Process evaluation of a culturally-tailored physical activity intervention in African-American mother-daughter dyads

Abstract

The purpose of this study was to describe process evaluation data including intervention fidelity, dosage, quality, participant responsiveness, and program reach for the Mothers And dauGhters daNcing togEther Trial (MAGNET) in Springfield, MA, in Spring 2013 and 2014. Seventy-six mother-daughter dyads were randomized to the mother-daughter group (CH-M, n = 28), the child-only group (CH, n = 25), or the health education group (CON, n = 23). CH-M consisted of 60 min of moderate-to-vigorous culturally-tailored dance classes for dyads. CH consisted of dance classes for the child. All groups received homework tutoring and weekly health newsletters. Process evaluation data were assessed at each intervention session (three days/week, 6-months) with semi-structured questionnaires by researchers. CH dance classes were slightly longer (58.2 ± 3.5 min) than CH-M (54.4 ± 5.5 min). In both groups, participants spent the majority of the dance intervention in light intensity physical activity (PA). Participants in the CH-M group enjoyed participating in MAGNET > 90% of the time. Mothers (92%) indicated that they wanted to continue dance as a form of PA. Mothers expressed that transportation, time commitment, and assessments were barriers to participation. Participants suggested future interventions should include longer intervention length and more communications between research staff and mothers. The MAGNET intervention matched the originally intended program in most aspects. A lower intervention dose was delivered to the CH-M group potentially due to barriers described by mothers. Because mother-daughter interventions have shown minimal effects on increasing PA, it is imperative that researchers utilize process evaluation data to shape future studies.

Culturally tailored interventions for ethnic minorities: A scoping review

“…“A lower dose of physical attendance was delivered than initially intended due to low attendance rates… one of the major barriers to attending the present intervention was transportation to the intervention site” (Burkart et al., 2017 , p. 91)…”

“…Studies gave several reasons for low attendance and high attrition rates of participants. Most participants came from underserved populations with low incomes and had limited access to transportation, inhibiting their ability to attend intervention sites (Burkart et al, 2017;Im et al 2018). Bernard-Davila et al, 2015) and Burkart et al (2017) demonstrated that sustained interventions created a burden on participants who had to work for their living.…”

“…Only a few studies measured intervention processes. For example, Burkart et al (2017) evaluated quantity and fidelity of intervention.…”

Effect of a culturally-tailored mother-daughter physical activity intervention on pre-adolescent African-American girls' physical activity levels

“…Detailed information of study process evaluation procedures and data are reported elsewhere ( Burkart et al, 2017 ). Study process evaluation was assessed during each intervention day by trained staff using a semi-structured questionnaire.…”

Promoción de estilos de vida saludables: estrategias y escenarios

“…Aunque los resultados del estudio presentan muy pocas evidencias sobre estrategias desarrolladas en este contexto, las que fueron objeto de análisis permiten evidenciar estrategias efectivas provenientes, por ejemplo, de la enfermería familiar, la cual representa una estrategia para la atención directa a las familias, otorgando educación para la salud de forma personalizada y buscando conocer el funcionamiento familiar para promover la salud (19). En contraste, un estudio realizado con diadas madre-hija, con fundamento en la teoría cognitiva social (SCT) ha sugerido que el comportamiento se aprende, en parte, a través del modelado y la observación de compañeros y modelos de conducta; al respecto, el papel de la madre es fundamental en la promoción de estilos de vida, esto se considera así ya que la madre es la principal encargada de la alimentación de la familia (34,62); de igual forma, los talleres y actividades permanentes con los padres de familia facilitan el modelo de conducta para la conformación de hábitos saludables en los niños (34). Con todo esto, la promoción de la salud es necesaria porque actúa de forma sistemática y participativa con los integrantes de la familia conllevando beneficios directos sobre su salud.…”