A Pilot Walking Program for Mexican-American Women Living in Colonias at the Border

Abstract

Culturally sensitive programs promoting walking in underserved, minority populations are promising in reducing physical activity disparities.

Systematic review of physical activity promotion by community health workers

“…On the other hand, only five studies focused on the promotion of PA as their primary outcome (Staten et al, 2004;Gomes and Duarte, 2008;Ayala, 2011;Mier et al, 2011;Coleman et al, 2012). Analysis of the samples revealed that, in terms of ethnicity/race, half of the interventions were applied in Hispanic populations (or descendants) (Staten et al, 2004;Balcázar et al, 2005;Staten et al, 2005;Larkey, 2006;Babamoto et al, 2009;Castillo et al, 2010;Ayala, 2011;Mier et al, 2011;Ruggiero et al, 2011;Spencer et al, 2011;Coleman et al, 2012;Duggan et al, 2014), and five (19.2%) in Blacks (Becker et al, 2005;Plescia et al, 2008;Treadwell et al, 2010;Spencer et al, 2011;Cene et al, 2013).…”

“…Analysis of the samples revealed that, in terms of ethnicity/race, half of the interventions were applied in Hispanic populations (or descendants) (Staten et al, 2004;Balcázar et al, 2005;Staten et al, 2005;Larkey, 2006;Babamoto et al, 2009;Castillo et al, 2010;Ayala, 2011;Mier et al, 2011;Ruggiero et al, 2011;Spencer et al, 2011;Coleman et al, 2012;Duggan et al, 2014), and five (19.2%) in Blacks (Becker et al, 2005;Plescia et al, 2008;Treadwell et al, 2010;Spencer et al, 2011;Cene et al, 2013). In relation to clinical conditions, nine studies involved samples at risk of or with diabetes mellitus type II (Babamoto et al, 2009;Castillo et al, 2010;Comellas et al, 2010;Treadwell et al, 2010;Allen et al, 2011;Spencer et al, 2011;Islam et al, 2013a;Islam et al, 2013b;Duggan et al, 2014) and four studies included overweight/obese individuals (Folta et al, 2009;Treadwell et al, 2010;Mier et al, 2011;Jennings et al, 2013) (Table 1).…”

“…Regarding study design, the majority of trials had no control group (n= 15, 57.7%) (Balcázar et al, 2005;Staten et al, 2005;Larkey, 2006;Castillo et al, 2010;Comellas et al, 2010;Treadwell et al, 2010;Ayala, 2011;Mier et al, 2011;Ruggiero et al, 2011;Shlay et al, 2011;Cene et al, 2013;Islam et al, 2013a;Jennings et al, 2013;Krantz et al, 2013;Ursua et al, 2014) and eight were pilot studies (Castillo et al, 2010;Comellas et al, 2010;Treadwell et al, 2010;Mier et al, 2011;Cene et al, 2013;Islam et al, 2013b;Krantz et al, 2013;Ursua et al, 2014). Only two studies were performed outside the United States, one in Brazil (Gomes and Duarte, 2008) and the other in England (Jennings et al, 2013) (Table 1).…”

“…A further twelve articles were excluded for the following reasons: incompatible age range (adolescents) (n= 4), lack of response from authors to requests for full texts (n= 3), publications based on the same study (n= 3), intervention not conducted by CHW (n= 1) and having a sample of patients with diseases such as autism, cerebral palsy, epilepsy and developmental disabilities (n= 1) ( Figure 1). The descriptive synthesis was based on the data of 26 original trials (Staten et al, 2004;Balcázar et al, 2005;Becker et al, 2005;Staten et al, 2005;Larkey, 2006;Gomes and Duarte, 2008;Plescia et al, 2008;Babamoto et al, 2009;Folta et al, 2009;Castillo et al, 2010;Comellas et al, 2010;Treadwell et al, 2010;Allen et al, 2011;Ayala, 2011;Mier et al, 2011;Ruggiero et al, 2011;Shlay et al, 2011;Spencer et al, 2011;Coleman et al, 2012;Cene et al, 2013;Islam et al, 2013a;Islam et al, 2013b;Jennings et al, 2013;Krantz et al, 2013;Duggan et al, 2014;Ursua et al, 2014).…”

“…Surveillance System was employed in three studies (Plescia et al, 2008;Babamoto et al, 2009;Spencer et al, 2011), the short version of the International Physical Activity Questionnaire (IPAQ) in two studies (Mier et al, 2011;Ruggiero et al, 2011), and the 7-Day Physical Activity Recall was used in another two studies (Becker et al, 2005;Allen et al, 2011).…”