Using Mixed Methods to Measure the Perception of Community Capacity in an Academic–Community Partnership for a Walking Intervention

Anderson-Lewis, Charkarra; Cuy-Castellanos, Diana; Byrd, Arnecca; Zynda, Karen; Sample, Alicia; Reed, Vickie Blakely; Beard, Mary; Minor, Latessa; Yadrick, Kathleen

doi:10.1177/1524839911404230

Cited by 26 publications

(36 citation statements)

References 14 publications

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“…Complete details on the role of the HCS CAB and study methodology including design, conceptual framework, intervention description, delivery agents, and community engagement are published elsewhere. 23–25 …”

Section: Methodsmentioning

confidence: 99%

HUB City Steps: A 6-Month Lifestyle Intervention Improves Blood Pressure among a Primarily African-American Community

Zoellner¹,

Connell²,

Madson³

et al. 2014

Journal of the Academy of Nutrition and Dietetics

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The effectiveness of community-based participatory research (CBPR) efforts to address the disproportionate burden of hypertension among African Americans remains largely untested. The objective of this 6-month, non-controlled, pre- post- experimental intervention was to examine the effectiveness of a CBPR intervention in achieving improvements in blood pressure (BP), anthropometric measures, biological measures, and diet. Conducted in 2010, this multicomponent, lifestyle intervention included motivational enhancement, social support provided by peer coaches, pedometer diary self-monitoring, and monthly nutrition and physical activity education sessions. Of 269 enrolled participants, most were African American (94%) females (85%). Statistical analysis included generalized linear mixed models using maximum likelihood estimation. From baseline to 6-months, systolic BP [126.0 (SD=19.1) to 119.6 (SD=15.8) mmHg; p=0.0002] and diastolic BP [83.2 (SD= 12.3) to 78.6 (SD=11.1) mmHg; p<0.0001] were significantly reduced. Sugar intake also decreased significantly as compared to baseline (by approximately three teaspoons; p<0.0001). Time differences were not apparent for any other measures. Results from this study suggest that CBPR efforts are a viable and effective strategy for implementing non-pharmacologic, multicomponent, lifestyle interventions that can help in addressing the persistent racial and ethnic disparities in hypertension treatment and control. Outcome findings help fill gaps in the literature for effectively translating lifestyle interventions to reach and engage African American communities to reduce the burden of hypertension.

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Section: Methodsmentioning

confidence: 99%

HUB City Steps: A 6-Month Lifestyle Intervention Improves Blood Pressure among a Primarily African-American Community

Zoellner¹,

Connell²,

Madson³

et al. 2014

Journal of the Academy of Nutrition and Dietetics

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“…The community capacity building action plan, described elsewhere[15], utilized Lempa and colleagues' framework for community capacity[16] and applied lessons learned related to community capacity through the prior pilot intervention[25]. The CAB also took on the responsibilities of providing oversight and guidance related to intervention implementation, evaluation, and planning for sustainability.…”

Section: Methodsmentioning

confidence: 99%

H.U.B city steps: methods and early findings from a community-based participatory research trial to reduce blood pressure among african americans

Zoellner

Connell

Madson

et al. 2011

Int J Behav Nutr Phys Act

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BackgroundCommunity-based participatory research (CBPR) has been recognized as an important approach to develop and execute health interventions among marginalized populations, and a key strategy to translate research into practice to help reduce health disparities. Despite growing interest in the CBPR approach, CBPR initiatives rarely use experimental or other rigorous research designs to evaluate health outcomes. This behavioral study describes the conceptual frameworks, methods, and early findings related to the reach, adoption, implementation, and effectiveness on primary blood pressure outcomes.MethodsThe CBPR, social support, and motivational interviewing frameworks are applied to test treatment effects of a two-phased CBPR walking intervention, including a 6-month active intervention quasi experimental phase and 12-month maintenance randomized controlled trial phase to test dose effects of motivational interviewing. A community advisory board helped develop and execute the culturally-appropriate intervention components which included social support walking groups led by peer coaches, pedometer diary self-monitoring, monthly diet and physical activity education sessions, and individualized motivational interviewing sessions. Although the study is on-going, three month data is available and reported. Analyses include descriptive statistics and paired t tests.ResultsOf 269 enrolled participants, most were African American (94%) females (85%) with a mean age of 43.8 (SD = 12.1) years. Across the 3 months, 90% of all possible pedometer diaries were submitted. Attendance at the monthly education sessions was approximately 33%. At the 3-month follow-up 227 (84%) participants were retained. From baseline to 3-months, systolic BP [126.0 (SD = 19.1) to 120.3 (SD = 17.9) mmHg; p < 0.001] and diastolic BP [83. 2 (SD = 12.3) to 80.2 (SD = 11.6) mmHg; p < 0.001] were significantly reduced.ConclusionsThis CBPR study highlights implementation factors and signifies the community's active participation in the development and execution of this study. Reach and representativeness of enrolled participants are discussed. Adherence to pedometer diary self-monitoring was better than education session participation. Significant decreases in the primary blood pressure outcomes demonstrate early effectiveness. Importantly, future analyses will evaluate long-term effectiveness of this CBPR behavioral intervention on health outcomes, and help inform the translational capabilities of CBPR efforts.

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“…The CEMI data were collected as part of a larger, community based participatory research healthy lifestyle intervention, HUB City Steps (HCS). The methodology as well as secondary aims are further described elsewhere (Anderson-Lewis et al, 2012; Zoellner et al, 2011). The CEMI data reported here were obtained during the initial baseline assessment.…”

Section: Methodsmentioning

confidence: 99%

Measuring Client Experiences of Motivational Interviewing During a Lifestyle Intervention

Madson

Mohn

Schumacher

et al. 2015

Measurement and Evaluation in Counseling and Development

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Using Mixed Methods to Measure the Perception of Community Capacity in an Academic–Community Partnership for a Walking Intervention

Cited by 26 publications

References 14 publications

HUB City Steps: A 6-Month Lifestyle Intervention Improves Blood Pressure among a Primarily African-American Community

HUB City Steps: A 6-Month Lifestyle Intervention Improves Blood Pressure among a Primarily African-American Community

H.U.B city steps: methods and early findings from a community-based participatory research trial to reduce blood pressure among african americans

Measuring Client Experiences of Motivational Interviewing During a Lifestyle Intervention

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