Results From an Intervention to Improve Rural Home Food and Physical Activity Environments

Details

• Alternative Title:
  Prog Community Health Partnersh
• Personal Author:
  Kegler, Michelle C. ; Alcantara, Iris ; Veluswamy, J. K. ; Haardörfer, Regine ; Hotz, James A. ; Glanz, Karen
• Description:
  Background
  
  Ecological models of healthy eating and physical activity emphasize the influence of behavioral settings such as homes and worksites in shaping behavior. Research on home environments suggests that both social and physical aspects of the home may impact physical activity and healthy eating.
  
  Objective
  
  Using a community-based participatory research (CBPR) approach, the Emory Prevention Research Center (EPRC), Cancer Coalition of South Georgia, and the EPRC’s Community Advisory Board (CAB) designed and tested a coach-based intervention to make the home environment more supportive of healthy eating and physical activity for rural adults.
  
  Methods
  
  The 6-week intervention consisted of a tailored home environment profile, goal-setting, and behavioral contracting delivered through two home visits and two telephone calls. The study used a quasi-experimental design with data collected via telephone interviews at baseline, 2 and 4 months post-baseline. Ninety households (n = 90) completed all three telephone interviews.
  
  Results
  
  Multilevel models indicated that intervention households reported significant improvements in household food inventories, purchasing of fruit and vegetables, healthier meal preparation, meals with the TV off, and family support for healthy eating, relative to comparison households. Intervention households also reported increased exercise equipment and family support for physical activity relative to comparison households. Percent of fat intake decreased significantly, but no changes were observed for fruit and vegetable intake, physical activity, or weight among intervention relative to comparison households, although trends were generally in a positive direction.
  
  Conclusion
  
  Coaching combined with a focus on the home environment may be a promising strategy for weight gain prevention in adults.
  
  
• Subjects:
  Adult Aged Body Mass Index Community-Based Participatory Research Diet Environment Exercise Family Female Food Supply Health Education Health Promotion Humans Male Middle Aged Rural Population Socioeconomic Factors Television

  More +
• Source:
  Prog Community Health Partnersh. 2012; 6(3):265-277.
• Pubmed ID:
  22982840
• Pubmed Central ID:
  PMC3630069
• Document Type:
  Journal Article
• Funding:
  5U48DP001909/DP/NCCDPHP CDC HHS/United States ; DP000043-01/DP/NCCDPHP CDC HHS/United States ; U48 DP000043/DP/NCCDPHP CDC HHS/United States
• Place as Subject:
  Georgia
• Volume:
  6
• Issue:
  3
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:ce10b7c3817815d9eb9f18e5f86297a70171cd042102b4d25d6e407c2790c0d3
• Download URL:
  https://stacks.cdc.gov/view/cdc/33544/cdc_33544_DS1.pdf
• File Type:
  [PDF - 963.21 KB ]