Translation of an Action Learning Collaborative Model into a community-based intervention to promote physical activity and healthy eating
Published Date:Aug 27 2015
Source:Health Promot Pract. 17(1):70-79.
Aged, 80 And Over
Analysis Of Variance
Body Mass Index
Community-Based Participatory Research
Outcome And Process Assessment (Health Care)
Pubmed Central ID:PMC4899942
Funding:UB6HP20157/PHS HHS/United States
U48DP005018/DP/NCCDPHP CDC HHS/United States
P30 CA023108/CA/NCI NIH HHS/United States
U48 DP005018/DP/NCCDPHP CDC HHS/United States
U48 DP001935/DP/NCCDPHP CDC HHS/United States
U48DP001935/DP/NCCDPHP CDC HHS/United States
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.
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.
An ALC model for community-based obesity prevention may be more effective when applied to pre-existing teams in community-based organizations.
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