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Weiler‐Wichtl LJ, Schneider C, Gsell H, Maletzky A, Kienesberger A, Röhl C, Bocolli A, Gojo J, Hansl R, Zettl A, Hopfgartner M, Leiss U. Asking those who know their needs best: A framework for active engagement and involvement of childhood cancer survivors and parents in the process of psychosocial research-A workshop report. Cancer Rep (Hoboken) 2024; 7:e2071. [PMID: 38767531 PMCID: PMC11104286 DOI: 10.1002/cnr2.2071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/23/2023] [Revised: 03/22/2024] [Accepted: 03/30/2024] [Indexed: 05/22/2024] Open
Abstract
BACKGROUND Patient and public involvement and engagement (PPIE) in healthcare research is crucial for effectively addressing patients' needs and setting appropriate research priorities. However, there is a lack of awareness and adequate methods for practicing PPIE, especially for vulnerable groups like childhood cancer survivors. AIMS This project aimed to develop and evaluate engagement methods to actively involve pediatric oncological patients, survivors, and their caregivers in developing relevant research questions and practical study designs. METHODS AND RESULTS An interdisciplinary working group recruited n = 16 childhood cancer survivors and their caregivers to work through the entire process of developing a research question and a practicable study design. A systematic literature review was conducted to gather adequate PPIE methods which were then applied and evaluated in a series of three workshop modules, each lasting 1.5 days. The applied methods were continuously evaluated, while a monitoring group oversaw the project and continuously developed and adapted additional methods. The participants rated the different methods with varying scores. Over the workshop series, the participants successfully developed a research question, devised an intervention, and designed a study to evaluate their project. They also reported increased expertise in PPIE and research knowledge compared to the baseline. The project resulted in a practical toolbox for future research, encompassing the final workshop structure, evaluated methods and materials, guiding principles, and general recommendations. CONCLUSION These findings demonstrate that with a diverse set of effective methods and flexible support, actively involving patients, survivors, and caregivers can uncover patients' unmet disease-related needs and generate practical solutions apt for scientific evaluation. The resulting toolbox, filled with evaluated and adaptable methods (workbook, Supplement 1 and 2), equips future scientists with the necessary resources to successfully perform PPIE in the development of health care research projects that effectively integrate patients' perspectives and address actual cancer-related needs. This integration of PPIE practices has the potential to enhance the quality and relevance of health research and care, as well as to increase patient empowerment leading to sustainable improvements in patients' quality of life.
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Affiliation(s)
- Liesa J. Weiler‐Wichtl
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics and Comprehensive Cancer CenterMedical University of ViennaViennaAustria
- KOKON – Psychosocial and Mental Health in Pediatrics LabRohrbach‐BergUpper AustriaAustria
| | | | - Hannah Gsell
- Childhood Cancer International – Europe (CCI‐E)ViennaAustria
- Survivors AustriaViennaAustria
| | - Anna‐Maria Maletzky
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics and Comprehensive Cancer CenterMedical University of ViennaViennaAustria
| | | | - Claas Röhl
- Survivors AustriaViennaAustria
- NF KinderViennaAustria
| | - Albina Bocolli
- Childhood Cancer International – Europe (CCI‐E)ViennaAustria
| | - Johannes Gojo
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics and Comprehensive Cancer CenterMedical University of ViennaViennaAustria
| | - Rita Hansl
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics and Comprehensive Cancer CenterMedical University of ViennaViennaAustria
- Department of Cognition, Emotion, and Methods in Psychology, Faculty of PsychologyUniversity of ViennaViennaAustria
| | - Anna Zettl
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics and Comprehensive Cancer CenterMedical University of ViennaViennaAustria
| | - Maximilian Hopfgartner
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics and Comprehensive Cancer CenterMedical University of ViennaViennaAustria
| | - Ulrike Leiss
- Department of Pediatrics and Adolescent Medicine, Comprehensive Center for Pediatrics and Comprehensive Cancer CenterMedical University of ViennaViennaAustria
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Kreiml V, Sauter A, Abu-Omar K, Eickmann S, Herrmann-Johns A. "That's like therapy"-A qualitative study on socially disadvantaged women's views on the effects of a community-based participatory research project on their health and health behavior. Front Public Health 2024; 12:1339556. [PMID: 38304180 PMCID: PMC10830699 DOI: 10.3389/fpubh.2024.1339556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2023] [Accepted: 01/08/2024] [Indexed: 02/03/2024] Open
Abstract
Background Regular physical activity has positive effects on both physical and mental health. Nevertheless, socially disadvantaged women are often insufficiently physically active. Through needs-based physical activity offers, community-based participatory research (CBPR) projects have the potential to reach these women and increase the effectiveness of physical activity interventions by supporting women's empowerment, health, and health behaviors. This study aimed to examine socially disadvantaged women's views on the effects of long-term participation in Bewegung als Investition in Gesundheit (BIG, i.e., movement as an investment in health), a long-standing German CBPR project, on their health and health behavior. Methods Semi-structured qualitative interviews were conducted with 30 participating women at five BIG sites across Germany between April and August 2022. The interviews were recorded, transcribed verbatim, and analyzed using framework analysis. Results Women reported that participation in BIG classes contributed to their physical, mental, and social health. For many women, the positive effects on their mental and social wellbeing were most important. In addition to increased fitness and improved physical endurance, many participating women were able to expand their social networks, thus receiving further social support, and improve their self-esteem, self-confidence, and self-efficacy. Furthermore, participation in BIG physical activity classes positively influenced the health awareness of many women helping them to improve their activity level and diet over time. Conclusion Our results suggest that CBPR projects, such as the BIG project, can increase physical activity among socially disadvantaged groups and contribute to their overall health and wellbeing. CBPR projects could thus be considered a key element of health promotion for this target group. Future interventional research is required to confirm and further explore the effects of CBPR interventions and to examine whether the effects can be replicated in other settings.
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Affiliation(s)
- Verena Kreiml
- Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Regensburg, Germany
| | - Alexandra Sauter
- Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Regensburg, Germany
| | - Karim Abu-Omar
- Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nuremberg, Erlangen, Germany
| | - Sascha Eickmann
- Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Regensburg, Germany
| | - Anne Herrmann-Johns
- Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg, Regensburg, Germany
- School of Medicine and Public Health, University of Newcastle, Newcastle, NSW, Australia
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Proaño GV, Rodriguez Moreno LM, Arciniegas MJ, Sifre-Acosta N, Espinal C, Chowdhury R, Hernández Flórez LJ, Palacios C. Effectiveness, barriers, and facilitators of overweight and obesity prevention strategies in Latin America; a scoping review and qualitative study in Colombia. LANCET REGIONAL HEALTH. AMERICAS 2024; 29:100656. [PMID: 38250673 PMCID: PMC10797189 DOI: 10.1016/j.lana.2023.100656] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/27/2023] [Revised: 12/01/2023] [Accepted: 12/12/2023] [Indexed: 01/23/2024]
Abstract
Background This project aimed to synthesize the quantitative/qualitative evidence on the effectiveness of overweight/obesity prevention strategies implemented in Colombia and their barriers and facilitators. Methods A scoping review was conducted by searching PubMed, SciELO, Scopus, and the grey literature (2012–2023). In-depth interviews were also conducted among key stakeholders on their perception of these strategies’ effectiveness, barriers, and facilitators. Findings 26 records were included; four studies found positive changes in weight/body mass index, five found positive changes in physical activity, two found positive changes in food intake, and four found positive changes in healthy lifestyle knowledge, perception, attitudes, and habits. The main barrier reported was the obesogenic environment, and the facilitators were program flexibility and community engagement. Eighteen interviews were conducted (one interview per strategy); the main barriers reported were political, lack of evaluation access, economic situation, and lack of articulation; the main facilitators were incorporating the strategy into policies, articulation with stakeholders, and strong oversight. Interpretation Moderate evidence indicates that these strategies positively impact outcomes related to overweight/obesity in Colombia, but more long-term studies are needed for overweight/obesity reduction. Lack of (1) evaluation and resources (barriers), (2) incorporation into policies (facilitators), and (3) strong stakeholder coordination (facilitators) was identified. Funding Global Health Consortium , Department of Global Health , 10.13039/100007681 FIU .
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Affiliation(s)
- Gabriela V. Proaño
- Department of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
| | | | | | - Niliarys Sifre-Acosta
- Department of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
| | - Carlos Espinal
- Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
| | - Rajiv Chowdhury
- Department of Global Health, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
| | | | - Cristina Palacios
- Department of Dietetics and Nutrition, Robert Stempel College of Public Health & Social Work, Florida International University, Miami, FL, United States
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Kim B, Cruden G, Crable EL, Quanbeck A, Mittman BS, Wagner AD. A structured approach to applying systems analysis methods for examining implementation mechanisms. Implement Sci Commun 2023; 4:127. [PMID: 37858215 PMCID: PMC10588196 DOI: 10.1186/s43058-023-00504-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2023] [Accepted: 09/23/2023] [Indexed: 10/21/2023] Open
Abstract
BACKGROUND It is challenging to identify and understand the specific mechanisms through which an implementation strategy affects implementation outcomes, as implementation happens in the context of complex, multi-level systems. These systems and the mechanisms within each level have their own dynamic environments that change frequently. For instance, sequencing may matter in that a mechanism may only be activated indirectly by a strategy through another mechanism. The dosage or strength of a mechanism may vary over time or across different health care system levels. To elucidate the mechanisms relevant to successful implementation amidst this complexity, systems analysis methods are needed to model and manage complexity. METHODS The fields of systems engineering and systems science offer methods-which we refer to as systems analysis methods-to help explain the interdependent relationships between and within systems, as well as dynamic changes to systems over time. When applied to studying implementation mechanisms, systems analysis methods can help (i) better identify and manage unknown conditions that may or may not activate mechanisms (both expected mechanisms targeted by a strategy and unexpected mechanisms that the methods help detect) and (ii) flexibly guide strategy adaptations to address contextual influences that emerge after the strategy is selected and used. RESULTS In this paper, we delineate a structured approach to applying systems analysis methods for examining implementation mechanisms. The approach includes explicit steps for selecting, tailoring, and evaluating an implementation strategy regarding the mechanisms that the strategy is initially hypothesized to activate, as well as additional mechanisms that are identified through the steps. We illustrate the approach using a case example. We then discuss the strengths and limitations of this approach, as well as when these steps might be most appropriate, and suggest work to further the contributions of systems analysis methods to implementation mechanisms research. CONCLUSIONS Our approach to applying systems analysis methods can encourage more mechanisms research efforts to consider these methods and in turn fuel both (i) rigorous comparisons of these methods to alternative mechanisms research approaches and (ii) an active discourse across the field to better delineate when these methods are appropriate for advancing mechanisms-related knowledge.
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Affiliation(s)
- Bo Kim
- VA Boston Healthcare System, 150 South Huntington Avenue, Boston, MA, 02130, USA.
- Harvard Medical School, 25 Shattuck Street, Boston, MA, 02115, USA.
| | - Gracelyn Cruden
- Chestnut Health Systems, Lighthouse Institute-Oregon Group, 1255 Pearl Street, Eugene, OR, 97401, USA
| | - Erika L Crable
- UC San Diego, 9500 Gilman Drive, La Jolla, CA, 92093, USA
- Child and Adolescent Services Research Center, 3665 Kearny Villa Road, San Diego, CA, 92123, USA
- UC San Diego ACTRI Dissemination and Implementation Science Center, 9500 Gilman Drive, La Jolla, CA, 92093, USA
| | - Andrew Quanbeck
- University of Wisconsin-Madison, 610 North Whitney Way, Madison, WI, 53705, USA
| | - Brian S Mittman
- Kaiser Permanente Southern California, 200 North Lewis Street, Orange, CA, 92868, USA
- University of Southern California, 2025 Zonal Avenue, Los Angeles, CA, 90089, USA
- UCLA, 405 Hilgard Avenue, Los Angeles, CA, 90095, USA
| | - Anjuli D Wagner
- University of Washington, 3980 15Th Avenue NE, Seattle, WA, 98195, USA
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Baldovino-Chiquillo L, Sarmiento OL, O'Donovan G, Wilches-Mogollon MA, Aguilar AF, Florez-Pregonero A, Martínez PA, Arellana J, Guzmán LA, Yamada G, Rodriguez DA, Diez-Roux AV. Effects of an urban cable car intervention on physical activity: the TrUST natural experiment in Bogotá, Colombia. Lancet Glob Health 2023; 11:e1290-e1300. [PMID: 37474235 PMCID: PMC10369015 DOI: 10.1016/s2214-109x(23)00274-7] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Revised: 05/17/2023] [Accepted: 06/05/2023] [Indexed: 07/22/2023]
Abstract
BACKGROUND Cable cars are part of the transport system in several cities in Latin America, but no evaluations of their effects on physical activity are available. TransMiCable is the first cable car in Bogotá, Colombia, and the wider intervention includes renovated parks and playgrounds. We assessed the effects of TransMiCable and the wider intervention on physical activity. METHODS The Urban Transformations and Health natural experiment was a prospective quasi-experimental study conducted from Feb 1, 2018, to Dec 18, 2018 (baseline, pre-intervention) and from July 2, 2019, to March 15, 2020 (post-intervention follow-up) in the TransMiCable intervention area (Ciudad Bolívar settlement) and a control area without TransMiCable (San Cristóbal settlement). A multistage strategy was used to sample households in each area, with one adult (aged ≥18 years) per household invited to participate. Eligible participants had lived in the intervention or control areas for at least 2 years and were not planning to move within the next 2 years. Physical activity was assessed among participants in the intervention and control areas before and after the inauguration of TransMiCable in Ciudad Bolívar with the International Physical Activity Questionnaire (long form) and with wearable accelerometers. Complete cases (those with baseline and follow-up data) were included in analyses. Respondents were classed as being physically active if they met 2020 WHO guidelines (≥150 min per week of moderate activity, ≥75 min per week of vigorous activity, or equivalent combinations); and accelerometery data were classified with the Freedson cut-points for adults. Data were also gathered in zonal parks (area ≥10 000 m2) and neighbourhood parks (area <10 000 m2) in the intervention and control areas by direct observation with the System for Observing Play and Recreation in Communities, to assess levels of physical activity before and after the TransMiCable intervention. Multilevel regression models were used to assess changes in physical activity associated with the TransMiCable intervention. FINDINGS Physical activity questionnaires were completed by 2052 adult participants (1289 [62·8%] women and 763 [37·2%] men; mean age 43·5 years [SD 17·7]) before the inauguration of TransMiCable. After the inauguration, the follow-up (final) questionnaire sample comprised 825 adults in the intervention group and 854 in the control group, including 357 adults in the intervention group and 334 in the control group with valid accelerometery data. 334 (40·5%) of 825 participants in the intervention group reported levels of physical activity that met the 2020 WHO guidelines during walking for transport before the intervention, and 426 (51·6%) afterwards (change 11·1 percentage points [95% CI 6·4 to 15·9]). A similar change was observed in the control group (change 8·0 percentage points [3·4 to 12·5]; adjusted odds ratio [OR] for the time-by-group interaction, intervention vs control group: 1·1 [95% CI 0·8 to 1·5], p=0·38). Time spent doing moderate-to-vigorous physical activity, measured with accelerometers, did not change in the intervention group after the inauguration of TransMiCable (change -0·8 min per day [-4·6 to 3·0]) and did not change compared with the control group (adjusted β for the time-by-group interaction: 1·4 min per day [95% CI -2·0 to 4·9], p=0·41). Moderate-to-vigorous physical activity was 52·1 min per day (SD 24·7) before and 59·4 min per day (35·2) after the inauguration of TransMiCable in new regular users who reported using TransMiCable during mandatory trips for work or education (n=32; change 7·3 min per day [-22·5 to 7·9]). After the intervention, an increase in the proportion of male individuals engaging in moderate or vigorous physical activity was observed in a renovated zonal park (adjusted OR for the time-by-group interaction, intervention vs control park: 2·7 [1·1 to 6·8], p=0·033). Female users of a renovated neighbourhood park were less likely to become engaged in moderate or vigorous physical activity than female users of the control area neighbourhood park (adjusted OR for the time-by-group interaction: 0·4 [0·1 to 0·6], p=0·019). INTERPRETATION It is encouraging that walking for transport remained high in the TransMiCable intervention area when the use of private motorised transport had increased elsewhere in Bogotá. In low-income urban areas, where transport-related walking is a necessity, transport interventions should be focused on efforts to maintain participation in active travel while improving conditions under which it occurs. FUNDING Wellcome Trust (as part of the Urban Health in Latin America project); Bogotá Urban Planning Department; Ministry of Science, Technology, and Innovation of Colombia; Universidad de Los Andes; Fundación Santa Fe de Bogotá; and Universidad del Norte. TRANSLATION For the Spanish translation of the abstract see Supplementary Materials section.
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Affiliation(s)
| | | | - Gary O'Donovan
- School of Medicine, Universidad de los Andes, Bogotá, Colombia; BrainLat, Universidad Adolfo Ibáñez, Santiago, Chile; Instituto Masira, Universidad de Santander, Bucaramanga, Colombia
| | - Maria A Wilches-Mogollon
- School of Medicine, Universidad de los Andes, Bogotá, Colombia; Department of Industrial Engineering, School of Engineering, Universidad de los Andes, Bogotá, Colombia
| | | | | | | | - Julian Arellana
- Department of Civil and Environmental Engineering, Universidad del Norte, Barranquilla, Colombia
| | - Luis A Guzmán
- Grupo de Sostenibilidad Urbana y Regional, Department of Civil and Environmental Engineering, School of Engineering, Universidad de los Andes, Bogotá, Colombia
| | - Goro Yamada
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
| | - Daniel A Rodriguez
- Department of City and Regional Planning and Institute for Transportation Studies, University of California Berkeley, Berkeley, CA, USA
| | - Ana V Diez-Roux
- Urban Health Collaborative, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA; Department of Epidemiology and Biostatistics, Dornsife School of Public Health, Drexel University, Philadelphia, PA, USA
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Rubio MA, Mejía-Arbeláez CM, Wilches-Mogollon MA, Moreno S, Finck C, Rosas LG, Romero SA, Guevara P, Cabas S, Rubiano O, Flórez-Pregonero A, León JG, Alarcón LF, Haile R, Sarmiento OL, King AC. "My Body, My Rhythm, My Voice": a community dance pilot intervention engaging breast cancer survivors in physical activity in a middle-income country. Pilot Feasibility Stud 2023; 9:30. [PMID: 36855214 PMCID: PMC9971676 DOI: 10.1186/s40814-023-01253-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2022] [Accepted: 01/28/2023] [Indexed: 03/02/2023] Open
Abstract
BACKGROUND Interventions to promote physical activity among women breast cancer survivors (BCS) in low- to middle-income countries are limited. We assessed the acceptability and preliminary effectiveness of a theory-driven, group-based dance intervention for BCS delivered in Bogotá, Colombia. METHODS We conducted a quasi-experimental study employing a mixed-methods approach to assess the 8-week, 3 times/week group dance intervention. The effect of the intervention on participants' physical activity levels (measured by accelerometry), motivation to engage in physical activity, and quality of life were evaluated using generalized estimating equation analysis. The qualitative method included semi-structured interviews thematically analyzed to evaluate program acceptability. RESULTS Sixty-four BCS were allocated to the intervention (n = 31) or the control groups (n = 33). In the intervention arm, 84% attended ≥ 60% of sessions. We found increases on average minutes of moderate-to-vigorous physical activity per day (intervention: +8.99 vs control: -3.7 min), and in ratings of motivation (intervention change score = 0.45, vs. control change score= -0.05). BCS reported improvements in perceived behavioral capabilities to be active, captured through the interviews. CONCLUSIONS The high attendance, behavioral changes, and successful delivery indicate the potential effectiveness, feasibility, and scalability of the intervention for BCS in Colombia. TRIAL REGISTRATION ClinicalTrial.gov NCT05252780, registered on Dec 7th, 2021-retrospectively registered unique protocol ID: P20CA217199-9492018.
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Affiliation(s)
- María Alejandra Rubio
- grid.7247.60000000419370714School of Medicine, Universidad de los Andes, Carrera 1, #18ª-12, Bogotá, Colombia
| | - Carlos M. Mejía-Arbeláez
- grid.7247.60000000419370714School of Medicine, Universidad de los Andes, Carrera 1, #18ª-12, Bogotá, Colombia
| | - Maria A. Wilches-Mogollon
- grid.7247.60000000419370714School of Engineering, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
| | - Sergio Moreno
- grid.7247.60000000419370714School of Medicine, Universidad de los Andes, Carrera 1, #18ª-12, Bogotá, Colombia
| | - Carolyn Finck
- grid.7247.60000000419370714Department of Psychology, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
| | - Lisa G. Rosas
- grid.168010.e0000000419368956Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA 94305 USA ,grid.168010.e0000000419368956Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305 USA
| | - Sol A. Romero
- grid.442177.30000 0004 0486 1713Faculty of Health Sciences, Universidad Manuela Beltrán, Bogotá, Colombia
| | - Paula Guevara
- grid.7247.60000000419370714School of Medicine, Universidad de los Andes, Carrera 1, #18ª-12, Bogotá, Colombia
| | - Santiago Cabas
- grid.7247.60000000419370714School of Medicine, Universidad de los Andes, Carrera 1, #18ª-12, Bogotá, Colombia
| | - Oscar Rubiano
- grid.442175.10000 0001 2106 7261Research Department, Universidad Libre, Bogotá, Colombia
| | - Alberto Flórez-Pregonero
- grid.41312.350000 0001 1033 6040School of Education, Pontificia Universidad Javeriana, Bogotá, Colombia
| | - José G. León
- Sports Medicine Service, Hospital de San José, Bogotá, Colombia
| | - Luis Fernando Alarcón
- grid.7247.60000000419370714School of Medicine, Universidad de los Andes, Carrera 1, #18ª-12, Bogotá, Colombia
| | | | - Olga L. Sarmiento
- grid.7247.60000000419370714School of Medicine, Universidad de los Andes, Carrera 1, #18ª-12, Bogotá, Colombia
| | - Abby C. King
- grid.168010.e0000000419368956Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA 94305 USA ,grid.168010.e0000000419368956Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305 USA
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Rubio MA, Mosquera D, Blanco M, Montes F, Finck C, Duval M, Trillos C, Jaramillo AM, Rosas LG, King AC, Sarmiento OL. Cross-sector co-creation of a community-based physical activity program for breast cancer survivors in Colombia. Health Promot Int 2022; 37:6646635. [PMID: 35853152 DOI: 10.1093/heapro/daac073] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
Benefits of physical activity (PA) in breast cancer survivors (BCS) are well established. However, programs to promote PA among BCS tailored to real-world contexts within low- to middle-income countries are limited. Cross-sector co-creation can be key to effective and scalable programs for BCS in these countries. This study aimed to evaluate the networking process to engage multisector stakeholders in the co-creation of a PA program for Colombian BCS called My Body. We employed a mixed-methods design including semistructured interviews, workshops and a social network analysis of centrality measures to assess stakeholders' engagement, resources and skills enabling the collaborative work, challenges, outcomes and lessons learned. The descriptive analysis and the centrality measures of the network revealed that 19 cross-sector stakeholders engaged in the My Body collaborative network. Through ongoing communication and cooperation, My Body built relationships between the academic lead institutions (local and international), and local and national public, private and academic institutions working in public health, sports and recreation, social sciences and engineering fields. The outcomes included the co-creation of the community-based PA program for BCS, its implementation through cross-sector synergies, increased relationships and communications among stakeholders, and successful dissemination of evidence and project results to the collaboration partners and other relevant stakeholders and community members. The mixed-methods assessment enabled understanding of ways to advance cross-sector co-creation of health promotion programs. The findings can help to enable continued development of sustainable cross-sector co-creation processes aimed at advancing PA promotion.
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Affiliation(s)
- María Alejandra Rubio
- Department of Public Health, School of Medicine, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
| | - Daniela Mosquera
- Department of Public Health, School of Medicine, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
| | - Martha Blanco
- Department of Industrial Engineering, School of Engineering, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
| | - Felipe Montes
- Department of Industrial Engineering, School of Engineering, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
| | - Carolyn Finck
- Department of Psychology, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
| | - Martin Duval
- Department of Public Health, School of Medicine, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
| | - Catalina Trillos
- Department of Public Health, School of Medicine, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
| | - Ana María Jaramillo
- Department of Industrial Engineering, School of Engineering, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
| | - Lisa G Rosas
- Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA 94305, USA.,Division of Primary Care and Population Health, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Abby C King
- Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA 94305, USA.,Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA 94305, USA
| | - Olga L Sarmiento
- Department of Public Health, School of Medicine, Universidad de los Andes, Carrera 1 #18ª-12, Bogotá, Colombia
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