Evaluation Design for Community-Based Physical Activity Programs for Socially Disadvantaged Groups: Communities on the Move

Herens, M.C.; Wagemakers, Annemarie; Vaandrager, L.; Ophem, Johan van; Koelen, M.A.

doi:10.2196/resprot.2327

Cited by 20 publications

(34 citation statements)

References 33 publications

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“…Also, it is suggested that more effective programs can be made by further alignment of interventions to the targeted population [9e11]. Therefore, it is necessary to identify ingredients that make interventions more effective in encouraging adolescents to become more physically active [12].…”

mentioning

confidence: 99%

School-Based Physical Activity Interventions in Prevocational Adolescents: A Systematic Review and Meta-Analyses

Kop

Kernebeek

Otten

et al. 2019

Journal of Adolescent Health

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Literature detailing the effectiveness of school-based physical activity promotion interventions in prevocational adolescents was reviewed to identify effective intervention characteristics. Methods: The search strategy assessed studies against inclusion criteria study design, study population, school setting, language, and construct. The risk of bias of the included studies was assessed, and extractions were made of the physical activity (PA) level outcome measures and intervention characteristics regarding organizational, social, and content features. A meta-analysis was conducted to determine the overall effect of the interventions on the PA level. Identification of effective intervention characteristics was done by subgroup analyses. Meta-regression analysis was performed with PA level as dependent variable and intervention characteristics as covariates. Results: A total of 40 eligible studies was included for meta-analyses. Among the included studies, the overall intervention effect on increasing the PA level of prevocational adolescents was weak (standardized mean difference [SMD] .19, 95% confidence interval [CI] .12e.27). Intervention characteristics that improve the effect size to a moderate level were intracurricular PA (SMD .43, 95% CI .19e.68), involving school staff in an intracurricular intervention (SMD .37, 95% CI .16e.58) and a tailored intracurricular intervention (SMD .35, 95% CI .13e.58). Meta-regression analysis confirmed PA as a positive predictor. Conclusions: The effect of a school-based PA intervention was small to moderate. A sensible choice in the assembly of a multicomponent school-based PA intervention increases the effectiveness considerably. Physical education teachers, school administrators, and policy makers should consider organizational (intracurriculum, short and medium duration), personal (tailoring, participation), social (school staff) and content (PA) determinants.

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mentioning

confidence: 99%

School-Based Physical Activity Interventions in Prevocational Adolescents: A Systematic Review and Meta-Analyses

Kop

Kernebeek

Otten

et al. 2019

Journal of Adolescent Health

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“…It is evident that evaluating these types of complex interventions is conceptually challenging. Using the traditional randomized controlled trial (RCT) approach is not feasible because of its lack of in-depth examination of the social, cultural, and organizational factors that could influence outcomes [ 80 ]. In addition, it is almost impossible to use randomization procedures within the real life situations in which CBR programs are implemented [ 80 ].…”

Section: Discussionmentioning

confidence: 99%

“…Using the traditional randomized controlled trial (RCT) approach is not feasible because of its lack of in-depth examination of the social, cultural, and organizational factors that could influence outcomes [ 80 ]. In addition, it is almost impossible to use randomization procedures within the real life situations in which CBR programs are implemented [ 80 ]. Finally, the information gathered through an RCT does not allow the capturing of the interactions between the individuals and their social and physical environments [ 80 ].…”

Section: Discussionmentioning

confidence: 99%

Developing Community-Based Rehabilitation Programs for Musculoskeletal Diseases in Low-Income Areas of Mexico: The Community-Based Rehabilitation for Low-Income Communities Living With Rheumatic Diseases (CONCORD) Protocol

A¹,

Richardson²,

Peláez‐Ballestas³

et al. 2014

JMIR Res Protoc

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BackgroundThe negative impact of musculoskeletal diseases on the physical function and quality of life of people living in developing countries is considerable. This disabling effect is even more marked in low-socioeconomic communities within developing countries. In Mexico, there is a need to create community-based rehabilitation programs for people living with musculoskeletal diseases in low-socioeconomic areas. These programs should be directed to prevent and decrease disability, accommodating the specific local culture of communities.ObjectiveThe objective of this paper is to describe a research protocol designed to develop, implement, and evaluate culturally sensitive community-based rehabilitation programs aiming to decrease disability of people living with musculoskeletal diseases in two low-income Mexican communities.MethodsA community-based participatory research approach is proposed, including multi and transdisciplinary efforts among the community, medical anthropology, and the health sciences. The project is structured in 4 main stages: (1) situation analysis, (2) program development, (3) program implementation, and (4) program evaluation. Each stage includes the use of quantitative and qualitative methods (mixed method program).ResultsSo far, we obtained resources from a Mexican federal agency and completed stage one of the project at Chankom, Yucatán. We are currently receiving funding from an international agency to complete stage two at this same location. We expect that the project at Chankom will be concluded by December of 2017. On the other hand, we just started the execution of stage one at Nuevo León with funding from a Mexican federal agency. We expect to conclude the project at this site by September of 2018.ConclusionsUsing a community-based participatory research approach and a mixed method program could result in the creation of culturally sensitive community-based rehabilitation programs that promote community development and decrease the disabling effects of musculoskeletal diseases within two low-income Mexican communities.

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“…There are a few international studies on physical activity interventions guided by a CBPR approach [28][29][30][31]. Moreover, studies evaluating CBPR based intervention using multiple health evaluation methods longitudinally [26] are sparse.…”

Section: Introductionmentioning

confidence: 99%

Development and evaluation of a physical activity intervention informed by participatory research- a feasibility study

et al. 2020

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Background: Despite numerous interventions aiming to improve physical activity in socially disadvantaged populations, physical inactivity remains to be a rising challenge to public health globally, as well as, in Sweden. In an effort to address this challenge, a community-based participatory intervention was developed through active community engagement and implemented in a socially disadvantaged neighborhood in Sweden. The current study aims to present the development and initial evaluation of a participatory research driven physical activity intervention. Methods: Fifteen participants (11 females and 4 males) aged 17-59 years volunteered to participate in the physical activity intervention program. The intervention program was evaluated using a longitudinal mixed methods design measuring health impact changes over time through focus group discussions and quality of life surveys. Further additional biomedical health parameters such as levels of glycosylated hemoglobin, blood pressure, levels of oxygen saturation and body mass index were monitored before and after the intervention. Focus group data were analyzed using content analysis with an inductive approach. The pre-and post-test scores from the survey-based quality of life domains, as well as the health parameters were compared using non-parametric and parametric statistics. Results: Four themes emerged from the analysis of the focus group discussions including sense of fellowship, striving for inclusion and equity, changing the learner perspective and health beyond illness. The scores for the domains Physical Health, Psychological Health, Social Relationships and Health Satisfaction where significantly higher after participation in the physical activity intervention program compared to the pre-test scores (p < .05)s. There were however, no significant changes in the scores for the environmental domain and overall quality of life after intervention compared to that prior to intervention start. Overall, the biomedical health parameters remained stable within the normal ranges during intervention. Conclusion: The focus group discussions and results from the surveys and biomedical measures reveal important findings to understand and further develop the intervention program to promote health equity among citizens in disadvantaged areas. Evaluating the feasibility of such an intervention using multiple approaches contributes to effective implementation of it for larger communities in need.

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Evaluation Design for Community-Based Physical Activity Programs for Socially Disadvantaged Groups: Communities on the Move

Cited by 20 publications

References 33 publications

School-Based Physical Activity Interventions in Prevocational Adolescents: A Systematic Review and Meta-Analyses

School-Based Physical Activity Interventions in Prevocational Adolescents: A Systematic Review and Meta-Analyses

Developing Community-Based Rehabilitation Programs for Musculoskeletal Diseases in Low-Income Areas of Mexico: The Community-Based Rehabilitation for Low-Income Communities Living With Rheumatic Diseases (CONCORD) Protocol

Development and evaluation of a physical activity intervention informed by participatory research- a feasibility study

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