Minority Health Archive

SEEKING COMMUNITY INPUT TO IMPROVE IMPLEMENTATION OF A LIFESTYLE MODIFICATION PROGRAM

Punzalan, Cristina and Paxton, Keisha C. and Guentzel, Heather and Bluthenthal, Ricky N. and Staunton, Anne D. and Mejia, Gloria and Morales, Leo and Miranda, Jeanne (2006) SEEKING COMMUNITY INPUT TO IMPROVE IMPLEMENTATION OF A LIFESTYLE MODIFICATION PROGRAM. Ethnicity & Disease, 16 (1 S1). S1 79-S1 88. ISSN 1049-510X

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Abstract

Objectives: Obesity increases a person’s risk for diabetes, which is becoming the most common chronic disease in the United States. Latina and African-American women in disadvantaged communities are at higher risk for becoming overweight and subsequently developing diabetes. The purpose of this focusgroup study was to guide our adaptation of an evidence-based lifestyle intervention and implementation of the Community-Based Lifestyle Balance program (CLSB). Design, Setting, and Participants: We conducted 11 focus-group discussions with 87 African-American and Latina women in disadvantagedcommunities, including schools, senior centers, subsidized housing communities, and churches. We also conducted informal key informant interviews with community service providers and leaders. Results: Discussions revealed high knowledge of healthy behavior and strong interest in making lifestyle changes. However, barriers such as competing demands on these women prevented long-term practice of healthy behaviors. Women frequently expressed feelings of guilt and self-blame in their attempts and failures to make healthy changes in their daily routine. Some patterns were identified that varied by age and race/ethnicity. These findings suggest guidelines for implementing this lifestyle intervention in a variety of community settings. Conclusions: Community-level changes such as safer streets and better access to quality grocery stores or markets, with affordable, healthy, fresh food can take years to accomplish. In the interim, CLSB can provide women with skills and strategies that can help improve their health and the health of their families.


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Item Type: Article
Additional Information: After clicking link, scroll down the page to find the article.
Uncontrolled Keywords: African American, Focus Group, Healthy Eating, Hispanic, Physical Activity, Qualitative Methodology, Women
Subjects: Health > Health Equity
Health > Health Equity > Access To Healthy Foods
Health > Disparities
Health > Nutrition
Health > Public Health > Chronic Illness & Diseases > Diabetes
Health > Public Health > Chronic Illness & Diseases > Obesity
Practice > interventions
Research > studies
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Depositing User: Users 141 not found.
Date Deposited: 02 Apr 2011
Last Modified: 01 Jun 2011 10:49
Link to this item (URI): http://health-equity.pitt.edu/id/eprint/654

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