Community engagement to address socio-ecological barriers to physical activity among African American breast cancer survivors.
Community engagement to address socio-ecological barriers to physical activity among African American breast cancer survivors.
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DOI：
10.21633/jgpha.6.312
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发表时间：
2017-01-01
影响因子：
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通讯作者：
Ansa, Benjamin E
中科院分区：
文献类型：
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作者：
Smith, Selina A;Whitehead, Mary S;Ansa, Benjamin E
背景：在非裔美国人（AA）乳腺癌幸存者（BCSs）中，肥胖率高，体力活动（PA）水平低，缺乏对体力活动指南（pag）的遵守，需要在文化上适当的干预措施来解决参与PA的障碍。方法：为了制定干预内容，AA乳腺癌支持小组的成员参加了四次1小时的焦点小组讨论（涉及PA的障碍，克服这些障碍的策略和干预内容），录音，转录和分析。结果：支持小组与研究人员合作构建了预防乳腺癌的体育活动干预开发（PAID），这是一个多组成部分（教育会议，支持小组讨论，有组织的，中等强度的步行，力量训练和瑜伽），促进了24周的计划，重点是减少PA的多层次障碍，促进pag会议的好处（“回报”）。结论：社区参与培养了信任，促进了相互关系，建立了协作，并扩大了AA bcs参与制定干预措施的能力，以解决个人，人际，组织和社区对PA的障碍。
BACKGROUND: With high rates of obesity, low levels of physical activity (PA), and lack of adherence to physical activity guidelines (PAGs) among African American (AA) breast cancer survivors (BCSs), culturally appropriate interventions that address barriers to participation in PA are needed.METHODS: To develop intervention content, members of an AA breast cancer support group participated in four 1-hour focus group discussions (related to the barriers to PA, strategies for overcoming them, and intervention content), which were audiotaped, transcribed, and analyzed.RESULTS: The support group collaborated with researchers to construct the Physical Activity Intervention Developed (PAID) to Prevent Breast Cancer, a multi-component (educational sessions; support group discussions; and structured, moderately intensive walking, strength training, and yoga), facilitated, 24-week program focused on reducing multi-level barriers to PA that promote benefits ('pay off') of meeting PAGs.CONCLUSIONS: Community engagement fostered trust, promoted mutuality, built collaboration, and expanded capacity of AA BCSs to participate in developing an intervention addressing individual, interpersonal, organizational, and community barriers to PA.