Community health worker-delivered weight management intervention among public housing residents: A feasibility study

Preventive Medicine Reports

Jessica A. Whiteley¹  Scott E. Crouter²  Lisa M. Quintiliani³  John Kane⁴  Deborah J. Bowen⁵  Timothy C. Heeren⁶  Emily K. Quinn⁷  Cheryl Jean⁷  Ramona Lara⁷  Jennifer Murillo⁸ 

[1] Corresponding author at: 801 Massachusetts Ave. Crosstown 2, Boston, MA 02118, United States.;Boston Housing Authority, United States;Boston University, Department of Medicine, Section of General Internal Medicine, Boston Medical Center, United States;Boston University, School of Public Health, Biostatics and Epidemiology Data Analytics Center, United States;Department of Biostatistics, Boston University, School of Public Health, United States;Department of Kinesiology, Recreation, and Sport Studies, The University of Tennessee, Knoxville, United States;Section of General Internal Medicine, Boston Medical Center, United States;University of Massachusetts Boston, College of Nursing and Health Sciences, Department of Exercise and Health Sciences, United States;

关键词: Weight management;    Public housing;    Diet;    Physical activity;    Community health workers;   

DOI  :  

来源: DOAJ

【 摘 要 】

Community health worker-led interventions may be an optimal approach to promote behavior change among populations with low incomes due to the community health workers’ unique insights into participants’ social and environmental contexts and potential ability to deliver interventions widely. The objective was to determine the feasibility (implementation, acceptability, preliminary efficacy) of a weight management intervention for adults living in public housing developments. In 2016–2018, in Boston Massachusetts, we conducted a 3-month, two-group randomized trial comparing participants who received a tailored feedback report (control group) to participants who received the same report plus behavioral counseling. Community health workers provided up to 12 motivational interviewing-based counseling sessions in English or Spanish for diet and physical activity behaviors using a website designed to guide standardized content delivery. 102 participants enrolled; 8 (7.8%) were lost at 3-month follow up. Mean age was 46.5 (SD = 11.9) years; the majority were women (88%), Hispanic (67%), with ≤ high school degree (62%). For implementation, among intervention group participants (n = 50), 5 completed 0 sessions and 45 completed a mean of 4.6 (SD = 3.1) sessions. For acceptability, most indicated they would be very likely (79%) to participate again. For preliminary efficacy, adjusted linear regression models showed mean changes in weight (-0.94 kg, p = 0.31), moderate-to-vigorous physical activity (+11.7 min/day, p = 0.14), and fruit/vegetable intake (+2.30 servings/day, p < 0.0001) in the intervention vs. control group. Findings indicate a low-income public housing population was reached through a community health worker-led intervention with sufficient implementation and acceptability and promising beneficial changes in weight, nutrition, and physical activity outcomes.

【 授权许可】

Unknown