Reducing Barriers to Healthy Weight: Planned and Responsive Adaptations to a Lifestyle Intervention to Serve People with Impaired Mobility

Details

• Alternative Title:
  Disabil Health J
• Personal Author:
  Betts, Andrea C. ; Froehlich-Grobe, Katherine ; Driver, Simon ; Carlton, Danielle ; Kramer, M. Kaye
• Description:
  Background
  
  People with impaired mobility (IM) disabilities have a higher prevalence of obesity and obesity-related chronic conditions; however, lifestyle interventions that address the unique needs of people with IM are lacking.
  
  Objective
  
  This paper describes an adapted evidence-based lifestyle intervention developed through community-based participatory research (CBPR).
  
  Methods
  
  Individuals with IM, health professionals, disability group representatives, and researchers formed an advisory board to guide the process of thoroughly adapting the Diabetes Prevention Program Group Lifestyle Balance (DPP GLB) intervention after a successful pilot in people with IM. The process involved two phases: 1) planned adaptations to DPP GLB content and delivery, and 2) responsive adaptations to address issues that emerged during intervention delivery.
  
  Results
  
  Planned adaptations included combining in-person sessions with conference calls, providing arm-based activity trackers, and adding content on adaptive cooking, adaptive physical activity, injury prevention, unique health considerations, self-advocacy, and caregiver support. During the intervention, participants encountered numerous barriers, including health and mental health issues, transportation, caregivers, employment, adjusting to disability, and functional limitations. We addressed barriers with responsive adaptations, such as supporting electronic self-monitoring, offering make up sessions, and adding content and activities on goal setting, problem solving, planning, peer support, reflection, and motivation.
  
  Conclusions
  
  Given the lack of evidence on lifestyle change in people with disabilities, it is critical to involve the community in intervention planning and respond to real-time barriers as participants engage in change. A randomized controlled trial (RCT) is underway to examine the usability, feasibility, and preliminary effectiveness of the adapted intervention.
  
  
• Subjects:
  Advisory Committees Caregivers Community-Based Participatory Research Community Participation Cooking Diabetes Mellitus Disabled Persons Exercise Health Promotion Humans Life Style Mobility Limitation Obesity Safety

  More +
• Source:
  Disabil Health J. 11(2):315-323
• Pubmed ID:
  29129715
• Pubmed Central ID:
  PMC5869071
• Document Type:
  Journal Article
• Funding:
  R25 CA057712/CA/NCI NIH HHS/United States ; U01 DD001007/DD/NCBDD CDC HHS/United States
• Volume:
  11
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5fb086433c756736eee3eb65dab20b8a9f694466bf0b20d705760d46e908ba77
• Download URL:
  https://stacks.cdc.gov/view/cdc/52939/cdc_52939_DS1.pdf
• File Type:
  [PDF - 485.38 KB ]