Online Program

281952
Using comparative effectiveness research to inform the design of a physical activity intervention for African American and Latino youth: Experiences of a community based participatory research partnership


Tuesday, November 5, 2013

Melissa A. Valerio, PhD, MPH, School of Public Health - San Antonio Regional Campus, University of Texas School of Public Health, San Antonio, TX
Alana LeBron, MS, Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI
Carmen A. Stokes, PhD, FNP-BC, RN, CNE, McAuley School ofNursing, University of Detroit Mercy, Detroit, MI
Graciela B. Mentz, PhD, Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI
Ricardo de Majo, Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI
Sharon L. Sand, MPP, Department of Health Behavior and Health Education, University of Michigan, Ann Arbor, MI
Amy J. Schulz, PhD, Department of Health Behavior and Health Education, University of Michigan School of Public Health, Ann Arbor, MI
The Detroit Community Academic Urban Research Center's Healthy Environments Partnership addresses racial, ethnic, and socioeconomic inequities in cardiovascular health. Community members and partners have identified the need for physical activity interventions for youth in the community. A Comparative Effectiveness Research (CER) approach was used to conduct a systematic review of physical activity interventions to identify characteristics of effective interventions (e.g. setting, number of sessions, group characteristics) and their impact on youth physical activity outcomes over time. We used a combined CER/CBPR approach to identify elements of effective physical activity interventions for African American and Latino youth aimed to eliminate health disparities. A meta-analysis was completed to identify characteristics of interventions associated with improvements in physical activity related outcomes in African American and Latino youth 8-18 years of age. A systematic approach was used to screen and extract study data. 5,195 journal articles were reviewed and 38were identified for inclusion in the meta-analysis. Interventions were found to be more likely to target elementary-school aged youth. No significant differences in intervention design by race/ethnicity were found. A significant increase in physical activity over time was more likely to be found in interventions focused on one gender compared to those involving both genders. CER contributes to the identification and synthesis of effective intervention strategies to inform the design of interventions within the context of CBPR. The use of CER takes into account the socio-ecological environment and may increase the likelihood for design of effective interventions to address physical activity and health inequalities.

Learning Areas:

Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Program planning
Public health or related research
Social and behavioral sciences

Learning Objectives:
Describe the use of a CBPR approach in comparative effectiveness research Discuss a systematic review process Identify characteristics of effective physical activity interventions

Keyword(s): Physical Activity, Community-Based Health Promotion

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I serve as an Associate Professor at the University of Texas School of Public Health. My research is in the area of chronic disease management and health literacy. I teach needs assessment and serve as the mentor for MPH and PhD students.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.