Women's Walking Program for African American Women: Expectations and Recommendations from Participants as Experts

Ingram, Diana; Wilbur, JoEllen; McDevitt, Judith; Buchholz, Susan Weber

doi:10.1080/03630242.2011.606357

Cited by 40 publications

(58 citation statements)

References 32 publications

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“…This barrier was reported by researchers of 15 (56%) qualitative studies (Bopp et al 2004; Bopp et al 2007; Dunn 2008; Eyler et al 1998; Henderson and Ainsworth 2000; Hoebeke 2008; Ingram et al 2011; James et al 2012; Pekmezi et al 2013; Richter et al 2002; Walcott-McQuigg et al 2001; Walcott-McQuigg and Prohaska 2001; Wilcox et al 2002; Wilcox et al 2005; Jefferson et al 2010) and examined as a potential barrier by researchers in three (23%) quantitative studies. The two primary reasons reported for lack of time to engage in PA were associated work schedules (Bopp et al 2007; Richter et al 2002; Walcott-McQuigg et al 2001; Pekmezi et al 2013; Eyler et al 1998; Hoebeke 2008; Ingram et al 2011) and family/caretaking responsibilities (Dunn 2008; Bopp et al 2007; Walcott-McQuigg et al 2001; Pekmezi et al 2013; Walcott-McQuigg and Prohaska 2001; Eyler et al 1998; James et al 2012; Hoebeke 2008; Ingram et al 2011). …”

Section: Resultsmentioning

confidence: 98%

“…Participants across these studies reported various pre-existing medical conditions (i.e., arthritis, diabetes, overweight/obesity, and cardiovascular conditions) as barriers to PA (Eyler et al 1998; Evans 2011; Hoebeke 2008; Bopp et al 2007; Walcott-McQuigg and Prohaska 2001; Ingram et al 2011; Dunn 2008; Wilcox et al 2002; Zunker et al 2008). Participants of several studies also reported avoiding PA for fear of inducing fatigue, muscle soreness, injury, or other adverse health conditions (Pekmezi et al 2013; Evans 2011; Wilcox et al 2005; Eyler et al 1998).…”

Section: Resultsmentioning

confidence: 99%

“…2002; Ingram et al 2011; Richter et al 2002; Doldren and Webb 2013). Participants in these studies indicated that the lack of a physically active AA female role model (e.g., celebrity or family/community member) negatively influenced their exposure to and participation in PA. Interestingly, this variable was not included in any of the quantitative studies included in the review.…”

Section: Resultsmentioning

confidence: 99%

“…Researchers of 14 (52%) qualitative and one (8%) quantitative study identified neighborhood/community safety concerns as barriers (Bopp et al 2007; Henderson and Ainsworth 2000; Hoebeke 2008; Im et al 2013; Ingram et al 2011; Price, Greer, and Tucker 2013; Richter et al 2002; Sanderson, Littleton, and Pulley 2002; Walcott-McQuigg et al 2001; Wilbur et al 2002; Wilcox et al 2005; Young et al 2002; Nies, Vollman, and Cook 1999; Eyler et al 1998). Five of these studies reported general safety concerns (i.e.…”

Section: Resultsmentioning

confidence: 99%

“…Others identified specific safety concerns, including: verbal harassment (Hoebeke 2008; Sanderson, Littleton, and Pulley 2002), physical harm (i.e. having objects thrown at them while walking or being physically assaulted) (Bopp et al 2007; Hoebeke 2008), gun violence and/or gang-related activity (Ingram et al 2011; Wilbur et al 2002; Wilcox et al 2005), living in neighborhoods perceived as unsafe to walk outside after dark (Henderson and Ainsworth 2000; Eyler et al 1998), and stray dogs (Richter et al 2002; Wilcox et al 2005; Bopp et al 2007; Evans 2011). Four quantitative studies also examined stray dogs as a barrier (Wilbur et al 2003; Sanderson et al 2003; Strong et al 2013; King et al 2000) and reported no significant association between this barrier and engagement in PA.…”

Section: Resultsmentioning

confidence: 99%

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Barriers to Physical Activity Among African American Women: An Integrative Review of the Literature

et al. 2015

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A key aspect for researchers to consider when developing culturally appropriate physical activity (PA) interventions for African American (AA) women are the specific barriers AA women face that limit their participation in PA. Identification and critical examination of these barriers is the first step in developing comprehensive culturally relevant approaches to promote PA and help resolve PA-related health disparities in this underserved population. We conducted a systematic integrative literature review to identify barriers to PA among AA women. Five electronic databases were searched, and 42 studies (27 qualitative, 14, quantitative, 1 mixed method) published since 1990 (Range 1998–2013) in English language journals met inclusion criteria for review. Barriers were classified as intrapersonal, interpersonal, or environment/community according to their respective level of influence within our social ecological framework. Intrapersonal barriers included: lack of time, knowledge, and motivation; physical appearance concerns; health concerns; monetary cost of exercise facilities; and tiredness/fatigue. Interpersonal barriers included: family/caregiving responsibilities; lack of social support; and lack of a PA partner. Environmental barriers included: safety concerns; lack of facilities; weather concerns; lack of sidewalks; and lack of physically active AA role models. Results provide key leverage points for researchers to consider when developing culturally relevant PA interventions for AA women.

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 3 more Smart Citations

Barriers to Physical Activity Among African American Women: An Integrative Review of the Literature

et al. 2015

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Identifying Motives of Midlife Black Triathlete Women Using Survey Transformation to Guide Qualitative Inquiry

Brown

Masters

Huebschmann

2017

J Cross Cult Gerontol

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Demonstrating health disparities related to race, age, and gender, older Black women (BW) are the most sedentary demographic group in the United States. Increasing PA in mid-life is important, as it improves health as BW age into their later years. Advancing our understanding of the exercise motives of BW triathletes presents a "reverse engineering" opportunity to identify motives that could influence sedentary mid-life BW to increase their activity. The purposes of this study were to: (a) utilize an innovative survey transformation method to adapt a measure developed primarily in Caucasian males, i.e., the Motivations of Marathoners Scale for Triathletes (MOMS-T) into a qualitative interview guide for use with BW triathletes; (b) use this interview guide to identify culturally based motives for triathlon participation among BW not previously addressed by the MOMS-T and; (c) interpret the novel motivational domains of the MOMS-T discovered, in order to gain understanding and influence subsequent interventions. Purposive sampling was used to select 12 interview participants from 121 self-identified Black female US residents aged ≥36 years with recent experience completing or training for a triathlon. The interviews identified four culturally based themes, including improving body composition to become "more lean", physical attractiveness, triathlete family, and camaraderie. These novel themes were related to existing MOMS-T scales, but the current MOMS-T questions did not illuminate their culturally distinct aspects. The process of survey transformation provides a viable approach to identify important culturally based characteristics and to adapt surveys to cultural minority populations, particularly when study resources are limited.

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Designing Culturally Relevant Physical Activity Programs for African-American Women: A Framework for Intervention Development

Joseph

Keller

Affuso

et al. 2016

J. Racial and Ethnic Health Disparities

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Background African American women perform low levels of physical activity and are disproportionally burdened by associated cardiometabolic disease conditions (i.e. 57% are obese, 49% have cardiovascular disease) The marked health disparities among African American women indicate the need for innovative strategies to promote physical activity to help attenuate the chronic disease health disparities in this high-risk population. Culturally tailoring PA programs to address the sociocultural norms, values, beliefs, and behaviors of African American women is an advantageous strategy to enhance physical activity promotion efforts. The purpose of this article is to discuss critical aspects for researchers to consider when designing physical activity programs for African American women and to present a conceptual framework to guide intervention development. Methods Development of the framework was based on our previous physical activity research with African American women, seminal literature on the topics of cultural adaptation and health promotion, sociological and theoretical perspectives on the role of women in African American culture, and key determinants of physical activity engagement among African American women. Results Three key concepts are discussed in the conceptual framework: 1) Developmental milestones and life stage transitions of African American women, 2) Historical, social and cultural influences associated with physical activity engagement, and 3) Intervention delivery strategies. Discussion Using the framework to guide intervention development has the potential to enhance the physical activity and health outcomes of a physical activity program for African American women.

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Women's Walking Program for African American Women: Expectations and Recommendations from Participants as Experts

Cited by 40 publications

References 32 publications

Barriers to Physical Activity Among African American Women: An Integrative Review of the Literature

Barriers to Physical Activity Among African American Women: An Integrative Review of the Literature

Identifying Motives of Midlife Black Triathlete Women Using Survey Transformation to Guide Qualitative Inquiry

Designing Culturally Relevant Physical Activity Programs for African-American Women: A Framework for Intervention Development

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