Process evaluation findings from Strong Hearts, Healthy Communities 2.0: a cardiovascular disease prevention intervention for rural women.

Autor: Szeszulski J; Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA., Rolke LJ; Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA., Ayine P; Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA., Bailey R; Institute for Advancing Health through Agriculture (IHA), Texas A&M AgriLife Research, Department of Nutrition, College of Agriculture and Life Sciences, 498 Olsen Drive, College Station, TX, 77845, USA., Demment M; Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA., Eldridge GD; Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA., Folta SC; Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA, 02111, USA., Graham ML; Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA., MacMillan Uribe AL; Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA., McNeely A; Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA., Nelson ME; Friedman School of Nutrition Science and Policy, Tufts University, 150 Harrison Avenue, Boston, MA, 02111, USA., Pullyblank K; Bassett Research Institute, One Atwell Road, Cooperstown, NY, 13326, USA., Rethorst C; Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA., Strogatz D; Bassett Research Institute, One Atwell Road, Cooperstown, NY, 13326, USA., Seguin-Fowler RA; Institute for Advancing Health Through Agriculture (IHA), Texas A&M AgriLife Research, 17360 Coit Rd, Dallas, TX, 75252, USA. r.seguin-fowler@ag.tamu.edu.; Institute for Advancing Health through Agriculture (IHA), Texas A&M AgriLife Research, Department of Nutrition, College of Agriculture and Life Sciences, 498 Olsen Drive, College Station, TX, 77845, USA. r.seguin-fowler@ag.tamu.edu.
Jazyk: angličtina
Zdroj: The international journal of behavioral nutrition and physical activity [Int J Behav Nutr Phys Act] 2024 Oct 22; Vol. 21 (1), pp. 122. Date of Electronic Publication: 2024 Oct 22.
DOI: 10.1186/s12966-024-01670-y
Abstrakt: Background: Strong Hearts, Healthy Communities 2.0 (SHHC-2.0) was a 24-week cardiovascular disease prevention program that was effective in improving physical activity and nutrition behaviors and clinical outcomes among women in 11 rural New York, USA towns. This study evaluated the delivery of SHHC-2.0 to prepare the intervention for further dissemination.
Methods: This process evaluation was guided by the Medical Research Council recommendations and engaged program leaders and participants (i.e., women over age 40) using quantitative and qualitative methods. The quantitative evaluation included examination of enrollment and retention data, a participant survey, and a fidelity checklist completed after classes. Descriptive and comparative statistics were used to assess implementation measures: program reach, participant attendance, dose delivered, program length, perceived effectiveness, fidelity, and participant satisfaction. The qualitative evaluation included focus groups (n = 13) and interviews (n = 4) using semi-structured guides; audio was recorded and transcripts were deductively coded and analyzed using directed content analysis and iterative categorization approaches. Comparisons across towns and between intervention and waitlist control groups were explored.
Results: Average reach within towns was 7.5% of the eligible population (range 0.7-15.7%). Average attendance was 59.8% of sessions (range 42.0-77.4%). Average dose delivered by leaders was 86.4% of curriculum components (range 73.5-95.2%). Average session length was 51.8 ± 4.8 min across 48 sessions. Leaders' perceived effectiveness rating averaged 4.1 ± 0.3 out of 5. Fidelity to curricular components was 81.8% (range 67.4-93.2%). Participants reported being "more than satisfied" with the overall program (88.8%) and the health benefits they obtained (72.9%). Qualitative analysis revealed that participants: (1) gained new knowledge and enjoyable experiences; (2) perceived improvements in their physical activity, nutrition, and/or health; (3) continued to face some barriers to physical activity and healthy eating, with those relating to social support being reduced; and (4) rated leaders and the group structure highly, with mixed opinions on the research elements.
Conclusions: SHHC-2.0 had broad reach, was largely delivered as intended, and participants expressed high levels of satisfaction with the program and its health benefits. Our findings expand on best practices for implementing cardiovascular disease prevention programs in rural communities.
Clinical Trials Registration: www.
Clinicaltrials: gov #NCT03059472.
(© 2024. The Author(s).)
Databáze: MEDLINE
Externí odkaz:
Nepřihlášeným uživatelům se plný text nezobrazuje