Developing Culturally-Embedded Health Promo Interv: HISP Women as Community Partners

2.50
Hdl Handle:
http://hdl.handle.net/10755/157588
Type:
Presentation
Title:
Developing Culturally-Embedded Health Promo Interv: HISP Women as Community Partners
Abstract:
Developing Culturally-Embedded Health Promo Interv: HISP Women as Community Partners
Conference Sponsor:Western Institute of Nursing
Conference Year:2009
Author:Perez, Adriana, MSN
P.I. Institution Name:Arizona State University, Nursing
Title:Doctoral Student
Contact Address:500 North 3rd Street, Phoenix, AZ, 85004, USA
Contact Telephone:602 496 0782
Co-Authors:Julie Fleury, PhD, Hanner Professor and Associate Dean for Research, Director PhD Program; Colleen Keller, PhD, Professor
Purpose: The purpose of this paper is to describe a theory-driven approach to developing a culturally relevant social support intervention to promote physical activity among Hispanic women. A social support framework guided development of Mujeres en Accion por Su Salud [Women in Action for Their Health], grounded in formative research, partnership with community members, and strengths of community-based physical activity interventions with Hispanic women. Rationale: Factors contributing to cardiovascular (CVD) risk in Hispanic women, particularly older women, include a lack of physical activity. Community-based interventions designed to promote physical activity among Hispanic women have shown varying effectiveness. Further, there are few culturally relevant, theory-based interventions designed to foster support systems and environments to promote physical activity. Methods: Intervention development was based on program theory: problem definition, critical inputs, mediating processes, expected outcomes, and implementation issues, grounded in formative research, partnership with community members, and strengths of community-based physical activity interventions with Hispanic women. Results: Mujeres en Accion por Su Salud operationalizes culturally-embedded social support mechanisms, fostering naturally-occurring social networks, role models, and community resources. Mobilizing naturally-occurring social networks through intervention is important because such networks are indigenous to the community, and offer culturally relevant and effective social support. Social support is defined as aid and assistance exchanged through social relationships and interpersonal transactions. Critical inputs designed to foster social support, implemented within the community, include: (a) emotional support provided by Promotoras and study participants; (b) instrumental support, including social and community resources to promote physical activity; (c) appraisal support, including sharing goals, strategies, and resources for physical activity; and (d) informational support through Promotoras who promote the safe performance of physical activity. Mujeres en Accion critical inputs target planned changes in the structure of supportive mechanisms, operationalized through supportive interaction between group members and community-based Promotoras, changes in interactions between women themselves, and group engagement and role modeling of self-paced, moderate intensity walking as the behavioral change of interest. Implications: Attention to culturally-embedded, theory-based interventions that foster social support, increase physical activity, and promote CVD health outcomes among Hispanic women may begin to address critical health disparities and further the science in this field.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Western Institute of Nursing

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDeveloping Culturally-Embedded Health Promo Interv: HISP Women as Community Partnersen_GB
dc.identifier.urihttp://hdl.handle.net/10755/157588-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Developing Culturally-Embedded Health Promo Interv: HISP Women as Community Partners</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Western Institute of Nursing</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2009</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Perez, Adriana, MSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Arizona State University, Nursing</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Doctoral Student</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">500 North 3rd Street, Phoenix, AZ, 85004, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">602 496 0782</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">adriana.rivera@asu.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Julie Fleury, PhD, Hanner Professor and Associate Dean for Research, Director PhD Program; Colleen Keller, PhD, Professor</td></tr><tr><td colspan="2" class="item-abstract">Purpose: The purpose of this paper is to describe a theory-driven approach to developing a culturally relevant social support intervention to promote physical activity among Hispanic women. A social support framework guided development of Mujeres en Accion por Su Salud [Women in Action for Their Health], grounded in formative research, partnership with community members, and strengths of community-based physical activity interventions with Hispanic women. Rationale: Factors contributing to cardiovascular (CVD) risk in Hispanic women, particularly older women, include a lack of physical activity. Community-based interventions designed to promote physical activity among Hispanic women have shown varying effectiveness. Further, there are few culturally relevant, theory-based interventions designed to foster support systems and environments to promote physical activity. Methods: Intervention development was based on program theory: problem definition, critical inputs, mediating processes, expected outcomes, and implementation issues, grounded in formative research, partnership with community members, and strengths of community-based physical activity interventions with Hispanic women. Results: Mujeres en Accion por Su Salud operationalizes culturally-embedded social support mechanisms, fostering naturally-occurring social networks, role models, and community resources. Mobilizing naturally-occurring social networks through intervention is important because such networks are indigenous to the community, and offer culturally relevant and effective social support. Social support is defined as aid and assistance exchanged through social relationships and interpersonal transactions. Critical inputs designed to foster social support, implemented within the community, include: (a) emotional support provided by Promotoras and study participants; (b) instrumental support, including social and community resources to promote physical activity; (c) appraisal support, including sharing goals, strategies, and resources for physical activity; and (d) informational support through Promotoras who promote the safe performance of physical activity. Mujeres en Accion critical inputs target planned changes in the structure of supportive mechanisms, operationalized through supportive interaction between group members and community-based Promotoras, changes in interactions between women themselves, and group engagement and role modeling of self-paced, moderate intensity walking as the behavioral change of interest. Implications: Attention to culturally-embedded, theory-based interventions that foster social support, increase physical activity, and promote CVD health outcomes among Hispanic women may begin to address critical health disparities and further the science in this field.</td></tr></table>en_GB
dc.date.available2011-10-26T20:00:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T20:00:43Z-
dc.description.sponsorshipWestern Institute of Nursingen_GB
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