Abstract:
:Well-documented associations between lifestyle behaviors and disease outcomes necessitate evidence-based health promotion interventions. To enhance potential efficacy and effectiveness, interventionists increasingly respond to community priorities, employ comprehensive theoretical frameworks, invest heavily to ensure cultural fit, implement evidence-based programming, and deploy research gold standards. We describe a project that followed all of these recommended strategies, but did not achieve desired outcomes. This community-based participatory research (CBPR) energy balance (diet and physical activity) intervention, conducted in Appalachian Kentucky among 900+ residents, employed a wait list control cluster randomized design. We engaged faith institutions, took an intergenerational approach, and modified two existing evidence-based interventions to enhance cultural relevance. Despite these efforts, fruit and vegetable consumption and physical activity did not change from baseline to post-test or differed significantly between intervention and wait list control groups. Barriers to engaging in optimal energy balance focused more on motivation and attitude than on structural and material barriers. The complex interplay of psychosocial, structural, and physiological processes offers significant challenges to groups with entrenched health challenges.
journal_name
Transl Behav Medjournal_title
Translational behavioral medicineauthors
Schoenberg NE,Tarasenko YN,Snell-Rood Cdoi
10.1093/tbm/ibx013subject
Has Abstractpub_date
2018-09-08 00:00:00pages
733-738issue
5eissn
1869-6716issn
1613-9860pii
4815718journal_volume
8pub_type
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journal_title:Translational behavioral medicine
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journal_title:Translational behavioral medicine
pub_type: 杂志文章
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journal_title:Translational behavioral medicine
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journal_title:Translational behavioral medicine
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