Promotoras Can Facilitate Use of Recreational Community Resources: The Mi Corazon Mi Comunidad Cohort Study
Promotoras Can Facilitate Use of Recreational Community Resources: The Mi Corazon Mi Comunidad Cohort Study
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DOI：
10.1177/1524839915609060
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发表时间：
2016-05-01
影响因子：
1.9
通讯作者：
Duarte, Maria O.
中科院分区：
文献类型：
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作者：
Balcazar, Hector G.;de Heer, Hendrik D.;Duarte, Maria O.
介绍。有限的研究记录了旨在促进在服务不足人群中使用现有娱乐社区资源的干预措施。本研究（HEART[健康教育意识研究小组]第二阶段）报告了一项干预（Mi Corazon Mi Comunidad）的结果，在该干预中，社区卫生工作者促进了墨西哥裔美国边境居民在当地娱乐设施中使用饮食和锻炼计划。其目的是评估总体出勤率，并评估哪些因素可以预测更高的出勤率。方法。设计为队列研究。从2009年到2013年，连续5个队列共招募了753名参与者。干预措施包括在公园和娱乐设施进行有组织的体育活动和营养计划，以及免费的基督教女青年会会员资格。所有活动的出勤率都被客观地记录下来。回归分析用于评估人口因素、健康状况和健康信念是否与出勤率相关。结果。参与者主要包括心血管疾病高风险的女性（72.4%超重/肥胖，64%[前]高血压）。总共83.6%的参与者至少参加了一次会议。平均而言，总参加次数为21.6次（不同队列之间的范围为19.1-25.2次），包括16.4次体育活动和5.2次营养活动。女性（p = 0.003）和老年参与者（p < 0.001）参加更多的会议。文化适应程度低的参与者（与文化适应程度高的参与者相比）平均多参加了7次会议（p = 0.003）。较高的自我效能（p < 0.001）、感知利益（p = 0.038）和健康意图（p = 0.024）与较高的出勤率相关。结论。干预措施在促进心血管疾病高风险边境居民使用娱乐设施方面取得了成功。在五个不同的队列中，研究结果相似。
Introduction. Limited research has documented interventions aimed at promoting use of existing recreational community resources among underserved populations. This study (HEART [Health Education Awareness Research Team] Phase 2) reports findings of an intervention (Mi Corazon Mi Comunidad) where community health workers facilitated use of diet and exercise programming at local recreational facilities among Mexican American border residents. The aim was to evaluate overall attendance rates and to assess which factors predicted higher attendance. Method. The design was a cohort study. From 2009 to 2013, a total of 753 participants were recruited across 5 consecutive cohorts. The intervention consisted of organized physical activity and nutrition programming at parks and recreational facilities and a free YWCA membership. Attendance at all activities was objectively recorded. Regression analyses were used to evaluate whether demographic factors, health status, and health beliefs were associated with attendance. Results. Participants included mostly females at high risk for cardiovascular disease (72.4% were overweight/obese and 64% were [pre-]hypertensive). A total of 83.6% of participants attended at least one session. On average, total attendance was 21.6 sessions (range: 19.1-25.2 sessions between the different cohorts), including 16.4 physical activity and 5.2 nutrition sessions. Females (p = .003) and older participants (p < .001) attended more sessions. Participants low in acculturation (vs. high) attended on average seven more sessions (p = .003). Greater self-efficacy (p < .001), perceived benefits (p = .038), and healthy intentions (p = .024) were associated with higher attendance. Conclusions. The intervention was successful in promoting use of recreational facilities among border residents at high risk for cardiovascular disease. Findings were similar across five different cohorts.