Women's walking program for African American women: expectations and recommendations from participants as experts.

Women's walking program for African American women: expectations and recommendations from participants as experts.
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DOI:
10.1080/03630242.2011.606357
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发表时间:
2011-08-31
期刊:
影响因子:
1.6
通讯作者:
Buchholz S
Buchholz S
中科院分区:
医学4区
文献类型:
--
作者:
Ingram D;Wilbur J;McDevitt J;Buchholz S

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提高对体力活动(PA)依从性的有效干预对非裔美国人(AA)女性很重要,因为与美国白人女性相比,她们通常不那么活跃,更肥胖。这项研究的目的是从2002至2005年间开始为期12个月的PA计划的女性那里获得:1)她们对结果预期和障碍的回忆,2)对计划组成部分的反馈,以及3)计划改变的建议。2007年,我们对参加强化治疗组的妇女进行了定性的干预后焦点小组访谈。33名年龄在44-69岁的再生障碍性贫血妇女参加了在其社区干预地点举行的四个焦点小组之一。在为期6个月的采用阶段举行的四个研讨会上,根据低(步行和Lt;50%的预期步行)与高(步行≥50%的预期步行)坚持和低(0-2)与高(3-4)出席率组成焦点小组。录音会议被独立转录和编码,然后上传到NVivo7进行最终编码和数据分析。对未来计划组成部分的建议包括生活方式PA处方、用于自我监测的计步器、持续的团体支持和自动电话支持。焦点小组参与者可以作为专家协助内容开发,以提高计划的有效性。
Effective interventions that increase adherence to physical activity (PA) are important for African American (AA) women because generally they are less active and more obese compared to white American women. The purpose of this study was to elicit from women who began a 12-month PA program between 2002 and 2005: 1) their recollections of outcome expectations and barriers, 2) feedback on program components, and 3) suggestions for program change. In 2007, we conducted qualitative post-intervention focus group interviews with women who had participated in the enhanced treatment group. Thirty-three AA women aged 44–69 years at the time of the study participated in one of four focus groups held at their community intervention site. Focus groups were formed on the basis of low (walked < 50% of expected walks) versus high (walked ≥50% of expected walks) adherence and low (0–2) versus high (3–4) attendance at the four workshops held during the 6-month adoption phase. Audio-taped sessions were transcribed and coded independently and then uploaded into NVivo7 for final coding and data analysis. Suggestions for future program components included a lifestyle PA prescription, pedometers for self-monitoring, ongoing group support and automated telephone support. Focus group participants can serve as experts to assist in content development for improving program effectiveness.
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