Framed, Interactive Theory-Driven Texting: Effects of Message Framing on Health Behavior Change for Weight Loss
More approaches to support weight control are needed, especially among racial minorities who shoulder a disproportionate obesity burden. Using an approach influenced by regulatory fit theory, we conducted a 28-day, 4-arm experimental trial with 89 obese adults recruited from urban, predominantly African American churches to ascertain the efficacy of framed text messages to motivate behaviors conducive to weight loss. Participants were assigned to receive message framing that was matched versus mismatched to their motivational orientation. Results were mixed overall; however, matched texts elicited greater motivation to cha...
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Utilizing a Social Determinant of Health Framework as Determinants of Perceived Behavioral Control
Health disparities reflect inequalities in health outcomes among different populations. As a planning tool for researchers and practitioners to address health disparities, multiple frameworks utilizing social determinants of health have been proposed. Perceived behavioral control, a construct within the Integrative Behavioral Model, reflects how much control one feels over a health behavior and how easy or difficult the behavior is to enact under internal and external barriers. The purpose of this commentary is to suggest how a unified social determinant of health framework can be utilized as a predictor and determinant of...
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Using the Integrative Behavioral Model to Predict Monitoring of Fruit and Vegetable Consumption Among Hispanic Mothers
The purpose of this study was to operationalize the Integrative Behavioral Model (IBM) to identify significant theory-based determinants of maternal monitoring of fruit and vegetables consumption among low-income, Hispanic mothers of 2- to 5-year-old children (N = 238). Mothers completed a survey evaluating each construct of the IBM. Path analysis showed that intentions significantly predicted maternal monitoring of fruit and vegetables consumption (5.3% of the variance explained) and autonomy significantly predicted intentions (33.1% of the variance explained). Results from this study help create foundational work to esta...
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Breast-feeding Coparenting Framework: A New Framework to Improve Breast-feeding Duration and Exclusivity
Targeting mothers and fathers in breast-feeding promotion programs is recommended as research has found that father's support positively impacts breast-feeding duration and exclusivity. Breast-feeding coparenting refers to the manner in which parents work together to achieve their breast-feeding goals. The Breast-feeding Coparenting Framework was developed on the basis of diverse coparenting models and research related to father's involvement with breast-feeding. This framework consists of 5 components: joint breast-feeding goal setting, shared breast-feeding responsibility, proactive breast-feeding support, father's/partn...
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Mapping Coaches' Views of Participation in CrossFit to the Integrated Theory of Health Behavior Change and Sense of Community
Group-based training through CrossFit has recently exploded in popularity. Anecdotally, participants often make lifestyle changes and experience improved fitness. Participation factors were mapped to the Integrated Theory of Health Behavior Change and “sense of community” constructs. Key informant interviews were conducted with 6 CrossFit gym owners/coaches. Data were thematically coded with NVivo 10. Results revealed key factors that both facilitated and restricted participation in CrossFit. Findings provide implications for future theory application and highlight how to improve initiation and adherence by capitalizin...
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Using a Community Health Development Framework to Increase Community Capacity: A Multiple Case Study
The Physical Activity and Community Engagement Project utilized a comparative case study to understand how a theoretical framework called community health development (CHD) influences community capacity. Three rural communities (cases) developed interventions using a CHD framework. Researchers collected qualitative evidence measuring capacity and the CHD process for more than 3 years. Patterns identified seven capacity constructs relevant to CHD, including community history, civic participation, leadership, skills, resources, social and interorganizational networks, and critical reflection. Community health development foc...
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
The Determinants of Physical Activity in Rural Women, Aged 20 to 44 Years, in Georgia
This study was guided by Self-Determination Theory. Survey data suggest that the highest type of motivation was identified regulation, and husband's support had the strongest effect on physical activity. Findings suggest that a history of sports participation can lead to the formation of intrinsic motivation. The results will assist in developing effective physical activity interventions. (Source: Family and Community Health)
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
A Community-Based Participatory Research Intervention to Promote Physical Activity Among Rural Children: Theory and Design
This article describes the unique design of the intervention including its theoretical framework, its interrelated components, and the logistics involved. (Source: Family and Community Health)
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Foreword
No abstract available (Source: Family and Community Health)
Source: Family and Community Health - November 22, 2016 Category: Primary Care Tags: Foreword Source Type: research
Factors Influencing Mexican Women's Decisions to Vaccinate Daughters Against HPV in the United States and Mexico
Mexican and Mexican-American women bear high cervical cancer burdens, yet relationships between mothers' experiences of vaccinating daughters against cervical cancer-causing human papillomavirus (HPV) on both sides of the border are unknown. We surveyed 400 Mexican-born women in Oxnard, California, United States and Cuernavaca, Morelos, Mexico, about their beliefs and practices regarding daughters' HPV vaccination, conducting in-depth interviews with 35 participants. Contextualizing interview findings in survey data, we identify key factors influencing mothers' experiences regarding daughters' HPV vaccination in both count...
Source: Family and Community Health - August 19, 2016 Category: Primary Care Tags: Special Feature Source Type: research
Exploring the Contextual Factors of Adolescent Obesity in an Underserved Population Through Photovoice
Obesity, a global health epidemic, requires targeted interventions to promote sustainable health behavior change; yet, prior efforts have not yielded significant improvements in obesity rates. Using Photovoice as a data collection approach, this community-engaged research study partnered with a weight management program to understand participants' perspectives on access to physical activity and nutritious food. Twelve adolescent-parent dyads participated. Barriers, facilitators, and opportunities for change were identified and categorized through adolescent photographs, interviews, and participant focus groups, according t...
Source: Family and Community Health - August 19, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Barriers to Participation in Physical Activity Among South Sudanese Children in South Australia: Parents' Perspectives
Physical inactivity is one of the determinants of childhood obesity. Although its facilitators are well documented for the general community, limited evidence exists informing newly arrived and emerging migrant communities in Australia. To explore parents' perspectives of barriers to participation in physical activity among South Sudanese children in South Australia. Qualitative, face-to-face interviews were conducted with parents. Data were transcribed, coded, and analyzed thematically using NVivo software. Multiple and complex barriers to physical activity participation were described. Enabling and supportive programs ar...
Source: Family and Community Health - August 19, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Consistency of Moderate to Vigorous Physical Activity in Middle School Physical Education
This study assessed the consistency of moderate to vigorous physical activity (MVPA) in a sample of middle school physical education lessons. Random intercept hierarchical linear regressions were employed to model the relationship between consistency of MVPA and independent variables, including lesson and teacher characteristics. Larger classes spent significantly more time in consistent MVPA in the absence of controlling for teacher characteristics. A significant interaction between class size and teacher experience suggests that experience may play a beneficial role in larger classes, and overall class size does not have...
Source: Family and Community Health - August 19, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Do the Features, Amenities, and Quality of Physical Activity Resources Differ Between City and County Areas of a Large Rural Region?
The goal of this work was to provide a community-academic partnership with actionable information for physical activity (PA) for a rural health-disparate region. Identified PA outlets were audited and combined with survey data for 813 residents in the region. Less than a third of sampled residents (28%) met PA recommendations, with low perceptions of safety for PA. PA resource outlets in rural areas had higher numbers of incivilities. On the basis of our findings, 4 actionable strategies are recommended: shared-use agreements, reducing incivilities, addressing issues related to safety from traffic, and increasing the numbe...
Source: Family and Community Health - August 19, 2016 Category: Primary Care Tags: Original Articles Source Type: research
Wise Choices: Nutrition and Exercise for Older Adults: A Community-Based Health Promotion Intervention
Effective interventions for older adults are needed to address lifestyle behaviors linked to chronic illnesses. We implemented a 12-week group behavioral intervention for 118 racially diverse older adults at 6 community-based senior centers to improve eating and physical activity. Assessments were completed pre- and postintervention, with 85.6% retention. We documented increases in fruit, vegetable, and whole grain intake; pace of walking; number of city blocks walked; daily steps walked; functional mobility; and self-rated general health (P (Source: Family and Community Health)
Source: Family and Community Health - August 19, 2016 Category: Primary Care Tags: Original Articles Source Type: research
