"Mother's Health and Well-Being Matters: Is a Mediated Social Cohesion Public Health Intervention Feasible?".

"Mother's Health and Well-Being Matters: Is a Mediated Social Cohesion Public Health Intervention Feasible?".
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DOI:
10.1177/08901171211055317
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发表时间:
2022-03
影响因子:
2.7
通讯作者:
Gokal, Kajal
Gokal, Kajal
中科院分区:
医学4区
文献类型:
--
作者:
Jones, Cheryl;Gibbons, Marley;Magsamen-Conrad, Kate;Ulanday, Kathleen T.;Watterson, Jessica;Oakley-Girvan, Ingrid;Houghton, Lauren C.;Gokal, Kajal

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测试引入“自由时间健康”(FT 4 W)的可行性,这是一种增加健康行为和降低癌症风险的干预措施。可行性研究;地点:美国纽约的华盛顿高地是一个社会经济地位低下的地区。招募了18岁及以上、有12岁以下子女、居住在华盛顿高地的母亲。FT 4 W是一项基于社区的干预措施,通过一个基于社区的应用程序提供,每周提供舞蹈和瑜伽课程,食品储藏室访问和小组游戏。儿童保育专业人员在健康活动期间照顾参与者的孩子。一个定制的前后调查设计和测试其收集相关数据的能力,以评估FT 4 W的影响。结果包括招募率,参与,自然减员,可接受性和社区冠军的成功。21名母亲参加了研究,其中90%参加了≥ 1次FT 4 W活动; 65% ≥ 2次; 52% ≥ 3次。100%的参与者完成了这项调查,表明它很容易理解,也不太麻烦。所有测量均检测到从基线到随访的结构变化。儿童保育的可用性是参与者能够参与所提供的健康活动的最常见原因(66%)。考虑到4个主要教训,进行更大规模的试验来评估FT 4 W的影响是可行的。(1)招聘,保留和接受率很高;然而,妈妈们需要额外的支持,以增加健康活动的参与和提高技术素养。(2)研究措施足够敏感,可以发现变化,但需要考虑评估的时机。(3)与会者高度重视获得专业儿童保育服务的机会。(4)社区支持者是一个必要的,但很难填补的角色,需要机构审查委员会(IRB)仔细考虑。缺乏身体活动与患癌症的风险较高有关,资源不足的母亲缺乏空闲时间来从事身体活动。尽管存在结构性障碍,但大多数体育活动干预措施都是针对个人而不是社区。本研究的目的是测试引入“健康自由时间”的可行性,这是一种以社区为基础的干预措施,每周提供舞蹈和瑜伽课程,食品储藏室访问,小组游戏,最重要的是儿童保育,以增加生活在纽约市华盛顿高地的母亲的健康行为。儿童保育的可用性是参与者能够参与所提供的健康活动的最常见原因(66%)。高参与率和有效的评估方法表明更大规模的试验是可行的。
To test the feasibility of introducing ‘Free Time for Wellness’ (FT4W) an intervention to increase healthy behaviours and reduce the risk of cancer. Feasibility study; Setting: Washington Heights, New York, USA is a low socioeconomic status area. Mothers aged 18 and above with children under 12 years of age and living in Washington Heights were recruited. FT4W, a community-based intervention delivered through a neighbourhood-based app, offering weekly dance and yoga classes, food pantry visits and group playdates. Childcare professionals cared for participants’ children during wellness activities. A bespoke before and after survey was designed and tested for its ability to collect relevant data to assess the impact of FT4W. Outcomes included recruitment rates, participation, attrition, acceptability, and success of the community champion. Comparisons of proportions and means Twenty-one mothers participated in the study of which 90% attended ≥ 1 FT4W activity; 65% ≥ 2; 52% ≥ 3. The survey was completed by a 100% of participants indicating it was easy to understand and not too burdensome. All measures detected change in constructs from baseline to follow-up. Availability of childcare was the most commonly (66%) reported reason participants were able to engage in the offered wellness activities. Conducting a larger-scale trial to assess the impact of FT4W is feasible considering 4 major lessons. (1) Recruitment, retention, and acceptability rates were high; however, moms need additional support to increase participation in wellness activities and improve tech literacy. (2) Research measures were sensitive enough to detect change, but the timing of assessments needs to be considered. (3) Participants greatly valued access to professional childcare. (4) The Community Champion is a necessary, but difficult role to fill that requires careful consideration by the Institutional Review Board (IRB). Physical inactivity has been associated with a higher risk of developing cancer and low resourced mothers lack free time to dedicate to their physical activity. Despite structural barriers, most physical activity interventions are aimed at the individual-level rather than the community. The purpose of this study was to test the feasibility of introducing ‘Free Time for Wellness’, a community-based intervention offering weekly dance and yoga classes, food pantry visits, group playdates, and most importantly childcare, to increase healthy behaviours among mothers living in Washington Heights, New York City. Availability of childcare was the most commonly (66%) reported reason participants were able to engage in the offered wellness activities. High participation rates and valid assessment methods indicate a larger trial is feasible.
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