Top

Published in:

01-03-2015 | Original Research

The StrongWomen–Healthy Hearts program in Pennsylvania: RE-AIM analysis

Authors: Sara C Folta, PhD,, Alice H Lichtenstein, DSc,, Rebecca A Seguin, PhD,, Jeanne P Goldberg, PhD, RD,, Marilyn A Corbin, PhD,, Nancy Wiker, MEd,, Jodi Gauker, MS,, Kenneth Chui, PhD,, Miriam E Nelson, PhD,

Published in: Translational Behavioral Medicine | Issue 1/2015

Abstract

Dissemination of evidence-based programs is needed to reduce CVD risk among midlife and older women. The aim of this study is to examine the public health impact of StrongWomen–Healthy Hearts in Pennsylvania using the RE-AIM framework. Reach, adoption, implementation, and maintenance were assessed using qualitative and quantitative measures; effectiveness was assessed using a pretest-posttest within-participants design. Reach into the target population was 5 in 100,000. Compared to the target population, a greater percentage of participants were white, married, middle-class, and had a graduate degree. Effectiveness was demonstrated (weight loss −2.0 kg, p < 0.001). Adoption among trained leaders was high (83.3 %), as was fidelity in implementation (average score 9.3 of 10). No leaders maintained the program. To increase impact of the StrongWomen–Healthy Hearts Program, it will be important to lower the costs and modify the recruitment and training strategies to better reach low-income and minority women. Such strategies may also improve program maintenance.

Go AS, Mozaffarian D, Roger VL, et al. Heart disease and stroke statistics–2013 update: a report from the American Heart Association. Circulation. 2012; 127(1): e6-e245.CrossRefPubMed

Mozaffarian D, Fried L, Burke G, Fitzpatrick A, Siscovick D. Lifestyles of older adults: can we influence cardiovascular risk in older adults? Am J Geriatr Cardiol. 2004; 13(3): 153-160.CrossRefPubMed

Folta S, Lichtenstein A, Seguin R, Goldberg J, Nelson M. The StrongWomen – Healthy Hearts Program: reducing cardiovascular disease risk factors in rural sedentary, overweight, and obese midlife and older women. Am J Public Health. 2009; 99(7): 1271-1277.CrossRefPubMedCentralPubMed

Glasgow R, Vogt T, Boles S. Evaluating the public health impact of health promotion interventions: The RE-AIM framework. Am J Public Health. 1999; 89(9): 1322-1327.CrossRefPubMedCentralPubMed

Gaglio B, Shoup JA, Glasgow RE. The RE-AIM framework: a systematic review of use over time. Am J Public Health. 2013; 103(6): e38-46.CrossRefPubMed

Kessler R, Purcell E, Glasgow R, Klesges L, Benkeser R, Peek C. What does it mean to “employ” the RE-AIM model? Eval Health Prof. 2013; 36(1): 44-66.CrossRefPubMed

Seguin R, Economos C, Hyatt R, Palombo R, Reed P, Nelson M. Design and national dissemination of the StrongWomen community strength training program. Prev Chronic Dis. (2008): 5(1):http://www.cdc.gov/pcd/issues/2008/jan/2006_0165.htm.

U.S. Census Bureau. State and County QuickFacts. Data derived from Population Estimates, 2000 Census of Population and Housing, 1990 Census of Population and Housing, Small Area Income and Poverty Estimates, County Business Patterns, 1997 Economic Census, Minority- and Women-Owned Business, Building Permits, Consolidated Federal Funds Report, Census of Governments. 2006; http://quickfacts.census.gov/qfd/states/25/2521990.html.

Thomas S, Reading J, Shephard R. Revision of the Physical Activity Readiness Questionnaire (PAR-Q). Can J Sport Sci. 1992; 17(4): 338-345.PubMed

10.

Roger V, Go A, Lloyd-Jones D, et al. Heart disease and stroke statistics--2012 update: a report from the American Heart Association. Circulation. 2012;125(1): e2-e220.

11.

Folta S, Goldberg J, Lichtenstein A, Seguin R, Reed P, Nelson M. Factors related to cardiovascular risk reduction in midlife and older women: a qualitative study. Prev Chronic Dis. (2008): 5(1):http://www.cdc.gov/pcd/issues/2008/jan/2006_0156.htm.

12.

U.S. Census Bureau. American Factfinder (Census 2010). http://www.census.gov/.

13.

Miles M, Huberman A. Qualitative Data Analysis. Thousand Oaks: Sage Publications; 1994.

14.

Thompson F, Kipnis V, Subar A, et al. Evaluation of 2 brief instruments and a food-frequency questionnaire to estimate daily number of servings of fruit and vegetables. Am J Clin Nutr. 2000; 71(6): 1503-1510.PubMed

15.

Craig C, Marshall A, Sjostrom M, et al. International Physical Activity Questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003; 35(8): 1381-1395.CrossRefPubMed

16.

Tehard B, Saris W, Astrup A, et al. Comparison of two physical activity questionnaires in obese subjects: The NUGENOB study. Med Sci Sports Exerc. 2005; 37(9): 1535-1541.CrossRefPubMed

17.

Wolin K, Heil D, Askew S, Matthews C, Bennett G. Validation of the International Physical Activity Questionnaire-short among blacks. J Phys Act Health. 2008; 5(5): 746-760.PubMedCentralPubMed

18.

National Cancer Institute. Scoring the All-Day Screener. http://riskfactor.cancer.gov/diet/screeners/fruitveg/scoring/allday.html.

19.

International Physical Activity Questionnaire. Guidelines for Data Processing and Analysis of the International Physical Activity Questionnaire (IPAQ). http://www.ipaq.ki.se/scoring.pdf.

20.

Ainsworth BE, Haskell WL, Herrmann SD, et al. 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011; 43(8): 1575-1581.CrossRefPubMed

21.

Allicock M, Campbell MK, Valle CG, Carr C, Resnicow K, Gizlice Z. Evaluating the dissemination of body & soul, an evidence-based fruit and vegetable intake intervention: challenges for dissemination and implementation research. J Nutr Educ Behav. 2012; 44(6): 530-538.CrossRefPubMedCentralPubMed

22.

Aittasalo M, Rinne M, Pasanen M, Kukkonen-Harjula K, Vasankari T. Promoting walking among office employees - evaluation of a randomized controlled intervention with pedometers and e-mail messages. BMC Public Health. 2012; 12: 403.CrossRefPubMedCentralPubMed

23.

Harvey JR, Ogden DE Obesity treatment in disadvantaged population groups: Where do we stand and what can we do? Prev Med. May 27 (2014).

24.

Neter J, Stam B, Kok F, Grobbee D, Geleijnse J. Influence of weight reduction on blood pressure: a meta-analysis of randomized controlled trials. Hypertension. 2003; 42(5): 878-884.CrossRefPubMed

25.

Hamman R, Wing R, Edelstein S, et al. Effect of weight loss with lifestyle intervention on risk of diabetes. Diabetes Care. 2006; 29(9): 2102-2107.CrossRefPubMedCentralPubMed

26.

Mozaffarian D, Hao T, Rimm EB, Willett WC, Hu FB. Changes in diet and lifestyle and long-term weight gain in women and men. N Engl J Med. 2011; 364(25): 2392-2404.CrossRefPubMedCentralPubMed

27.

Farris R, Will J, Khavjou M, Finkelstein E. Beyond effectiveness: Evaluating the public health impact of the WISEWOMAN Program. Am J Public Health. 2007; 97(4): 641-647.CrossRefPubMedCentralPubMed

28.

Toobert DJ, Glasgow RE, Strycker LA, Barrera M Jr, King DK. Adapting and RE-AIMing a heart disease prevention program for older women with diabetes. Transl Behav Med. 2012; 2(2): 180-187.CrossRefPubMedCentralPubMed

Title: The StrongWomen–Healthy Hearts program in Pennsylvania: RE-AIM analysis
Authors: Sara C Folta, PhD,
Alice H Lichtenstein, DSc,
Rebecca A Seguin, PhD,
Jeanne P Goldberg, PhD, RD,
Marilyn A Corbin, PhD,
Nancy Wiker, MEd,
Jodi Gauker, MS,
Kenneth Chui, PhD,
Miriam E Nelson, PhD,
Publication date: 01-03-2015
Publisher: Springer US
Published in: Translational Behavioral Medicine / Issue 1/2015
Print ISSN: 1869-6716
Electronic ISSN: 1613-9860
DOI: https://doi.org/10.1007/s13142-014-0286-8

Keynote webinar | Spotlight on medication adherence

Springer Medicine

The StrongWomen–Healthy Hearts program in Pennsylvania: RE-AIM analysis

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2015

A brief primary care intervention to reduce fear of movement in chronic low back pain patients

Bridging the gap between research and practice: an assessment of external validity of community-based physical activity programs in Bogotá, Colombia, and Recife, Brazil

Clinicians’ panel management self-efficacy to support their patients’ smoking cessation and hypertension control needs

It takes a (virtual) village: crowdsourcing measurement consensus to advance survivorship care planning

Dissemination of an evidence-based treatment for cancer patients: training is the necessary first step

“Go Girls!”: psychological and behavioral outcomes associated with a group-based healthy lifestyle program for adolescent girls