The Animadora Project: Identifying Factors Related to the Promotion of Physical Activity Among Mexican Americans With Diabetes

The Animadora Project: Identifying Factors Related to the Promotion of Physical Activity Among Mexican Americans With Diabetes
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DOI:
10.4278/ajhp.08021915
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发表时间:
2009-07-01
影响因子:
2.7
通讯作者:
Rosales, Cecilia
Rosales, Cecilia
中科院分区:
医学4区
文献类型:
--
作者:
Ingram, Maia;Ruiz, Maricruz;Rosales, Cecilia

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目的.关于墨西哥裔美国人糖尿病患者身体活动相关因素的信息缺乏。自我效能和社会支持与体育活动有关;然而,很少有人知道他们在不同文化群体中的作用。焦点小组被用来确定因素,激励步行。设置。位于亚利桑那州图森市的两个墨西哥裔美国人社区。参加糖尿病教育的个人。干预。一个以社区为基础的供应商。与以前参加过糖尿病课程的人一起散步。步行者参加了焦点小组,探讨与他们的经验相关的主题。自我效能、社会支持与集体效能。扎根理论被用来分析焦点小组的结果,使用两轮分析;第一次确定的参考自我效能和社会支持,第二次增加集体效能作为理论基础的步行。在43名合格的参与者中,20人参加了焦点小组。表示了社会支持。承诺和陪伴步行者表现出较高的自我效能感。群体认同/社会凝聚力的发展也是步行的动力。集体效能作为一个涵盖这些主题及其相互关系的适用理论模型而出现。集体效能,或相信该集团可以改善他们的生活,通过集体努力,是一个可行的理论结构,在针对墨西哥裔美国人糖尿病患者的身体活动干预措施的发展。(Am J Health Promot 2009;23[6]:396-402.)
Purpose. There is a dearth of information about factors related to physical activity among Mexican-Americans with diabetes. Self-efficacy and social support are associated with physical activity; however, little is known about their roles within different cultural groups.Design. Focus groups were used to identify factors that motivated walking.Setting. Two Mexican-American communities located in Tucson, Arizona.Subjects. Individuals who attended diabetes education.Intervention. A community-based provider organized. walking groups with people who previously attended diabetes classes. Walkers participated in focus groups exploring themes related to their experiences.Measures. Self-efficacy, social support, and collective efficacy. Grounded theory was used to analyze focus group results using two rounds of analysis; the first identified references to self-efficacy and social support, and the second added collective efficacy as a theoretic basis for walking.Results. Among 43 eligible participants, 20 participated in focus groups. Social support was expressed. as commitment and companionship. Walkers demonstrated a high level of self-efficacy for walking. Development of group identity/social cohesion was also a motivator to walk. Collective efficacy emerged as an applicable theoretic model encompassing these themes and their interrelationship.Conclusion. Collective efficacy, or the belief that the group can improve their lives through collective effort, is a viable theoretic construct in the development of physical activity interventions targeting Mexican-Americans with diabetes. (Am J Health Promot 2009;23[6]:396-402.)