Jilcott SB, Laraia BA, Evenson KR, Lowenstein LM, Ammerman AS. A guide for developing intervention tools addressing environmental factors to improve diet and physical activity.
Health Promot Pract 2007;
8:192-204. [PMID:
17384406 DOI:
10.1177/1524839906293189]
[Citation(s) in RCA: 25] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Low-income populations have an elevated risk of obesity and associated chronic diseases. Environmental factors influence health behaviors that contribute to obesity. Although low-income neighborhoods may pose barriers to healthy behaviors, they may also have health-promoting environmental features (e.g., produce stands, walking trails). Thus, a potentially effective intervention strategy is to help individuals identify and overcome neighborhood barriers by making use of community resources that support a healthy diet and physical activity. The authors describe the formative research process undertaken to develop two community-focused intervention tools to complement a clinic-based cardiovascular disease risk-reduction program for underserved women. Literature review, community exploration, and examination of Internet and print resources contributed to development of a neighborhood assessment with tip sheets and a community resource guide. These tools were finalized using community members' feedback. This formative process can serve as a guide for other health promotion programs to create and use similar tools.
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