Using a Toolbox of Tailored Educational Lessons to Improve Fruit, Vegetable, and Physical Activity Behaviors among African American Women in California

Backman, Desiree; Scruggs, Valarie; Atiedu, Akpene Ama; Bowie, Shene; Bye, Larry; Dennis, Angela; Hall, Melanie; Ossa, Alexandra; Wertlieb, Stacy; Foerster, Susan B.

doi:10.1016/j.jneb.2011.02.004

Cited by 22 publications

(40 citation statements)

References 9 publications

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“…The patient populations across the studies were heterogeneous, and included low-income women 30 , postpartum 31 , pregnant 32 , breast cancer survivors 33–35 , type 2 diabetes 19 , mobility disabilities 36 , and women with high-normal or untreated stage 1 hypertension. 22 Common inclusion criteria included overweight or obesity 15,18,26,32,34,36,37 and sedentary.…”

Section: Resultsmentioning

confidence: 99%

Interventions Promoting Physical Activity in African American Women

et al. 2017

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Background Physical inactivity significantly impacts mortality worldwide. Physical inactivity is a modifiable risk factor for obesity, diabetes, cardiovascular disease, and other chronic conditions. African American women in the U.S. have the highest rates of physical inactivity when compared to other gender/ethnic groups.1 A paucity of research promoting physical activity (PA) in African American women has been previously identified. The purpose of this review was to identify intervention strategies and outcomes in studies designed to promote PA in African American women. Methods Interventions that promoted PA in African American women published between 2000 and May 2015 were included. A comprehensive search of the literature was performed in Health Source: Nursing/Academic Edition, PsycINFO, CINAHL Complete, and MEDLINE Complete databases. Data were abstracted and synthesized to examine interventions, study designs, theoretical frameworks, and measures of PA. Results Mixed findings (both significant and nonsignificant) were identified. Interventions included faith-based, group-based, and individually focused programs. All studies (n = 32) included measures of PA; among the studies, self-report was the predominant method for obtaining information. Half of the 32 studies focused on PA, and the remaining studies focused on PA and nutrition. Most studies reported an increase in PA or adherence to PA. This review reveals promising strategies for promoting PA. Conclusions Future studies should include long-term follow-up, larger sample sizes, and objective measures of PA. Additional research promoting PA in African American women is warranted, particularly in studies that focus on increasing PA in older African American women.

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Section: Resultsmentioning

confidence: 99%

Interventions Promoting Physical Activity in African American Women

et al. 2017

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“…For example, a recent evaluation of the effectiveness of a physical activity and nutrition toolbox showed changes in attitude toward selected behaviors. Significant changes in nine measures of attitude in the treatment group, as compared with one measure in the control group, were demonstrated in the sample of low-income African American women (Backman et al, 2011). Therefore, in the present study, we examined the possible effect of program exposure on attitudes and beliefs about fruit and vegetable intake and their interaction with social and physical environmental factors, because these variables are important precursors to behavior.…”

Section: Importance Of Individual and Parental Beliefs In Obesity Rismentioning

confidence: 97%

The 5-4-3-2-1 Go! Brand to Promote Nutrition and Physical Activity: A Case of Positive Behavior Change but Negative Change in Beliefs

Evans

Wallace

Snider

2015

Journal of Health Communication

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In recent years, community-based obesity prevention programs have taken an ecological approach and addressed social determinants of obesity. The branded 5-4-3-2-1 Go! obesity prevention program aims to change obesity risk behaviors in low-income neighborhoods in Chicago with a multilevel approach. This study follows a previous evaluation, which showed 5-4-3-2-1 Go! exposure to be associated with increased fruit and vegetable consumption. The authors examined whether increased positive beliefs about fruit and vegetable consumption were associated with exposure to program messages. Exploratory factor analysis identified a fresh fruit/vegetable availability satisfaction factor. The authors compared outcome measures between baseline and follow-up samples and between exposure and control conditions. Multivariable logistic regression models were estimated to evaluate the effects of program exposure on changes in nutrition beliefs. The study found that participants' (n = 246) beliefs about fruit and vegetable consumption were negatively associated with exposure to the program and that demographic factors, social environment, and physical environment were strongly associated with beliefs about fruit and vegetable consumption. These findings merit further research and may indicate the environmental factors that are associated with attitude formation among those reached by obesity prevention interventions, especially when many participants live in neighborhoods lacking convenient fruit and vegetable shopping options.

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“…1). Table 1 provides an overview of the main characteristics of the eight included studies (20)(21)(22)(23)(24)(25)(26)(27)(28)(29)(30)(31) . All studies were performed in Anglophone or Scandinavian countries within the last two decades.…”

Section: Study Selectionmentioning

confidence: 99%

“…The indicators for nutrition behaviour ranged from detailed information on nutrient intake (22) to single-item measures (28) . Additionally, two studies (the ones by Backman et al and Jurkowski et al (20,31) ) measured participants' empowerment as an intervention outcome and/or mediator on intervention outcome. The (participatory) action research studies applied qualitative methods stemming from a variety of research Fig.…”

Section: Study Characteristicsmentioning

confidence: 99%

“…Except for the study by Baffour and Chonody (28) , the quantitative studies revealed significant improvements in nutrition-related (parenting) behaviour to varying extents due to the intervention. Both Backman et al (20) and Jurkowski et al (31) assessed empowerment as an outcome in their studies. Their interventions succeeded in increasing participants' levels of empowerment.…”

Section: Study Characteristicsmentioning

confidence: 99%

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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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Using a Toolbox of Tailored Educational Lessons to Improve Fruit, Vegetable, and Physical Activity Behaviors among African American Women in California

Cited by 22 publications

References 9 publications

Interventions Promoting Physical Activity in African American Women

Interventions Promoting Physical Activity in African American Women

The 5-4-3-2-1 Go! Brand to Promote Nutrition and Physical Activity: A Case of Positive Behavior Change but Negative Change in Beliefs

A systematic review on empowerment for healthy nutrition in health promotion

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