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 |
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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. |
doi_str_mv | 10.2105/AJPH.2011.300273 |
format | Article |
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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.
Promotores can promote PA in their community and achieve meaningful changes in the residents' health.</description><identifier>ISSN: 0090-0036</identifier><identifier>EISSN: 1541-0048</identifier><identifier>DOI: 10.2105/AJPH.2011.300273</identifier><identifier>PMID: 22021294</identifier><identifier>CODEN: AJPEAG</identifier><language>eng</language><publisher>Washington, DC: American Public Health Association</publisher><subject>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</subject><ispartof>American journal of public health (1971), 2011-12, Vol.101 (12), p.2261-2268</ispartof><rights>2015 INIST-CNRS</rights><rights>Copyright American Public Health Association Dec 2011</rights><rights>American Public Health Association 2011 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c452t-bb406f38a7107351c54788b3ce757d06955110fcf19f4be1239bc68127433b983</citedby><cites>FETCH-LOGICAL-c452t-bb406f38a7107351c54788b3ce757d06955110fcf19f4be1239bc68127433b983</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222415/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC3222415/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27866,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24770966$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22021294$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>AYALA, Guadalupe X</creatorcontrib><creatorcontrib>San Diego Prevention Research Center Team</creatorcontrib><creatorcontrib>the San Diego Prevention Research Center Team</creatorcontrib><title>Effects of a Promotor-Based Intervention to Promote Physical Activity: Familias Sanas y Activas</title><title>American journal of public health (1971)</title><addtitle>Am J Public Health</addtitle><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.</description><subject>Adult</subject><subject>Behavior</subject><subject>Bias</subject><subject>Biological and medical sciences</subject><subject>Blood Pressure</subject><subject>Body mass index</subject><subject>California</subject><subject>Community Health Workers - education</subject><subject>Community support</subject><subject>Curricula</subject><subject>Depression</subject><subject>Diabetes</subject><subject>Disease prevention</subject><subject>Exercise</subject><subject>Female</subject><subject>General aspects</subject><subject>Health Behavior</subject><subject>Health Promotion</subject><subject>Hispanic Americans</subject><subject>Hispanic people</subject><subject>Humans</subject><subject>Indigent care</subject><subject>Intervention</subject><subject>Medical sciences</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Miscellaneous</subject><subject>Obesity</subject><subject>Participation</subject><subject>Physical Fitness</subject><subject>Public health</subject><subject>Public health. 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Team</aucorp><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Effects of a Promotor-Based Intervention to Promote Physical Activity: Familias Sanas y Activas</atitle><jtitle>American journal of public health (1971)</jtitle><addtitle>Am J Public Health</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>101</volume><issue>12</issue><spage>2261</spage><epage>2268</epage><pages>2261-2268</pages><issn>0090-0036</issn><eissn>1541-0048</eissn><coden>AJPEAG</coden><abstract>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.</abstract><cop>Washington, DC</cop><pub>American Public Health Association</pub><pmid>22021294</pmid><doi>10.2105/AJPH.2011.300273</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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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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