Translation of an Action Learning Collaborative Model into a community-based intervention to promote physical activity and healthy eating

Details

• Alternative Title:
  Health Promot Pract
• Personal Author:
  Schifferdecker, Karen E. ; Adachi-Mejia, Anna M. ; Butcher, Rebecca L. ; O’Connor, Sharon ; Li, Zhigang ; Bazos, Dorothy A.
• Description:
  Methods
  
  The intervention used QI tools (e.g., progress monitoring) and team-based activities and was implemented in three communities through 9 monthly meetings. To assess process and outcomes, we used a longitudinal repeated-measures and mixed-methods triangulation approach with a quasi-experimental design including objective measures at three time points.
  
  Results
  
  Most of the 97 participants were female (85.4%), White (93.8%), and non-Hispanic/Latino (95.9%). Average age was 52 years; 28.0% had annual household income of $20,000 or less; mean body mass index was 35. Through mixed-effects models, we found some physical activity outcomes improved. Other outcomes did not significantly change. Although participants favorably viewed the QI tools, components of the QI process such as sharing goals and data on progress in teams and during meetings were limited. Participants’ requests for more education or activities around physical activity and healthy eating, rather than progress monitoring and data sharing required for QI activities challenged ALC model implementation.
  
  Conclusions
  
  An ALC model for community-based obesity prevention may be more effective when applied to pre-existing teams in community-based organizations.
  
  
• Keywords:
  Adolescent Adult Aged Aged, 80 And Over Analysis Of Variance Body Mass Index Child Community Community-Based Participatory Research Diet Female Fruit Health Behavior Health Education Health Promotion Health Surveys Humans Intervention Learning Learning Collaborative Male Middle Aged Motor Activity Obesity Outcome And Process Assessment, Health Care Physical Activity Quality Improvement Social Support Vegetables Young Adult

  More +
• Source:
  Health Promot Pract. 17(1):70-79
• Pubmed ID:
  26315034
• Pubmed Central ID:
  PMC4899942
• Document Type:
  Journal Article
• Funding:
  U48DP005018/DP/NCCDPHP CDC HHSUnited States/ ; P30 CA023108/CA/NCI NIH HHSUnited States/ ; U48 DP005018/DP/NCCDPHP CDC HHSUnited States/ ; U48DP001935/DP/NCCDPHP CDC HHSUnited States/ ; U48DP005018/ACL/ACL HHSUnited States/ ; U48 DP001935/DP/NCCDPHP CDC HHSUnited States/
• Volume:
  17
• Issue:
  1
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:e29bb555806680d7235e986ec702aa467db20fdc1169afd7d05e27e112d98e26
• Download URL:
  https://stacks.cdc.gov/view/cdc/39856/cdc_39856_DS1.pdf
• File Type:
  [PDF - 146.23 KB ]