Contemporary Clinical Trials
Volume 47, 2016, Pages 22-31

Healthy immigrant families: Participatory development and baseline characteristics of a community-based physical activity and nutrition intervention (Article)

Wieland M.L.* , Weis J.A. , Hanza M.M.K. , Meiers S.J. , Patten C.A. , Clark M.M. , Sloan J.A. , Novotny P.J. , Njeru J.W. , Abbenyi A. , Levine J.A. , Goodson M. , Porraz Capetillo M.G.D. , Osman A. , Hared A. , Nigon J.A. , Sia I.G.
  • a Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, United States
  • b Center for Clinical and Translational Science, Mayo Clinic, Rochester, MN, United States
  • c Department of Research Administration, Mayo Clinic, Rochester, MN, United States
  • d Department of Nursing, Winona State University, Rochester, MN, United States
  • e Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States
  • f Department of Psychiatry and Psychology, Mayo Clinic, Rochester, MN, United States
  • g Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States
  • h Division of Biomedical Statistics and Informatics, Mayo Clinic, Rochester, MN, United States
  • i Division of Primary Care Internal Medicine, Mayo Clinic, Rochester, MN, United States
  • j Division of Clinical Microbiology, Mayo Clinic, Rochester, MN, United States
  • k Division of Endocrinology, Mayo Clinic, Scottsdale, AZ, United States
  • l Alliance of Chicanos, Hispanics, and Latin Americans, Rochester, MN, United States
  • m Language Services, Mayo Clinic, Rochester, MN, United States
  • n Somali Community Resettlement Services, Rochester, MN, United States
  • o Somali Community Resettlement Services, Rochester, MN, United States
  • p Hawthorne Education Center, Rochester, MN, United States
  • q Division of Infectious Diseases, Mayo Clinic, Rochester, MN, United States

Abstract

Background: US immigrants often have escalating cardiovascular risk. Barriers to optimal physical activity and diet have a significant role in this risk accumulation. Methods: We developed a physical activity and nutrition intervention with immigrant and refugee families through a community-based participatory research approach. Work groups of community members and health scientists developed an intervention manual with 12 content modules that were based on social-learning theory. Family health promoters from the participating communities (Hispanic, Somali, Sudanese) were trained to deliver the intervention through 12 home visits during the first 6 months and up to 12 phone calls during the second 6 months. The intervention was tested through a randomized community-based trial with a delayed-intervention control group, with measurements at baseline, 6, 12, and 24 months. Primary measurements included accelerometer-based assessment of physical activity and 24-hour dietary recall. Secondary measures included biometrics and theory-based instruments. Results: One hundred fifty-one individuals (81 adolescents, 70 adults; 44 families) were randomized. At baseline, mean (SD) time spent in moderate-to-vigorous physical activity was 64.7 (30.2) minutes/day for adolescents and 43.1 (35.4) minutes/day for adults. Moderate dietary quality was observed in both age groups. Biometric measures showed that 45.7% of adolescents and 80.0% of adults were overweight or obese. Moderate levels of self-efficacy and social support were reported for physical activity and nutrition. Discussion: Processes and products from this program are relevant to other communities aiming to reduce cardiovascular risk and negative health behaviors among immigrants and refugees. Trial registration: This trial was registered at Clinicaltrials.gov (NCT01952808). © 2015 Elsevier Inc..

Author Keywords

Community-based participatory research Immigrant refugee health physical activity dietary quality

Index Keywords

information processing physical activity social learning immigrant healthy lifestyle refugee health promotion exercise human Refugees middle aged Overweight Sudan controlled study obesity diet randomized controlled trial social support family health Minnesota ethnology procedures Hispanic Americans Self Efficacy Humans migrant family Hispanic Adolescent male Emigrants and Immigrants female self concept Healthy Diet Article major clinical study intervention study adult Somalia participatory research Community-Based Participatory Research nutritional health biometry Focus Groups Child
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84960467152&doi=10.1016%2fj.cct.2015.12.004&partnerID=40&md5=c7b1b095608852ea07b4779b3f866be6
DOI: 10.1016/j.cct.2015.12.004
ISSN: 15517144
Cited by: 7
Original Language: English