Inshape together: A multilevel, intergenerational, community-based program to promote physical activity and reduce sedentary behavior
Wednesday, November 6, 2013
: 9:30 a.m. - 9:50 a.m.
Background: This pilot study evaluates the ability of InSHAPE® Together (IST), an innovative, multilevel, intergenerational program, to promote physical activity and reduce sedentary behavior in three communities in New Hampshire and Vermont. Within a Community-Based Participatory Research process, communities adopted an Action Learning Collaborative (ALC) model to apply quality improvement tools to achieve participants' physical activity and nutrition goals. Methods: The ALC curriculum was designed with community leaders to encourage team learning, expand social supports, and frame individual goal-setting within the broader context of community health. IST was implemented in 9 monthly meetings by local project coordinators and content experts. Most of the 97 participants were female (85.4%), white (93.8%), and non-Hispanic/Latino (95.9%). Participant average age was 52 years (range 12-86). Baseline adult BMI was 35 and 28.0% had annual household income of $20,000 or less. Trained staff measured participant height, weight, 6-minute walk (6MWT) distance, and administered surveys at baseline, midpoint, and endpoint (scheduled for Spring 2013). Results: Data from 70 participants completing midpoint assessments thus far were analyzed with appropriate statistical methods. BMI decreased in 53% and 6MWT distance increased in 67%. Participants reported increased feelings of social support for exercise (47.0%), increased number of days with vigorous activity (50.0%) and walking (50.0%), and decreased barriers to exercise (64.3%). Over half reduced their sedentary time (62.9%) and 87.9% reported making lifestyle changes because of IST. Conclusions: IST shows potential as an approach for reducing individual barriers to physical activity, while enhancing social connections for healthier communities.
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
List basic elements of an Action Learning Collaborative (ALC) model.
Identify evidence-based measures for a multilevel intervention.
Describe tools for development and tracking of individual physical activity levels so that enablers and barriers to behavior change become more explicit to the individual.
Keyword(s): Physical Activity, Community Programs
Presenting author's disclosure statement:
Qualified on the content I am responsible for because: I am the Principal Investigator on the grant (PRC from CDC) that supported this research and oversaw all aspects of the project, including the implementation and evaluation of the research project.
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.