The Finnmark Intervention Study: is it possible to change CVD risk factors by community-based intervention in an Arctic village in crisis?

Lupton, Beate Søholt; Fønnebø, Vinjar; Søgaard, Anne Johanne

doi:10.1080/14034940210134077

Cited by 36 publications

(60 citation statements)

References 20 publications

(18 reference statements)

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“…Another Norwegian community intervention designed to reduce cardiovascular risk factors among adults through altering lifestyle factors found a favourable intervention effect on physical activity in men (Lupton, Fonnebo, & Sogaard, 2003). However, the Hartslag Limburg`s community project, which used a similar intervention as our aimed at preventing cardiovascular diseases by means of changing physical activity, dietetic and smoking behaviour, showed no effect on physical activity levels (Ronda et al, 2004).…”

Section: Effect Of the Intervention On Stage Transitionmentioning

confidence: 99%

The “Romsås in Motion” Community Intervention: Mediating Effects of Psychosocial Factors on Forward Transition in the Stages of Change in Physical Activity

Lorentzen

Ommundsen

Jenum³

et al. 2007

Health Educ Behav

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1The "Romsås in Motion" Community Intervention: mediating effects of psychosocial factors on forward transition in the stages of change in physical activity. AbstractThis study examines whether a community-based physical activity intervention influenced movement in stages of change in physical activity in an adult population, whether any such effect was mediated by psychosocial influences, and whether any such mediations were moderated by socio-demographic or anthropometric factors. The three year long pseudoexperimental intervention (intervention; n= 616, mean age= 49.4 ± 9.9 years, control; n= 565, mean age= 49.1 ± 9.0 years) included physical activity, communication, environmental and participatory components. Stages of change in physical activity and potential psychosocial mediators were assessed by questionnaires. Regression analyses revealed a significant favourable intervention effect on stages of change, partially mediated by enhanced support from family, perceived control, and physical activity identity. No moderation effects by gender, age, ethnicity, education or BMI were observed. Support from family, perceived control, and identity might be important intervention target points for inducing forward movement in the stages of change in physical activity, regardless of socio-demographic and anthropometric background factors.

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Section: Effect Of the Intervention On Stage Transitionmentioning

confidence: 99%

The “Romsås in Motion” Community Intervention: Mediating Effects of Psychosocial Factors on Forward Transition in the Stages of Change in Physical Activity

Lorentzen

Ommundsen

Jenum³

et al. 2007

Health Educ Behav

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show abstract

“…Worksite and community interventions generally produce small statistically significant reductions in health indicators, but may impact a large number of people. 11,[15][16][17][18][19][20][21] The purpose of the Sustainable Farm Families project was to go beyond the traditional, one-time health fair model to engage farmers in an ongoing, forward-looking series of health promotion activities. These included annual health workshops and health assessment, individual action plans, small group discussions, and periodic newsletters.…”

Section: Introductionmentioning

confidence: 99%

Intervening to Improve Health Indicators Among Australian Farm Families

Blackburn

Brumby

Willder

et al. 2009

Journal of Agromedicine

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The Sustainable Farm Families project (http://www.sustainablefarmfamilies.org.au/) was a 3-year demonstration and education project designed to influence farmer behavior with respect to family health and well-being among cropping and grazing farmers in Victoria, New South Wales, and South Australia, Australia. The project was conducted by the Western District Health Service, Hamilton, Australia, in partnership with farmers; Farm Management 500 (peer discussion group); the Victorian Farmers Federation; Royal Melbourne Institute of Technology; and Land Connect. During the 3 years of the project, 128 farmers-men (70) and women (58)-were enrolled. The project utilized a combination of small group workshops, individualized health action plans, and health education opportunities to encourage farm safety and health behavior changes and to elicit sustained improvements in the following health indicators: body mass index (BMI), total cholesterol, fasting blood glucose, and blood pressure. Mean changes in these health indicators were analyzed using repeated measures analysis of variance (ANOVA) and McNemar's test compared the proportion of individuals with elevated indicators. Among participants with elevated values at baseline, the following average reductions were observed: BMI 0.44 kg/m(2) (p = .0034), total cholesterol 48.7 mg/dl (p < .0001), blood glucose 10.1 mg/dl (p = .0016), systolic blood pressure 12.5 mm Hg (p < .0001), and diastolic blood pressure 5.0 mm Hg (p = .0007). The proportion of participants with elevated total cholesterol at baseline decreased after 24 months (p < .001). Such findings suggest that proactive intervention by farmer associations, rural health services, and government agencies may be an effective vehicle for promoting voluntary farm safety and health behavior change while empowering farm families to achieve measurable reductions in important health risk factors.

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“…As far as the other included studies are concerned, we would have expected to learn more about how the goal of enabling people to take control over their lives was achieved in the specific intervention measures or what made the particular intervention an empowerment intervention. Unfortunately, due to incomplete or imprecise reporting, it was frequently unclear how the theoretical description of empowerment corresponded to the implemented measures in the practical intervention projects (20)(21)(22)(23)(24)(25)28) .…”

Section: Principal Findingsmentioning

confidence: 99%

A systematic review on empowerment for healthy nutrition in health promotion

Brandstetter

Rüter

Curbach

et al. 2015

Public Health Nutr.

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Objective: The present review aimed to identify and synthesize studies that used an empowerment approach within the field of healthy nutrition. Design: A systematic review was conducted. Studies were identified by database searching (PubMed, PsycINFO, Web of Science and Psyndex). Searching, selecting and reporting were done according to the PRISMA (Preferred Reporting Items for Systematic reviews and Meta-Analyses) Statement. Setting: Health promotion including the subject of healthy nutrition. Subjects: Individuals from non-clinical populations. Results: A total of 1226 studies were screened for eligibility, eight studies were finally included. Three studies used the empowerment approach within a qualitative research paradigm and five studies within (quasi-) experimental intervention studies. Heterogeneity in settings, samples and evaluation methods was high. Most studies referred to the key message of empowerment, i.e. taking control over one's own life. However, the ways in which this key message was implemented in the interventions differed considerably. Conclusions: The number of studies included was very low. Furthermore, most studies had some limitations in terms of reporting how the empowerment approach was actually applied. The empowerment approach still seems to be unfamiliar within the field of healthy nutrition.

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The Finnmark Intervention Study: is it possible to change CVD risk factors by community-based intervention in an Arctic village in crisis?

Abstract: Despite a difficult economic situation for the Arctic coastal communities, the study found it possible for voluntary organizations, local public administration, and local health personnel to promote change in lifestyle and blood pressure using a community intervention approach.

Cited by 36 publications

References 20 publications

The “Romsås in Motion” Community Intervention: Mediating Effects of Psychosocial Factors on Forward Transition in the Stages of Change in Physical Activity

The “Romsås in Motion” Community Intervention: Mediating Effects of Psychosocial Factors on Forward Transition in the Stages of Change in Physical Activity

Intervening to Improve Health Indicators Among Australian Farm Families

A systematic review on empowerment for healthy nutrition in health promotion

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