Skip to main content

Advertisement

SpringerLink
Log in

Mujeres en Accion: Design and Baseline Data

  • Original Paper
  • Published:
Journal of Community Health Aims and scope Submit manuscript

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.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. 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.

    Article  PubMed  CAS  Google Scholar 

  2. 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.

    Article  PubMed  CAS  Google Scholar 

  3. Perez, A., Keller, C., & Fleury, J. (2009). Wellness motivation theory in practice. Geriatric Nursing, 30(2 Suppl), 15–20.

    Article  PubMed  Google Scholar 

  4. 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.

    Article  PubMed  CAS  Google Scholar 

  5. Centers for Disease Control and Prevention. (2006). Health United States 2006. Executive summary.

  6. Keller, C., & Fleury, J. (2006). Factors related to physical activity in Hispanic women. Journal of Cardiovascular Nursing, 21(2), 142–145.

    PubMed  Google Scholar 

  7. 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.

    Article  PubMed  Google Scholar 

  8. 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.

    Article  PubMed  CAS  Google Scholar 

  9. 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.

    Article  Google Scholar 

  10. 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.

    Article  PubMed  Google Scholar 

  11. 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.

    Article  PubMed  Google Scholar 

  12. Fleury, J., Keller, C., & Perez, A. (2009). Exploring resources for physical activity in Hispanic women, using photo elicitation. Qualitative Health Research, 19(5), 677.

    Article  PubMed  Google Scholar 

  13. 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.

    Google Scholar 

  14. Berkman, L. F. (2000). Social support, social networks, social cohesion and health. Social Work in Health Care, 31(2), 3–14.

    Article  PubMed  CAS  Google Scholar 

  15. 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.

    Article  PubMed  CAS  Google Scholar 

  16. Cohen, S., Underwood, L., & Gottlieb, B. (2000). Social support measurement and intervention (pp. 29–52). New York: Oxford University Press.

    Google Scholar 

  17. 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  CAS  Google Scholar 

  18. 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.

    Google Scholar 

  19. 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.

    Article  CAS  Google Scholar 

  20. Keller, C., & Gonzales-Cantu, A. (2008). Camina por Salud: Walking in Mexican American women. Applied Nursing Research, 21(2), 110.

    Article  PubMed  Google Scholar 

  21. Keyes, L., & Muller, K. (1991). IML power program (Software developed under NICHD Mental Retardation Research Grant P30-HDO-3110-22).

  22. 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  CAS  Google Scholar 

  23. Canadian Society for Exercise Physiology. (1998). Canada’s physical activity guide to healthy active living, Health Canada. http://www.phac-aspc.gc.ca/guide/index_e.html. Updated 1998. Accessed 18 January 2006.

  24. 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.

    Article  PubMed  Google Scholar 

  25. 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.

    Article  PubMed  CAS  Google Scholar 

  26. 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.

    Article  PubMed  Google Scholar 

  27. 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.

    Article  PubMed  Google Scholar 

  28. 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  CAS  Google Scholar 

  29. 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.

    Article  PubMed  Google Scholar 

  30. Thompson, F. E., & Byers, T. (1994). Dietary assessment resource manual. Journal of Nutrition, 124(11 Suppl), 2245S–2317S.

    PubMed  CAS  Google Scholar 

  31. 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.

    Article  Google Scholar 

  32. 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.

    Article  Google Scholar 

  33. 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.

    Article  PubMed  Google Scholar 

  34. 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.

    Article  PubMed  Google Scholar 

  35. 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.

    Article  PubMed  Google Scholar 

  36. 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  Google Scholar 

  37. 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.

    Article  PubMed  Google Scholar 

  38. 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.

    Article  PubMed  CAS  Google Scholar 

  39. 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.

    Article  PubMed  Google Scholar 

  40. 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.

    Article  PubMed  Google Scholar 

  41. 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.

    Article  PubMed  Google Scholar 

  42. 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.

    Article  PubMed  Google Scholar 

  43. Centers for Disease Control and Prevention (CDC). (2008). Prevalence of self-reported physically active adults—United States, 2007 (Vol. 57, pp. 1297–1300). http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5748a1.htm.

  44. 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.

    Article  PubMed  Google Scholar 

  45. 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.

    Article  PubMed  CAS  Google Scholar 

  46. 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.

    Article  PubMed  Google Scholar 

  47. 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.

    Article  Google Scholar 

  48. 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.

    Google Scholar 

  49. 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.

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

Funding for this work was provided by the National Institutes of Health, National Institute of Nursing Research, Grant number 1R21NR010126-01A1, Mujeres en Accion-Walking in Hispanic Women.

Author information

Authors and Affiliations

  1. Hartford Center for Geriatric Nursing Excellence, College of Nursing & Health Innovation, Arizona State University, 500 North 3rd Street, MC3020, Phoenix, AZ, 85004-0698, USA

    Colleen Keller, Julie Fleury, Adriana Perez & Michael Belyea

  2. Department of Psychology (Clinical), College of Liberal Arts and Sciences, Arizona State University, Tempe, AZ, 85282, USA

    Felipe G. Castro

Authors
  1. Colleen Keller
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Julie Fleury
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Adriana Perez
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Michael Belyea
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Felipe G. Castro
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Colleen Keller.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Keller, C., Fleury, J., Perez, A. et al. Mujeres en Accion: Design and Baseline Data. J Community Health 36, 703–714 (2011). https://doi.org/10.1007/s10900-011-9363-9

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10900-011-9363-9

Keywords

Search

Navigation