Background:This study attempts to ameliorate some of the limitations of evaluation practice with regard to CHA projects. We report the results of two CDC projects designed to reduce cardiovascular disease risk in older, African American women in two low-income communities –– Project Joy, a church-based project in Baltimore, MD, and The Uniontown Project, a community-based project in rural Alabama. Both Projects are evaluating the efficacy of CHAs/lay leaders in delivering a 12-month program to their peers, to measure nutrition, and physical activity. Methods: An extended evaluation was conducted one year post intervention using qualitative methods (focus groups, community expert panels, and in-depth interviews). Participants included randomly selected CHA’s and women who were active in the interventions. The recorded notes of moderators, observers, and interviewers, and verbatim transcribed audiotapes served as data sources. Each of the investigators conducted an independent analysis and a consensus report of themes was generated. Results and Conclusions: Data analysis revealed several major themes related to health eating and physical activity among middle-aged and older African American women in the two projects: (1) motivation and commitment, (2) social support through social networks, (3) cultural norms, and (4) environments. Despite a range of personal characteristics, similar perceptions were expressed by the women in both populations. Personal motivation and commitment were the strongest factors in choosing to eat healthier and be more physically active. The social support provided to the women by CHAs and other peers within their churches and communities were motivating factors.
Learning Objectives: 1. Recognize the need for good evaluations of CHA projects. 2. Describe some of the lessons from these projects. 3. List three predictors and barriers associated with maintenance of nutritious eating and improved physical activity.
Keywords: Community-Based Health Promotion, Cardiorespiratory
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: Centers for Disease Control and Prevention, Johns Hopkins University, University of Alabama
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.