Skip to main content
Top
Published in: Journal of Community Health 5/2011

01-10-2011 | Original Paper

Mujeres en Accion: Design and Baseline Data

Authors: Colleen Keller, Julie Fleury, Adriana Perez, Michael Belyea, Felipe G. Castro

Published in: Journal of Community Health | Issue 5/2011

Login to get access

Abstract

The majority of programs designed to promote physical activity in older Hispanic women includes few innovative theory-based interventions that address cultural relevant strategies. The purpose of this report is to describe the design and baseline data for Mujeres en Accion, a physical activity intervention to increase regular physical activity, and cardiovascular health outcomes among older Hispanic women. Mujeres en Accion [Women in Action for Health], a 12 month randomized controlled trial to evaluate the effectiveness of a social support physical activity intervention in midlife and older Hispanic women. This study tests an innovative intervention, Mujeres en Accion, and includes the use of a theory-driven approach to intervention, explores social support as a theoretical mediating variable, use of a Promotora model and a Community Advisory group to incorporate cultural and social approaches and resources, and use of objective measures of physical activity in Hispanic women.
Literature
1.
go back to reference Flegal, K. M., Carroll, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among US adults, 1999–2008. JAMA, 303(3), 235–241.PubMedCrossRef Flegal, K. M., Carroll, M. D., Ogden, C. L., & Curtin, L. R. (2010). Prevalence and trends in obesity among US adults, 1999–2008. JAMA, 303(3), 235–241.PubMedCrossRef
2.
go back to reference Crespo, C. J., Smit, E., Andersen, R. E., Carter-Pokras, O., & Ainsworth, B. E. (2000). Race/ethnicity, social class and their relation to physical inactivity during leisure time: Results from the Third National Health and Nutrition Examination Survey, 1988–1994. American Journal of Preventive Medicine, 18(1), 46–53.PubMedCrossRef Crespo, C. J., Smit, E., Andersen, R. E., Carter-Pokras, O., & Ainsworth, B. E. (2000). Race/ethnicity, social class and their relation to physical inactivity during leisure time: Results from the Third National Health and Nutrition Examination Survey, 1988–1994. American Journal of Preventive Medicine, 18(1), 46–53.PubMedCrossRef
3.
go back to reference Perez, A., Keller, C., & Fleury, J. (2009). Wellness motivation theory in practice. Geriatric Nursing, 30(2 Suppl), 15–20.PubMedCrossRef Perez, A., Keller, C., & Fleury, J. (2009). Wellness motivation theory in practice. Geriatric Nursing, 30(2 Suppl), 15–20.PubMedCrossRef
4.
go back to reference Parks, S. E., Housemann, R. A., & Brownson, R. C. (2003). Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States. Journal of Epidemiology and Community Health, 57(1), 29–35.PubMedCrossRef Parks, S. E., Housemann, R. A., & Brownson, R. C. (2003). Differential correlates of physical activity in urban and rural adults of various socioeconomic backgrounds in the United States. Journal of Epidemiology and Community Health, 57(1), 29–35.PubMedCrossRef
5.
go back to reference Centers for Disease Control and Prevention. (2006). Health United States 2006. Executive summary. Centers for Disease Control and Prevention. (2006). Health United States 2006. Executive summary.
6.
go back to reference Keller, C., & Fleury, J. (2006). Factors related to physical activity in Hispanic women. Journal of Cardiovascular Nursing, 21(2), 142–145.PubMed Keller, C., & Fleury, J. (2006). Factors related to physical activity in Hispanic women. Journal of Cardiovascular Nursing, 21(2), 142–145.PubMed
7.
go back to reference Barrera, M., Jr, Toobert, D. J., Angell, K. L., Glasgow, R. E., & Mackinnon, D. P. (2006). Social support and social-ecological resources as mediators of lifestyle intervention effects for type 2 diabetes. Journal of Health Psychology, 11(3), 483–495.PubMedCrossRef Barrera, M., Jr, Toobert, D. J., Angell, K. L., Glasgow, R. E., & Mackinnon, D. P. (2006). Social support and social-ecological resources as mediators of lifestyle intervention effects for type 2 diabetes. Journal of Health Psychology, 11(3), 483–495.PubMedCrossRef
8.
go back to reference Eyler, A. A., Brownson, R. C., Donatelle, R. J., King, A. C., Brown, D., & Sallis, J. F. (1999). Physical activity social support and middle- and older-aged minority women: Results from a US survey. Social Science and Medicine, 49(6), 781–789.PubMedCrossRef Eyler, A. A., Brownson, R. C., Donatelle, R. J., King, A. C., Brown, D., & Sallis, J. F. (1999). Physical activity social support and middle- and older-aged minority women: Results from a US survey. Social Science and Medicine, 49(6), 781–789.PubMedCrossRef
9.
go back to reference Marquez, D. X., McAuley, E., & Overman, N. (2004). Psychosocial correlates and outcomes of physical activity among Latinos: A review. Hispanic Journal of Behavioral Science, 26(2), 195–229.CrossRef Marquez, D. X., McAuley, E., & Overman, N. (2004). Psychosocial correlates and outcomes of physical activity among Latinos: A review. Hispanic Journal of Behavioral Science, 26(2), 195–229.CrossRef
10.
go back to reference King, A. C., Stokols, D., Talen, E., Brassington, G. S., & Killingsworth, R. (2002). Theoretical approaches to the promotion of physical activity: Forging a transdisciplinary paradigm. American Journal of Preventive Medicine, 23(2 Suppl), 15–25.PubMedCrossRef King, A. C., Stokols, D., Talen, E., Brassington, G. S., & Killingsworth, R. (2002). Theoretical approaches to the promotion of physical activity: Forging a transdisciplinary paradigm. American Journal of Preventive Medicine, 23(2 Suppl), 15–25.PubMedCrossRef
11.
go back to reference Sallis, J. F., Cervero, R. B., Ascher, W., Henderson, K. A., Kraft, M. K., & Kerr, J. (2006). An ecological approach to creating active living communities. Annual Review of Public Health, 27, 297–322.PubMedCrossRef Sallis, J. F., Cervero, R. B., Ascher, W., Henderson, K. A., Kraft, M. K., & Kerr, J. (2006). An ecological approach to creating active living communities. Annual Review of Public Health, 27, 297–322.PubMedCrossRef
12.
go back to reference Fleury, J., Keller, C., & Perez, A. (2009). Exploring resources for physical activity in Hispanic women, using photo elicitation. Qualitative Health Research, 19(5), 677.PubMedCrossRef Fleury, J., Keller, C., & Perez, A. (2009). Exploring resources for physical activity in Hispanic women, using photo elicitation. Qualitative Health Research, 19(5), 677.PubMedCrossRef
13.
go back to reference Heany, C. A., & Israel, B. A. (2002). Social networks and social support. In K. Glanz, B. K. Rimer, & F. M. Lewis (Eds.), Health behavior and health education: Theory, research and practice (3rd ed.). San Francisco, CA: Jossey-Bass. Heany, C. A., & Israel, B. A. (2002). Social networks and social support. In K. Glanz, B. K. Rimer, & F. M. Lewis (Eds.), Health behavior and health education: Theory, research and practice (3rd ed.). San Francisco, CA: Jossey-Bass.
14.
go back to reference Berkman, L. F. (2000). Social support, social networks, social cohesion and health. Social Work in Health Care, 31(2), 3–14.PubMedCrossRef Berkman, L. F. (2000). Social support, social networks, social cohesion and health. Social Work in Health Care, 31(2), 3–14.PubMedCrossRef
15.
go back to reference Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine, 51(6), 843–857.PubMedCrossRef Berkman, L. F., Glass, T., Brissette, I., & Seeman, T. E. (2000). From social integration to health: Durkheim in the new millennium. Social Science and Medicine, 51(6), 843–857.PubMedCrossRef
16.
go back to reference Cohen, S., Underwood, L., & Gottlieb, B. (2000). Social support measurement and intervention (pp. 29–52). New York: Oxford University Press. Cohen, S., Underwood, L., & Gottlieb, B. (2000). Social support measurement and intervention (pp. 29–52). New York: Oxford University Press.
17.
go back to reference Gottlieb, S., Harpaz, D., Shotan, A., et al. (2000). Sex differences in management and outcome after acute myocardial infarction in the 1990s: A prospective observational community-based study Israeli Thrombolytic Survey Group. Circulation, 102(20), 2484–2490.PubMed Gottlieb, S., Harpaz, D., Shotan, A., et al. (2000). Sex differences in management and outcome after acute myocardial infarction in the 1990s: A prospective observational community-based study Israeli Thrombolytic Survey Group. Circulation, 102(20), 2484–2490.PubMed
18.
go back to reference Whitehorse, L., Manzano, R., Baezconde-Garbanati, L. A., & Hahn, G. (1999). Culturally tailoring a physical activity program for Hispanic women: Recruitment successes of La Vida Buena’s salsa aerobics. Journal of Health Education, 30, s18. Whitehorse, L., Manzano, R., Baezconde-Garbanati, L. A., & Hahn, G. (1999). Culturally tailoring a physical activity program for Hispanic women: Recruitment successes of La Vida Buena’s salsa aerobics. Journal of Health Education, 30, s18.
19.
go back to reference Eyler, A. A., Baker, E., Cromer, L., King, A. C., Brownson, R. C., & Donatelle, R. J. (1998). Physical activity and minority women: A qualitative study. Health Education & Behavior, 25(5), 640–652.CrossRef Eyler, A. A., Baker, E., Cromer, L., King, A. C., Brownson, R. C., & Donatelle, R. J. (1998). Physical activity and minority women: A qualitative study. Health Education & Behavior, 25(5), 640–652.CrossRef
20.
go back to reference Keller, C., & Gonzales-Cantu, A. (2008). Camina por Salud: Walking in Mexican American women. Applied Nursing Research, 21(2), 110.PubMedCrossRef Keller, C., & Gonzales-Cantu, A. (2008). Camina por Salud: Walking in Mexican American women. Applied Nursing Research, 21(2), 110.PubMedCrossRef
21.
go back to reference Keyes, L., & Muller, K. (1991). IML power program (Software developed under NICHD Mental Retardation Research Grant P30-HDO-3110-22). Keyes, L., & Muller, K. (1991). IML power program (Software developed under NICHD Mental Retardation Research Grant P30-HDO-3110-22).
22.
go back to reference Thomas, S., Reading, J., & Shephard, R. J. (1992). Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Canadian Journal of Sport Sciences, 17(4), 338–345.PubMed Thomas, S., Reading, J., & Shephard, R. J. (1992). Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Canadian Journal of Sport Sciences, 17(4), 338–345.PubMed
24.
go back to reference Fleury, J., Keller, C., & Perez, A. (2009). The role of lay health advisors in cardiovascular risk reduction: A review. American Journal of Community Psychology, 44(1–2), 28–42.PubMedCrossRef Fleury, J., Keller, C., & Perez, A. (2009). The role of lay health advisors in cardiovascular risk reduction: A review. American Journal of Community Psychology, 44(1–2), 28–42.PubMedCrossRef
25.
go back to reference Sallis, J. F., Grossman, R. M., Pinski, R. B., Patterson, T. L., & Nader, P. R. (1987). The development of scales to measure social support for diet and exercise behaviors. Preventive Medicine, 16(6), 825–836.PubMedCrossRef Sallis, J. F., Grossman, R. M., Pinski, R. B., Patterson, T. L., & Nader, P. R. (1987). The development of scales to measure social support for diet and exercise behaviors. Preventive Medicine, 16(6), 825–836.PubMedCrossRef
26.
go back to reference Keller, C., Allan, J., & Tinkle, M. B. (2006). Stages of change, processes of change, and social support for exercise and weight gain in postpartum women. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35(2), 232–240.PubMedCrossRef Keller, C., Allan, J., & Tinkle, M. B. (2006). Stages of change, processes of change, and social support for exercise and weight gain in postpartum women. Journal of Obstetric, Gynecologic, and Neonatal Nursing, 35(2), 232–240.PubMedCrossRef
27.
go back to reference Cerin, E., Saelens, B. E., Sallis, J. F., & Frank, L. D. (2006). Neighborhood environment walkability scale: Validity and development of a short form. Medicine and Science in Sports and Exercise, 38(9), 1682–1691.PubMedCrossRef Cerin, E., Saelens, B. E., Sallis, J. F., & Frank, L. D. (2006). Neighborhood environment walkability scale: Validity and development of a short form. Medicine and Science in Sports and Exercise, 38(9), 1682–1691.PubMedCrossRef
28.
go back to reference Sallis, J. F., Johnson, M. F., Calfas, K. J., Caparosa, S., & Nichols, J. F. (1997). Assessing perceived physical environmental variables that may influence physical activity. Research Quarterly for Exercise and Sport, 68(4), 345–351.PubMed Sallis, J. F., Johnson, M. F., Calfas, K. J., Caparosa, S., & Nichols, J. F. (1997). Assessing perceived physical environmental variables that may influence physical activity. Research Quarterly for Exercise and Sport, 68(4), 345–351.PubMed
29.
go back to reference Ritchie, J. D., Miller, C. K., & Smiciklas-Wright, H. (2005). Tanita foot-to-foot bioelectrical impedance analysis system validated in older adults. Journal of the American Dietetic Association, 105(10), 1617–1619.PubMedCrossRef Ritchie, J. D., Miller, C. K., & Smiciklas-Wright, H. (2005). Tanita foot-to-foot bioelectrical impedance analysis system validated in older adults. Journal of the American Dietetic Association, 105(10), 1617–1619.PubMedCrossRef
30.
go back to reference Thompson, F. E., & Byers, T. (1994). Dietary assessment resource manual. Journal of Nutrition, 124(11 Suppl), 2245S–2317S.PubMed Thompson, F. E., & Byers, T. (1994). Dietary assessment resource manual. Journal of Nutrition, 124(11 Suppl), 2245S–2317S.PubMed
31.
go back to reference Howat, P. M., Brochard, L., & Thomas, C. (1995). The validation of reported dietary assessment instruments in patients with Hansen’s disease. Journal of the American Dietetic Association, 95(9, Supplement 1), A20.CrossRef Howat, P. M., Brochard, L., & Thomas, C. (1995). The validation of reported dietary assessment instruments in patients with Hansen’s disease. Journal of the American Dietetic Association, 95(9, Supplement 1), A20.CrossRef
32.
go back to reference Montgomery, D. H., Ward, J. L., Nichaman, M. Z., & Briley, M. E. (1994). A comparison of food record and 24-hour recall data obtained from third grade students. Journal of the American Dietetic Association, 94(9), A62.CrossRef Montgomery, D. H., Ward, J. L., Nichaman, M. Z., & Briley, M. E. (1994). A comparison of food record and 24-hour recall data obtained from third grade students. Journal of the American Dietetic Association, 94(9), A62.CrossRef
33.
go back to reference Mobley, L. R., Root, E. D., Finkelstein, E. A., Khavjou, O., Farris, R. P., & Will, J. C. (2006). Environment, obesity, and cardiovascular disease risk in low-income women. American Journal of Preventive Medicine, 30(4), 327–332.PubMedCrossRef Mobley, L. R., Root, E. D., Finkelstein, E. A., Khavjou, O., Farris, R. P., & Will, J. C. (2006). Environment, obesity, and cardiovascular disease risk in low-income women. American Journal of Preventive Medicine, 30(4), 327–332.PubMedCrossRef
34.
go back to reference Uchino, B. N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29(4), 377–387.PubMedCrossRef Uchino, B. N. (2006). Social support and health: A review of physiological processes potentially underlying links to disease outcomes. Journal of Behavioral Medicine, 29(4), 377–387.PubMedCrossRef
35.
go back to reference Tudor-Locke, C., & Bassette, D. R., Jr. (2004). How many steps/day are enough? Preliminary pedometer indices for public health. Sports Medicine, 34(1), 1–8.PubMedCrossRef Tudor-Locke, C., & Bassette, D. R., Jr. (2004). How many steps/day are enough? Preliminary pedometer indices for public health. Sports Medicine, 34(1), 1–8.PubMedCrossRef
36.
go back to reference Tudor-Locke, C., Hatano, Y., Pangrazi, R. P., & Kang, M. (2008). Revisiting “how many steps are enough?”. Medicine and Science in Sports and Exercise, 40(7 Suppl), S537–S543.PubMed Tudor-Locke, C., Hatano, Y., Pangrazi, R. P., & Kang, M. (2008). Revisiting “how many steps are enough?”. Medicine and Science in Sports and Exercise, 40(7 Suppl), S537–S543.PubMed
37.
go back to reference Bothwell, E. K., Ayala, G. X., Conway, T. L., Rock, C. L., Gallo, L. C., & Elder, J. P. (2009). Underreporting of food intake among Mexican/Mexican-American Women: Rates and correlates. Journal of the American Dietetic Association, 109(4), 624–632.PubMedCrossRef Bothwell, E. K., Ayala, G. X., Conway, T. L., Rock, C. L., Gallo, L. C., & Elder, J. P. (2009). Underreporting of food intake among Mexican/Mexican-American Women: Rates and correlates. Journal of the American Dietetic Association, 109(4), 624–632.PubMedCrossRef
38.
go back to reference Masse, L. C., Ainsworth, B. E., Tortolero, S., et al. (1998). Measuring physical activity in midlife, older, and minority women: Issues from an expert panel. Journal of Women’s Health, 7(1), 57–67.PubMedCrossRef Masse, L. C., Ainsworth, B. E., Tortolero, S., et al. (1998). Measuring physical activity in midlife, older, and minority women: Issues from an expert panel. Journal of Women’s Health, 7(1), 57–67.PubMedCrossRef
39.
go back to reference Stables, G. J., Subar, A. F., Patterson, B. H., et al. (2002). Changes in vegetable and fruit consumption and awareness among US adults: Results of the 1991 and 1997 5 A Day for Better Health Program surveys. Journal of the American Dietetic Association, 102(6), 809–817.PubMedCrossRef Stables, G. J., Subar, A. F., Patterson, B. H., et al. (2002). Changes in vegetable and fruit consumption and awareness among US adults: Results of the 1991 and 1997 5 A Day for Better Health Program surveys. Journal of the American Dietetic Association, 102(6), 809–817.PubMedCrossRef
40.
go back to reference Schatzkin, A., Kipnis, V., Carroll, R. J., et al. (2003). A comparison of a food frequency questionnaire with a 24-hour recall for use in an epidemiological cohort study: Results from the biomarker-based Observing Protein and Energy Nutrition (OPEN) study. International Journal of Epidemiology, 32(6), 1054–1062.PubMedCrossRef Schatzkin, A., Kipnis, V., Carroll, R. J., et al. (2003). A comparison of a food frequency questionnaire with a 24-hour recall for use in an epidemiological cohort study: Results from the biomarker-based Observing Protein and Energy Nutrition (OPEN) study. International Journal of Epidemiology, 32(6), 1054–1062.PubMedCrossRef
41.
go back to reference Keller, C., Fleury, J., & Rivera, A. (2007). Dieta in mujeres Americanas Mexicanas (Diet in Mexican American women). Western Journal of Nursing Research, 29(6), 758–773.PubMedCrossRef Keller, C., Fleury, J., & Rivera, A. (2007). Dieta in mujeres Americanas Mexicanas (Diet in Mexican American women). Western Journal of Nursing Research, 29(6), 758–773.PubMedCrossRef
42.
go back to reference Kim, S., Flaskerud, J. H., Koniak-Griffin, D., & Dixon, E. L. (2005). Using community-partnered participatory research to address health disparities in a Latino community. Journal of Professional Nursing, 21(4), 199–209.PubMedCrossRef Kim, S., Flaskerud, J. H., Koniak-Griffin, D., & Dixon, E. L. (2005). Using community-partnered participatory research to address health disparities in a Latino community. Journal of Professional Nursing, 21(4), 199–209.PubMedCrossRef
44.
go back to reference American Heart Association Nutrition Committee, Lichtenstein, A. H., Appel, L. J., et al. (2006). Diet and lifestyle recommendations revision 2006: A scientific statement from the American Heart Association Nutrition Committee. Circulation, 114(1), 82–96.PubMedCrossRef American Heart Association Nutrition Committee, Lichtenstein, A. H., Appel, L. J., et al. (2006). Diet and lifestyle recommendations revision 2006: A scientific statement from the American Heart Association Nutrition Committee. Circulation, 114(1), 82–96.PubMedCrossRef
45.
go back to reference Brownson, R. C., Eyler, A. A., King, A. C., Brown, D. R., Shyu, Y. L., & Sallis, J. F. (2000). Patterns and correlates of physical activity among US women 40 years and older. American Journal of Public Health, 90(2), 264–270.PubMedCrossRef Brownson, R. C., Eyler, A. A., King, A. C., Brown, D. R., Shyu, Y. L., & Sallis, J. F. (2000). Patterns and correlates of physical activity among US women 40 years and older. American Journal of Public Health, 90(2), 264–270.PubMedCrossRef
46.
go back to reference Dergance, J. M., Mouton, C. P., Lichtenstein, M. J., & Hazuda, H. P. (2005). Potential mediators of ethnic differences in physical activity in older Mexican Americans and European Americans: Results from the San Antonio Longitudinal Study of Aging. Journal of the American Geriatrics Society, 53(7), 1240–1247.PubMedCrossRef Dergance, J. M., Mouton, C. P., Lichtenstein, M. J., & Hazuda, H. P. (2005). Potential mediators of ethnic differences in physical activity in older Mexican Americans and European Americans: Results from the San Antonio Longitudinal Study of Aging. Journal of the American Geriatrics Society, 53(7), 1240–1247.PubMedCrossRef
47.
go back to reference Keller, C., Fleury, J., Castro, F., Ainsworth, B., & Perez, A. (2009). Moderators of physical activity in Hispanic women. Hispanic Health Care International, 7(2), 60.CrossRef Keller, C., Fleury, J., Castro, F., Ainsworth, B., & Perez, A. (2009). Moderators of physical activity in Hispanic women. Hispanic Health Care International, 7(2), 60.CrossRef
48.
go back to reference Coe, K., & Keller, C. (1996). Health protective behaviors of young African American women: Should we be using a kinship model to teach health behaviors. Journal of Human Ecology, 4, 57–66. Coe, K., & Keller, C. (1996). Health protective behaviors of young African American women: Should we be using a kinship model to teach health behaviors. Journal of Human Ecology, 4, 57–66.
49.
go back to reference Keller, C., Fleury, J., Sidani, S., & Ainsworth, B. (2008). Fidelity to theory in PA intervention research. Western Journal of Nursing Research, 31(3), 289–311.PubMedCrossRef Keller, C., Fleury, J., Sidani, S., & Ainsworth, B. (2008). Fidelity to theory in PA intervention research. Western Journal of Nursing Research, 31(3), 289–311.PubMedCrossRef
Metadata
Title
Mujeres en Accion: Design and Baseline Data
Authors
Colleen Keller
Julie Fleury
Adriana Perez
Michael Belyea
Felipe G. Castro
Publication date
01-10-2011
Publisher
Springer US
Published in
Journal of Community Health / Issue 5/2011
Print ISSN: 0094-5145
Electronic ISSN: 1573-3610
DOI
https://doi.org/10.1007/s10900-011-9363-9

Other articles of this Issue 5/2011

Journal of Community Health 5/2011 Go to the issue