Process evaluation of a culturally-tailored physical activity intervention in African-American mother-daughter dyads.
Process evaluation of a culturally-tailored physical activity intervention in African-American mother-daughter dyads.
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非洲裔美国女儿二元组中有文化量的体育活动干预的过程评估。
DOI：
10.1016/j.pmedr.2017.08.002
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发表时间：
2017-12
影响因子：
2.8
通讯作者：
Alhassan S
中科院分区：
文献类型：
--
作者：
Burkart S;St Laurent CW;Alhassan S
本研究的目的是描述2013年春季和2014年春季在马萨诸塞州斯普林菲尔德举行的母女共舞试验(MAGN)的过程评估数据，包括干预保真度、剂量、质量、参与者反应性和项目覆盖范围。76名母女二人组被随机分为母女组(CH-M，n=328)、独生子女组(CH，n=625)和健康教育组(Con，n=623)。CH-M包括60分钟的中等到剧烈的为二人组量身定做的文化舞蹈课。课程包括为孩子们上的舞蹈课。所有小组都接受家庭作业辅导和每周健康通讯。研究人员在每一次干预会议(每周三天，为期6个月)用半结构化问卷对过程评估数据进行评估。CH舞蹈课时间(58.2±33.5分钟)略长于CH-M舞蹈课(54.4±25.5分钟)。在这两组参与者中，大部分舞蹈干预都花在了轻强度体力活动(PA)上。CH-M组的参与者90%的时间都喜欢参与Magic>；。母亲(92%)表示，她们想继续跳舞，作为PA的一种形式。母亲们表示，交通、时间承诺和评估是参与的障碍。与会者建议，未来的干预措施应该包括更长的干预时间和研究人员与母亲之间更多的沟通。磁铁干预在大多数方面与最初计划的计划相匹配。给予CH-M组的干预剂量较低，可能是由于母亲所描述的障碍。由于母女干预对增加PA的影响微乎其微，研究人员利用过程评估数据来塑造未来的研究是当务之急。CH-M组的女儿在舞蹈课上花在LIGH PA和MVPA上的时间较少。参与者喜欢磁铁，并表示有兴趣继续一起跳舞。交通、时间承诺和评估是参与者面临的关键障碍。在制定未来的干预措施时，应考虑过程评估数据。
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. Daughters in the CH-M group spent less time in light PA and MVPA during dance classes. Participants enjoyed MAGNET and expressed interest in continuing dance together. Transportation, time commitment, and assessment were key barriers for participants. Process evaluation data should be considered in shaping future interventions.