interventions.

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Section: Resultsmentioning

confidence: 99%

Scaling‐up evidence‐based obesity interventions: A systematic review assessing intervention adaptations and effectiveness and quantifying the scale‐up penalty

et al. 2019

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“…Folta et al (2015) conducted a national dissemination of the 12-week Strong Women-Healthy Hearts program using the RE-AIM framework. This program was designed to improve CVD risk factors, including physical activity, among midlife and older women who were sedentary and overweight or obese.…”

Section: Dissemination Of Physical Activity Interventionsmentioning

confidence: 99%

“…For example, the Strong Women-Healthy Heart program tested maintenance by documenting if their program was implemented again in the next year. Even though this was a relatively short-term monitoring of maintenance, this study did operationally define maintenance and track the maintenance over time (Folta et al, 2015). …”

Section: Dissemination Of Physical Activity Interventionsmentioning

confidence: 99%

Future directions in physical activity intervention research: expanding our focus to sedentary behaviors, technology, and dissemination

et al. 2016

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Despite the increased health risks of a sedentary lifestyle, only 49 % of American adults participate in physical activity (PA) at the recommended levels. In an effort to move the PA field forward, we briefly review three emerging areas of PA intervention research. First, new intervention research has focused on not only increasing PA but also on decreasing sedentary behavior. Researchers should utilize randomized controlled trials, common terminology, investigate which behaviors should replace sedentary behaviors, evaluate long-term outcomes, and focus across the lifespan. Second, technology has contributed to an increase in sedentary behavior but has also led to innovative PA interventions. PA technology research should focus on large randomized trials with evidence-based components, explore social networking and innovative apps, improve PA monitoring, consider the lifespan, and be grounded in theory. Finally, in an effort to maximize public health impact, dissemination efforts should address the RE-AIM model, health disparities, and intervention costs.

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“…RE-AIM is widely used to evaluate health-related, and specifically physical activity, interventions [59][60][61] and is often proposed as a framework for feasibility studies. 62 63 RE-AIM includes five dimensions: (1) Reach-proportion of the target population aware of and will potentially participate in the intervention; (2) Effectiveness-an estimate of the extent to which the intervention achieves its anticipated outcomes; (3) Adoption-proportion of settings, practices and plans that adopt this intervention; (4) Implementation-extent to which the intervention is implemented as intended; and (5) Maintenance-extent to which a programme is sustained over time.…”

Section: Process Evaluation and Analysismentioning

confidence: 99%

Innovative approach for increasing physical activity among breast cancer survivors: protocol for Project MOVE, a quasi-experimental study

et al. 2016

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IntroductionPhysical activity is a cost-effective and non-pharmaceutical strategy that can help mitigate the physical and psychological health challenges associated with breast cancer survivorship. However, up to 70% of women breast cancer survivors are not meeting minimum recommended physical activity guidelines. Project MOVE is an innovative approach to increase physical activity among breast cancer survivors through the use of Action Grants, a combination of microgrants (small amounts of money awarded to groups of individuals to support a physical activity initiative) and financial incentives. The purpose of this paper is to describe the rationale and protocol of Project MOVE.Method and analysisA quasi-experimental pre–post design will be used. Twelve groups of 8–12 adult women who are breast cancer survivors (N=132) were recruited for the study via face-to-face meetings with breast cancer-related stakeholders, local print and radio media, social media, and pamphlets and posters at community organisations and medical clinics. Each group submitted a microgrant application outlining their proposed physical activity initiative. Successful applicants were determined by a grant review panel and informed of a financial incentive on meeting their physical activity goals. An evaluation of feasibility will be guided by the reach, effectiveness, adoption, implementation, maintenance (RE-AIM) framework and assessed through focus groups, interviews and project-related reports. Physical activity will be assessed through accelerometry and by self-report. Quality of life, motivation to exercise and social connection will also be assessed through self-report. Assessments will occur at baseline, 6 months and 1 year.Ethics and disseminationEthical approval was obtained from the University of British Columbia's Behavioural Research Ethics Board (#H14-02502) and has been funded by the Canadian Cancer Society Research Institute (project number #702913). Study findings will be disseminated widely through peer-reviewed publications, academic conferences, local community-based presentations, as well as partner organisations, including the Canadian Cancer Society.

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National Dissemination of StrongWomen–Healthy Hearts: A Community-Based Program to Reduce Risk of Cardiovascular Disease Among Midlife and Older Women

Abstract: The StrongWomen-Healthy Hearts program can be implemented with high fidelity in a variety of settings while remaining effective. These data provide direction for program modification to improve impact as dissemination continues.

Cited by 21 publications

References 31 publications

Scaling‐up evidence‐based obesity interventions: A systematic review assessing intervention adaptations and effectiveness and quantifying the scale‐up penalty

Scaling‐up evidence‐based obesity interventions: A systematic review assessing intervention adaptations and effectiveness and quantifying the scale‐up penalty

Future directions in physical activity intervention research: expanding our focus to sedentary behaviors, technology, and dissemination

Innovative approach for increasing physical activity among breast cancer survivors: protocol for Project MOVE, a quasi-experimental study

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