Implementation Evaluation of a Parks- and Faith-Based Multilevel Intervention to Promote Physical Activity Among Latinos.

Autor:	Perez LG; RAND Corporation, Santa Monica, CA, USA., Blagg T; Pardee RAND Graduate School, Santa Monica, CA, USA., Celeste-Villalvir A; The Praxis Project, San Francisco, CA, USA., Castro G; RAND Corporation, Santa Monica, CA, USA., Mata MA; Nazarene Theological Seminary, Kansas City, MO, USA., Perez S; Archdiocese of Los Angeles, San Gabriel Pastoral Region, Irwindale, CA, USA., Arredondo E; Department of Psychology, San Diego State University, San Diego, CA, USA., Loy S; Department of Kinesiology, California State University, Northridge, CA, USA., Larson A; School of Kinesiology, California State University, Los Angeles, CA, USA., Derose KP; RAND Corporation, Santa Monica, CA, USA.; Department of Health Promotion and Policy, University of Massachusetts Amherst, Amherst, MA, USA.
Jazyk:	angličtina
Zdroj:	Journal of physical activity & health [J Phys Act Health] 2024 Sep 25; Vol. 21 (11), pp. 1174-1187. Date of Electronic Publication: 2024 Sep 25 (Print Publication: 2024).
DOI:	10.1123/jpah.2024-0290
Abstrakt:	Background: Latinos in the United States face multiple barriers to engaging in physical activity (PA). We implemented a faith-based multilevel intervention to promote PA in parks for Latino adults, which was partially adapted to a virtual platform during the COVID-19 pandemic, and evaluated it using the Reach, Effectiveness, Adoption, Implementation, and Maintenance framework. Methods: We conducted in-depth semistructured interviews (83% in Spanish) with 24 intervention participants (75% women) participating in a cluster randomized controlled trial in 2019-2022 that linked 6 churches (3 intervention, 3 control) with parks in East Los Angeles, CA. The intervention included in-person, park-based fitness classes, which were adapted to Facebook during the pandemic; PA motivational text messages; and other activities. Interviews assessed Reach (participation), Effectiveness (perceived impacts), Implementation (participation barriers/facilitators), and Maintenance (plans for sustaining PA), as well as perceived pandemic impacts. Results: About 80% of interviewees participated in ≥1 park class and 67% in ≥1 virtual class (Reach). Interviewees perceived positive intervention impacts across multiple health and well-being domains (Effectiveness) despite perceived negative pandemic impacts; several facilitators to participation (personal, social, program) and few barriers (personal, virtual, environmental; Implementation); and plans for maintaining PA (eg, revisiting intervention text messages and video recordings; Maintenance). Conclusions: Findings support the utility of Reach, Effectiveness, Adoption, Implementation, and Maintenance to understand the broad impacts of a faith-based PA intervention. Findings point to the adaptability and robustness of the intervention during a public health crisis. Overall, findings may help inform the translation of the intervention to other communities to advance health equity.
Databáze:	MEDLINE
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