The effect of a primary care exercise intervention for rural women

Sherman, Bonnie J.; Gilliland, Gina; Speckman, Jeanne L.; Freund, Karen M.

doi:10.1016/j.ypmed.2006.10.009

Cited by 32 publications

(60 citation statements)

References 23 publications

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“…Hence, some aspects of health education such as physical activities and swimming may not be appropriate for these groups of participants, particularly among women. In other research, a significant barrier against performing leisure time physical activity was observed among women in rural Missouri (Sherman et al, 2006) as well as among the poor in Newcastle (Chinn et al, 1999). Furthermore, still other studies indicate that in general, adherence to recommended levels of physical activity is substantially low (Fontaine et al, 2004;Allender et al, 2007).…”

Section: Discussionmentioning

confidence: 93%

Impact of health education on health-related quality of life among elderly persons: results from a community-based intervention study in rural Bangladesh

Rana

Wåhlin

Lundborg

et al. 2008

Health Promotion International

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SUMMARYThis study examines the change in health-related quality of life (HRQoL) among (60 years) elderly persons as a result of health education intervention. A communitybased intervention study was performed in eight randomly selected villages (Intervention: n ¼ 4; Control: n ¼ 4) in rural Bangladesh. A total of 1135 elderly persons was selected for this study. The analyses include 839 participants (Intervention: n ¼ 425; Control: n ¼ 414) who participated in both baseline and post-intervention surveys. Participants in the intervention area were further stratified into compliant (n ¼ 315) and non-compliant (n ¼ 110) groups based on the reported compliance to the intervention activities. The intervention includes, for example, physical activity, advice on healthy food intake and other aspects of management. To create an enabling environment, social awareness was provided by means of information about the contribution of and challenges faced by elderly persons at home and the community, including information about elderly persons' health and health care. The intervention activities were provided to the elderly persons, caregivers, household members and community people for 15 months. The HRQoL was assessed using a multi-dimensional generic instrument designed for elderly persons. Multivariate analyses revealed that in the noncompliant group the probabilities of increased scores were less likely in overall HRQoL (OR 0.52, 95% CI 0.32-0.82). Among the Control group, increased scores were less likely in the physical (OR 73, social (OR 0.37, spiritual (OR 0.60,, environment (OR 0.36, 95% CI 0.26-0.49) dimensions and overall HRQoL (OR 0.44, 95% CI 0.32-0.59) (adjusted for age, sex, literacy, marital status and economic status). This study concludes that provision of community-based health education intervention might be a potential public health initiative to enhance the HRQoL in old age.

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Section: Discussionmentioning

confidence: 93%

Impact of health education on health-related quality of life among elderly persons: results from a community-based intervention study in rural Bangladesh

Rana

Wåhlin

Lundborg

et al. 2008

Health Promotion International

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“…As with recruitment, all studies had multiple retention strategies; retention strategies were usually described in much less depth, however. The studies with the highest retention rates emphasized the importance of formative research and ongoing process evaluation that they conducted to specifically maintain or enhance retention via a carefully designed, well-developed, appealing intervention [7,30,37,38,43,45,49,50,53,55,56,58,65].…”

Section: Resultsmentioning

confidence: 99%

“…However, other recent interventions in primary care or general medicine settings have been effective [7,[80][81][82][83], though challenging to implement [84], so this area may also be worthy of further study.…”

Section: Discussionmentioning

confidence: 99%

“…Safety net clinics and community health centers hold promise for reducing disparities because they provide the largest proportion of primary health care services to medically underserved and vulnerable populations [6]. Since primary care providers are on the front lines of managing medical complications related to inadequate physical activity [7], there is more than ever an urgent need to accelerate the translation of health promotion research into community-based and primary care settings.…”

Section: Introductionmentioning

confidence: 99%

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What are successful recruitment and retention strategies for underserved populations? Examining physical activity interventions in primary care and community settings

Carroll

Yancey

Spring

et al. 2011

Behav. Med. Pract. Policy Res.

108

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The purposes of this review are to (1) describe recruitment and retention strategies for physical activity interventions focusing on underserved populations and (2) identify successful strategies which show the most promise for "best practices" recommendations to guide future research. The method used was systematic review. Data on recruitment and retention strategies were abstracted and analyzed according to participant characteristics, types of strategies used, and effectiveness using an ecological framework. Thirty-eight studies were identified. Populations included African American (n=25), Hispanic (n=8), or Asian (n=3) groups. Successful recruitment strategies consisted of partnering with respected community stakeholders and organizations, well-trained study staff ethnically, linguistically, and culturally matched to the population of interest, and use of multiple advertising channels. Successful retention strategies included efficient administrative tracking of participants, persistence, skillful teamwork, and demonstrating a positive, caring attitude towards participants. Promising recruitment and retention strategies correspond to all levels of ecological influence: individual, interpersonal, organizational, and societal.

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“…A higher prevalence of inactivity and obesity in rural areas has been observed in the United States as well (Patterson et al, 2004). Sherman et al (2007) reported that the mean number of daily steps of rural women (nϭ60) was approximately 6,300, which was less active and lower than those of Americans from other regions, who walk 7,000-13,000 steps/day. Eyler A (2003) hypothesizes that increased automation of the agriculture industry, lack of formal exercise programs, and lack of street lights and sidewalks prevent people in rural areas from being more physically active.…”

Section: Discussionmentioning

confidence: 96%

Daily Walking Activity among Male Office Workers in a Rural Town in Northern Japan

Mitsui

Barajima²,

Kanachi

et al. 2010

J Physiol Anthropol

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To investigate the level of walking activity among residents of the Tohoku district in northern Japan, where no widespread public transport system has been developed, winter is severe. The participants were 50 town hall employees with an average age of 43.6Ϯ10.8 (SD) years. The walking activity of each participant was assessed using a pedometer for one week in summer and one week in winter. The participants' lifestyles, including their commuting methods, were assessed using a questionnaire. Forty-six participants (92%) usually commute to work by private car. The average numbers of steps/day on workdays and holidays were, in summer, 6,560Ϯ 2,600 and 7,016Ϯ4,679, respectively, and, in winter, 5,236Ϯ 2,253 and 4,770Ϯ3,039; these numbers were somewhat lower than those recorded in previous reports. We observed a significant reduction in walking during winter (Fϭ19.016, pϭ0.0001), but no significant differences between workdays and holidays (Fϭ0.001, pϭ0.966). A significant correlation between BMI and steps/day (rϭϪ0.420, pϽ0.01) was obtained on workdays in winter. The unexpectedly low level of these participants' physical activity, especially in winter, is probably due to the fact that most of them commute by private car, which is likely a cause of the high incidence of obesity in this district. In addition, a seasonal effect should also be considered when physical activity is assessed, especially in cold climates.

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The effect of a primary care exercise intervention for rural women

Cited by 32 publications

References 23 publications

Impact of health education on health-related quality of life among elderly persons: results from a community-based intervention study in rural Bangladesh

Impact of health education on health-related quality of life among elderly persons: results from a community-based intervention study in rural Bangladesh

What are successful recruitment and retention strategies for underserved populations? Examining physical activity interventions in primary care and community settings

Daily Walking Activity among Male Office Workers in a Rural Town in Northern Japan

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