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A guide for developing intervention tools addressing environmental factors to improve diet and physical activity
Stephanie B Jilcott1, Barbara A Laraia, Kelly R Evenson
1Department of Nutrition, Schools of Public Health and Medicine, University of North Carolina in Chapel Hill, North Carolina, USA.
Low-income communities face higher obesity risks. This study developed tools to help residents use neighborhood resources for healthier diets and physical activity, overcoming environmental barriers.
Area of Science:
- Public Health
- Community Health Interventions
- Health Disparities
Background:
- Low-income populations experience higher rates of obesity and chronic diseases.
- Environmental factors in neighborhoods significantly impact health behaviors related to obesity.
- While some neighborhood features present barriers, others offer resources for healthy eating and physical activity.
Purpose of the Study:
- To describe the formative research process for developing community-focused intervention tools.
- To create tools that complement clinic-based cardiovascular disease risk-reduction programs for underserved women.
- To provide a model for developing similar tools in other health promotion initiatives.
Main Methods:
- Conducted a literature review.
- Performed community exploration and resource assessment (Internet, print).
- Incorporated feedback from community members to finalize tools.
Main Results:
- Developed two community-focused intervention tools: a neighborhood assessment with tip sheets and a community resource guide.
- The tools aim to help individuals identify and utilize neighborhood resources supporting healthy behaviors.
- The formative research process involved literature review, community exploration, and community feedback.
Conclusions:
- Community-focused intervention tools can be developed through a systematic formative research process.
- These tools can empower individuals in low-income neighborhoods to overcome environmental barriers to healthy behaviors.
- The described process offers a replicable model for health promotion programs.
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