Improving participation rates for women of color in health research: the role of group cohesion.

Improving participation rates for women of color in health research: the role of group cohesion.
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DOI:
10.1007/s11121-011-0241-6
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发表时间:
2012-02
期刊:
影响因子:
3.5
通讯作者:
Lee, Rebecca E.
Lee, Rebecca E.
中科院分区:
医学2区
文献类型:
--
作者:
Smith-Ray, Renae L.;Mama, Scherezade;Reese-Smith, Jacqueline Y.;Estabrooks, Paul A.;Lee, Rebecca E.

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坚持体力活动和饮食干预是一个共同的挑战。使用群体凝聚力策略的干预措施显示出增加依从性的希望,但尚未在有色人种女性中进行测试。本研究的目的是确定是否尺寸的群体凝聚力调解干预条件和出勤率之间的关联在社区体育活动计划的颜色的妇女。非裔美国人和西班牙裔或拉丁裔妇女(N=310)完成了基线和干预后的测量,并参加了社会凝聚力干预,以改善体力活动和饮食习惯。妇女被分配到体育活动或水果和蔬菜干预组。社会和任务凝聚力的测量使用身体活动组环境问卷(PAGE-Q)。在六次干预会议中,每次都记录了出席情况。女性通常为中年(M年龄= 46.4岁,SD=9.1)和肥胖(M BMI = 34.4 kg/m2,SD=7.7)。中介效应的估计是显着的所有群体凝聚力结构,表明两个任务结构-吸引力的群体的任务(SE=0.096,CI:-0.599至-0.221)和围绕任务的小组整合(SE=0.060,CI:-0.092至-0.328)-和社会结构-对群体社会方面的吸引力(SE=0.046,CI:-0.546至-0.366)和围绕社会方面的群体融合(SE=0.046,CI:-0.546至-0.366)-显著介导了群体分配和出勤率之间的关联。任务和社会结构都是重要的,以提高有色人种妇女的健康促进干预出勤率。
Adherence to physical activity and dietary interventions is a common challenge. Interventions that use group cohesion strategies show promise for increasing adherence, but have not been tested among women of color. The purpose of this study was to determine whether dimensions of group cohesion mediate the association between intervention condition and attendance within a community physical activity program for women of color. African American and Hispanic or Latina women (N=310) completed measurements at baseline and post-intervention and participated in a social cohesion intervention to improve physical activity and dietary habits. Women were assigned to a physical activity or fruit and vegetable intervention group. Social and task cohesion was measured using the Physical Activity Group Environment Questionnaire (PAGE-Q). Attendance was recorded at each of six intervention sessions. Women were generally middle-age (M age = 46.4 years, SD=9.1) and obese (M BMI = 34.4 kg/m2, SD=7.7). The estimate of the mediated effect was significant for all group cohesion constructs, indicating both task constructs—attraction to the group’s task (SE=0.096, CI: −0.599 to −0.221) and group integration around the task (SE=0.060, CI: −0.092 to −0.328)—and social constructs—attraction to the group’s social aspects (SE=0.046, CI: −0.546 to −0.366) and group integration around social aspects (SE=0.046, CI: −0.546 to −0.366)—significantly mediated the association between group assignment and attendance. Both task and social constructs are important to improve attendance in health promotion interventions for women of color.
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