Readiness to Be Physically Active and Self-Reported Physical Activity in Low-Income Latinas, California WISEWOMAN, 2006-2007
Readiness to Be Physically Active and Self-Reported Physical Activity in Low-Income Latinas, California WISEWOMAN, 2006-2007
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DOI：
10.5888/pcd9.110190
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发表时间：
2012-04-01
影响因子：
5.5
通讯作者：
Lindsay, Sue
中科院分区：
文献类型：
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作者：
Coleman, Karen J.;Farrell, Maureen A.;Lindsay, Sue
拉丁裔比非西班牙裔白色女性更有可能不活跃。虽然74%的拉丁美洲人没有闲暇时间的活动，很少有干预措施被设计来促进这些妇女的身体活动。本研究的目的是评估加州WISEWOMAN计划对低收入的拉丁美洲人的准备改变体力活动和自我报告的体力活动behaviors.MethodsWe筛选1,332妇女心血管疾病的危险因素，并随机分配1,093名妇女到2组：一个增强的干预（n = 552）或常规护理（n = 541）。社区卫生工作者在一对一的咨询会议上提供了强化干预。我们研究了自我报告的准备改变和身体活动在基线和12个月的随访参与者谁完成了这两个assessment.ResultsMean年龄的参与者（n = 868）是52岁（标准差，6 y），大多数（65%）是墨西哥或墨西哥裔美国人，大多数（81%）是不是高中毕业生。与基线（47%）相比，加强干预组在随访时处于剧烈体力活动的行动/维持阶段的百分比更高（67%）。我们发现在常规护理的女性中没有这种变化（52%，基线; 58%，随访）。更高比例的强化干预组也报告了随访时中度（71%，基线; 84%，随访）和剧烈（13%至33%）体力活动的显著增加。妇女在通常的护理报告没有changes.ConclusionA文化适应的WISEWOMAN计划，使用社区卫生工作者显着提高了自我报告的准备从事体力活动和剧烈的体力活动低收入的拉丁美洲人。
IntroductionLatinas are more likely to be inactive than non-Hispanic white women. Although 74% of Latinas report no leisure-time activity, few interventions have been designed to promote physical activity among these women. The objective of this study was to assess the effect of the California WISEWOMAN program on low-income Latinas's readiness to change physical activity and on self-reported physical activity behaviors.MethodsWe screened 1,332 women for cardiovascular disease risk factors and randomly assigned 1,093 women to 2 groups: an enhanced intervention (n = 552) or usual care (n = 541). The enhanced intervention was delivered by community health workers in one-on-one counseling sessions. We examined self-reported readiness to change and physical activity at baseline and 12-month follow-up among participants who completed both assessments (n = 868).ResultsMean age of participants was 52 years (standard deviation, 6 y); most (65%) were Mexican or Mexican American, and most (81%) were not high school graduates. A higher percentage (67%) of the enhanced intervention group was in the action/maintenance stage for vigorous physical activity at follow-up compared with baseline (47%). We found no such change among women in usual care (52%, baseline; 58%, follow-up). A higher percentage of the enhanced intervention group also reported significant increases in moderate (71%, baseline; 84%, follow-up) and vigorous (13% to 33%) physical activity at follow-up than at baseline. Women in usual care reported no changes.ConclusionA culturally tailored adaptation of the WISEWOMAN program that used community health workers significantly improved both self-reported readiness to engage in physical activity and vigorous physical activity among low-income Latinas.