Effects of a Promotor-Based Intervention to Promote Physical Activity: Familias Sanas y Activas

This within-participants, single time-series study tested a train-the-trainer, promotor-based physical activity (PA) intervention to improve fitness and health indicators. Thirty unpaid promotores were trained to promote PA through free exercise classes. Measurements of 337 female community particip...

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Veröffentlicht in:American journal of public health (1971) 2011-12, Vol.101 (12), p.2261-2268
1. Verfasser: AYALA, Guadalupe X
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description This within-participants, single time-series study tested a train-the-trainer, promotor-based physical activity (PA) intervention to improve fitness and health indicators. Thirty unpaid promotores were trained to promote PA through free exercise classes. Measurements of 337 female community participants at baseline, 6 months, and 12 months assessed changes in health indicators, including systolic and diastolic blood pressure, waist circumference, body mass index (defined as weight in kilograms divided by the square of height in meters), aerobic fitness, and hamstring flexibility, as well as self-reported health indicators (PA, depression) and psychosocial factors (barriers, self-efficacy, and social support-all specific to PA). Mixed effects models showed intervention participation improved systolic blood pressure (P ≤ .001), waist circumference (P ≤ .001), fitness (P ≤ .001), and hamstring flexibility (P ≤ .001). We also noted improvements in use of community resources (P ≤ .05), depressed mood and anhedonia (P ≤ .01), perceived barriers to be physically active (P ≤ .05), and community support for PA (P ≤ .001). Self-efficacy decreased (P ≤ .05), and participation dose (i.e., exposure), as measured by attendance at exercise classes, was not associated with observed changes. Promotores can promote PA in their community and achieve meaningful changes in the residents' health.
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Thirty unpaid promotores were trained to promote PA through free exercise classes. Measurements of 337 female community participants at baseline, 6 months, and 12 months assessed changes in health indicators, including systolic and diastolic blood pressure, waist circumference, body mass index (defined as weight in kilograms divided by the square of height in meters), aerobic fitness, and hamstring flexibility, as well as self-reported health indicators (PA, depression) and psychosocial factors (barriers, self-efficacy, and social support-all specific to PA). Mixed effects models showed intervention participation improved systolic blood pressure (P ≤ .001), waist circumference (P ≤ .001), fitness (P ≤ .001), and hamstring flexibility (P ≤ .001). We also noted improvements in use of community resources (P ≤ .05), depressed mood and anhedonia (P ≤ .01), perceived barriers to be physically active (P ≤ .05), and community support for PA (P ≤ .001). Self-efficacy decreased (P ≤ .05), and participation dose (i.e., exposure), as measured by attendance at exercise classes, was not associated with observed changes. 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Self-efficacy decreased (P ≤ .05), and participation dose (i.e., exposure), as measured by attendance at exercise classes, was not associated with observed changes. 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subjects Adult
Behavior
Bias
Biological and medical sciences
Blood Pressure
Body mass index
California
Community Health Workers - education
Community support
Curricula
Depression
Diabetes
Disease prevention
Exercise
Female
General aspects
Health Behavior
Health Promotion
Hispanic Americans
Hispanic people
Humans
Indigent care
Intervention
Medical sciences
Methods
Middle Aged
Miscellaneous
Obesity
Participation
Physical Fitness
Public health
Public health. Hygiene
Public health. Hygiene-occupational medicine
Public housing
Questionnaires
Research and Practice
Self report
Social services
Socioeconomic Factors
Surveys and Questionnaires
Training
Waist Circumference
Walking
Weight control
Womens health
Young Adult
title Effects of a Promotor-Based Intervention to Promote Physical Activity: Familias Sanas y Activas
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