Integrating health education and physical activity programming for cardiovascular health promotion among female inmates: A proof of concept study

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• 作者：Uma S. Nair^a ; ^b ; ^{umanair@email.arizona.edu" class="auth_mail" title="E-mail the corresponding author} ; Jeremy S. Jordan^c ; ¹ ; Daniel Funk^c ; ¹ ; Kristin Gavin^d ; Erica Tibbetts^d ; ^e ; Bradley N. Collins^a ; ^{collinsb@temple.edu" class="auth_mail" title="E-mail the corresponding author}
• 关键词：Physical activity ; Cardiovascular health ; Multiple health behavior change ; Underserved women
• 刊名：Contemporary Clinical Trials
• 出版年：2016
• 出版时间：May 2016
• 年：2016
• 卷：48
• 期：Complete
• 页码：65-69
• 全文大小：236 K

文摘

Female inmate populations in the United States tend to be overweight, physically inactive, experience high stress, and have a history of nicotine and other drug dependence. Thus, they bear an elevated risk of cardiovascular (CV) disease than the general population. However, few evidence-based health interventions exist for this population. This study will test proof of concept, feasibility, and potential efficacy of a multiple health behavior change intervention that integrates CV-health promotion education delivered during a physical activity (PA) program (indoor cycling) tailored to this population. This study uses a quasi-experimental 2-group design with two measurement time-points: baseline and 8-week end of treatment. N = 120 incarcerated women (18–59 years of age) who are medically cleared for participation in PA will be enrolled. Indoor cycling instructors will be trained to deliver five health education topics over an 8-week period during twice-weekly cycling classes. Topics match the American Heart Association recommendations for CV health: (a) nutrition, (b) PA promotion, (c) weight management, (d) stress management, and (e) smoking cessation and relapse prevention. Modes of intervention include instructor advice, written materials and audio/video clips reviewed during class. CV-related and mental health measures will be assessed at both time-points. Results will guide a full scale efficacy study. Future research in this area has potential to impact the health of female inmates, a high-risk population. Moreover, this multiple health behavior change intervention model represents a community approach to health promotion that could generalize to other underserved populations who may benefit most from similar intervention efforts.