International Journal of Environmental Research and Public Health
Volume 15, Issue 5, 2018

Active ottumwa: Adapting evidence-based recommendations to promote physical activity in a micropolitan new destination community (Article) (Open Access)

Baquero B.* , Kava C.M. , Ashida S. , Daniel-Ulloa J. , Laroche H.H. , Haines H. , Bucklin R. , Maldonado A. , Garcia M.C. , Berto S. , Sewell D. , Novak N. , Janz K. , Gates C. , Parker E.A.
  • a University of Iowa Prevention Research Center, Department of Community and Behavioral Health, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • b University of Iowa Prevention Research Center, Department of Community and Behavioral Health, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • c University of Iowa Prevention Research Center, Department of Community and Behavioral Health, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • d University of Iowa Prevention Research Center, Department of Community and Behavioral Health, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • e Department of Internal Medicine, University of Iowa Carver College of Medicine, 451 Newton Rd, Iowa City, IA 52242, United States
  • f University of Iowa Prevention Research Center, Department of Community and Behavioral Health, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • g University of Iowa Prevention Research Center, Department of Community and Behavioral Health, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • h University of Iowa Prevention Research Center, Department of Community and Behavioral Health, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • i Department of Biostatistics, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • j University of Iowa Prevention Research Center, Department of Community and Behavioral Health, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • k Department of Biostatistics, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • l University of Iowa Prevention Research Center, Department of Community and Behavioral Health, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States
  • m Department of Health and Human Physiology, University of Iowa College of Liberal Arts and Sciences, 240 Schaeffer Hall, Iowa City, IA 52242, United States
  • n Community Advisory Board representative, Ottumwa Prevention Research Center office, 205 E. Main St, Ottumwa, IA 52556, United States
  • o University of Iowa Prevention Research Center, Department of Community and Behavioral Health, University of Iowa College of Public Health, 145 N. Riverside Dr, Iowa City, IA 52240, United States

Abstract

Background: Evidence-based interventions have been developed and tested to promote physical activity, but fewer studies have focused on identifying effective intervention strategies for mid-size rural communities, especially new immigrant destinations. We report here on the design and implementation of Active Ottumwa, a community-wide intervention using a lay health advisor approach to increase physical activity in a micropolitan new destination community in the rural state of Iowa. Methods: The Active Ottumwa study is part of a community-academic partnership in Ottumwa, IA. Evidence-based strategies recommended by the Community Guide for Preventive Services guided study implementation and included behavioral and social, campaign and informational, and environmental and policy approaches. Evaluation methods for this study are multi-faceted and include a cross-sectional community survey, longitudinal cohort assessment, observational data, key informant interviews, and project records. Results: We are currently in our second year of intervention implementation, with 45 lay health advisors (termed physical activity leaders here) trained to carry out behavioral and social intervention approaches, including walking groups, tai chi, and yoga. We have completed a communication and informational campaign utilizing five channels. Our longitudinal cohort has been recruited, with baseline and 12-month data collection completed. Conclusions: This study will assess the effectiveness and impact of a community-wide intervention to support physical activity. © 2018 by the authors. Licensee MDPI, Basel, Switzerland.

Author Keywords

Lay health advising community prevention intervention physical activity

Index Keywords

physical activity rural area policy approach health promotion comparative effectiveness exercise Preventive Health Services human rural population procedures Cross-Sectional Studies interview United States Design cross-sectional study Humans preventive health service leadership Tai Chi Article organization and management walking program evaluation human experiment cohort analysis Iowa implementation process social behavior behavioral response
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-85046691008&doi=10.3390%2fijerph15050917&partnerID=40&md5=97cece51cd9f4c000851195959046d2b
DOI: 10.3390/ijerph15050917
ISSN: 16617827
Original Language: English