Attitudes Surrounding a Community-Based Fitness Intervention at an Urban FQHC.

Autor:	Foster K; Thomas Jefferson University, Department of Family and Community Medicine, Philadelphia, PA., Stoeckle J; Thomas Jefferson University, Department of Family and Community Medicine, Philadelphia, PA., Silverio A; Thomas Jefferson University, Department of Family and Community Medicine, Philadelphia, PA., Castellan C; Thomas Jefferson University, Department of Family and Community Medicine, Philadelphia, PA., Hogue A; Stephen Klein Wellness Center, Philadelphia, PA., Gouch A; Lewis Katz School of Medicine at Temple University, Philadelphia, PA., Weinstein L; Stephen Klein Wellness Center, Philadelphia, PA.
Jazyk:	angličtina
Zdroj:	Family medicine [Fam Med] 2019 Jul; Vol. 51 (7), pp. 598-602.
DOI:	10.22454/FamMed.2019.641507
Abstrakt:	Background and Objectives: The population surrounding an urban federally qualified health center (FQHC) in Philadelphia has poorer health than Philadelphia overall. Community residents identified aerobics and dance classes as very important services or programs that an FQHC might provide. We sought to measure the impact of participation in a resident physician-led, patient-centered fitness and nutrition class on participants' attitudes, knowledge, and self-efficacy regarding their health. Methods: An urban line dancing class and brief healthy eating intervention for adults was held at a YMCA adjacent to a residency-affiliated FQHC weekly for 8 weeks. Pre/postsurveys were administered to assess attitudes and confidence toward physical activity and healthy lifestyles. Results: Participants' self-assessment of health and levels of physical activity improved. Confidence in performing everyday activities, doing regular exercise and exercising without making symptoms worse increased. A significant decrease in participants' physical activity gratification was observed. Participants' confidence improved in reading food labels for health, but confidence in eating a balanced diet did not improve. Conclusions: A resident-led fitness and nutrition class, tailored to perceived community needs, generated significant interest and sustained participation. This pilot study furthered development of community infrastructure addressing health, nutrition, and overall fitness, and the results reflect opportunities and challenges of engaging communities in physical fitness.
Databáze:	MEDLINE
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