Mujeres Fuertes y Corazones Saludables: adaptation of the StrongWomen -healthy hearts program for rural Latinas using an intervention mapping approach.

Mujeres Fuertes y Corazones Saludables: adaptation of the StrongWomen -healthy hearts program for rural Latinas using an intervention mapping approach.
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DOI:
10.1186/s12889-017-4842-2
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发表时间:
2017-12-28
期刊:
影响因子:
4.5
通讯作者:
Seguin RA
Seguin RA
中科院分区:
医学2区
文献类型:
--
作者:
Perry CK;McCalmont JC;Ward JP;Menelas HK;Jackson C;De Witz JR;Solanki E;Seguin RA

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描述我们使用的干预映射作为一种系统的方法,以适应基于证据的身体活动和营养计划,以反映农村拉丁美洲人的需求。一个干预映射过程,包括六个步骤,指导了适应基于证据的身体活动和营养计划,使用以社区为基础的参与式研究方法。在整个适应过程中,我们与拉丁美洲农村社区咨询委员会合作。需求评估和逻辑模型被用来确定哪个方案最适合适应。一旦确定,我们就在改编过程中与原始程序(StrongWomen - Healthy Hearts)的开发者之一合作。首先,确定了基本的理论方法和程序要素,并增加或调整了其他要素。接下来,我们进行了审查和修改,以反映社区和文化背景的实际应用,干预策略,计划课程,材料和参与者信息。最后,我们计划在农村社区范围内实施和评估经调整的方案-妇女健康和健康。将对超重、久坐、中年、讲西班牙语的拉丁裔人进行一项试点研究。结果测量将评估体重、身体健康、身体活动和营养行为的变化。干预映射过程是可行的,并提供了一个系统的方法来平衡适合和保真度的适应证据为基础的计划。与社区成员的合作确保了所调整的课程内容在当地社区的文化背景下是适当和相关的。
To describe our use of intervention mapping as a systematic method to adapt an evidence-based physical activity and nutrition program to reflect the needs of rural Latinas. An intervention mapping process involving six steps guided the adaptation of an evidence based physical activity and nutrition program, using a community-based participatory research approach. We partnered with a community advisory board of rural Latinas throughout the adaptation process. A needs assessment and logic models were used to ascertain which program was the best fit for adaptation. Once identified, we collaborated with one of the developers of the original program (StrongWomen - Healthy Hearts) during the adaptation process. First, essential theoretical methods and program elements were identified, and additional elements were added or adapted. Next, we reviewed and made changes to reflect the community and cultural context of the practical applications, intervention strategies, program curriculum, materials, and participant information. Finally, we planned for the implementation and evaluation of the adapted program, Mujeres Fuertes y Corazones Saludables, within the context of the rural community. A pilot study will be conducted with overweight, sedentary, middle-aged, Spanish-speaking Latinas. Outcome measures will assess change in weight, physical fitness, physical activity, and nutrition behavior. The intervention mapping process was feasible and provided a systematic approach to balance fit and fidelity in the adaptation of an evidence-based program. Collaboration with community members ensured that the components of the curriculum that were adapted were culturally appropriate and relevant within the local community context.
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