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Perceived barriers to community-based health promotion program participation
Jody G Gatewood1, Ruth E Litchfield, Sandra J Ryan
1Iowa State University, IA 50011-1120, USA.
American Journal of Health Behavior
|December 11, 2007
Summary
Participants with less exposure to a cardiovascular risk reduction program reported more attendance barriers. Addressing time constraints is key for effective health promotion program delivery.
Area of Science:
- Cardiovascular Health
- Health Behavior Change
- Program Evaluation
Background:
- Cardiovascular diseases remain a leading cause of mortality worldwide.
- Effective risk reduction programs are crucial for public health.
- Understanding barriers to program participation is essential for optimizing reach and impact.
Purpose of the Study:
- To investigate the barriers to attendance and levels of self-efficacy among participants in a cardiovascular risk reduction program.
- To compare these factors across different levels of program engagement: full, minimum, and no exposure.
Main Methods:
- A survey was administered to 161 subjects assessing barriers to attendance and health behavior change, food security, and self-efficacy for nutrition and physical activity.
- Participants were categorized into three groups based on their level of program exposure.
Main Results:
- Participants with minimum and no exposure to the program reported significantly higher perceived barriers to attendance compared to those with full exposure (P<0.05).
- No significant differences were found in barriers to health behavior change or self-efficacy for nutrition and physical activity among the three groups.
Conclusions:
- Perceived barriers related to program scheduling and time availability significantly impact attendance.
- Health promotion programs should adopt flexible, accessible delivery models (e.g., anytime, anyplace) to overcome common attendance barriers.
- Future program design should prioritize addressing logistical challenges to enhance participant engagement and program effectiveness.
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