A community-based, culturally relevant intervention to promote healthy eating and physical activity among middle-aged African American women in rural Alabama: findings from a group randomized controlled trial.
A community-based, culturally relevant intervention to promote healthy eating and physical activity among middle-aged African American women in rural Alabama: findings from a group randomized controlled trial.
复制标题
一项基于社区、文化相关的干预措施，旨在促进阿拉巴马州农村中年非裔美国妇女的健康饮食和身体活动：一项团体随机对照试验的结果。
DOI：
10.1016/j.ypmed.2014.08.016
复制
发表时间：
2014
影响因子：
5.1
通讯作者：
Li,Yufeng
中科院分区：
文献类型：
--
作者：
Scarinci,IsabelC;Moore,Artisha;Wynn-Wallace,Theresa;Cherrington,Andrea;Fouad,Mona;Li,Yufeng
ObjectiveWe examined the efficacy of a community-based, culturally relevant intervention to promote healthy eating and physical activity among African American (AA) women between the ages of 45–65 years, residing in rural Alabama.MethodsWe conducted a group randomized controlled trial with counties as the unit of randomization that evaluated two interventions based on health priorities identified by the community: (1) promotion of healthy eating and physical activity; and (2) promotion of breast and cervical cancer screening. A total of 6 counties with 565 participants were enrolled in the study between November 2009 and October 2011.ResultsThe overall retention rate at 24-month follow-up was 54.7%. Higher retention rate was observed in the “healthy lifestyle” arm (63.1%) as compared to the “screening” arm (45.3%). Participants in the “healthy lifestyle” arm showed significant positive changes compared to the “screening” arm at 12-month follow-up with regard to decrease in fried food consumption and an increase in both fruit/vegetable intake and physical activity. At 24-month follow-up, these positive changes were maintained with healthy eating behaviors, but not engagement in physical activity.ConclusionsA culturally relevant intervention, developed in collaboration with the target audience, can improve (and maintain) healthy eating among AA women living in rural areas.
