Promoting physical activity among older women living in socio-economically disadvantaged areas: Development of a community-based intervention

Emma Lawlor

Research output: Contribution to conferencePoster

Abstract

Purpose: Community-based interventions have the potential to deliver healthy lifestyle support. However, their effectiveness is unclear and improved methods of intervention access are needed. The project aimed to develop an intervention to provide positive behavioural support in a community-based setting, targeting a population subgroup lacking engagement in healthy behaviours. Objectives were: 1) conduct a systematic review to assess the current evidence base, 2) use the findings to develop a logic model for the intervention.
Methods: We searched five databases (MEDLINE, EMBASE, CINAHL, PsycINFO, Cochrane library) to identify health behaviour interventions for adults with cardiovascular disease in community-based settings. Primary outcomes focused on physical activity (PA), diet, smoking, and/or alcohol consumption. Two reviewers independently assessed articles for eligibility and risk of bias. Results were used in the development of a logic model informed by Social Practice Theory (SPT), from which an intervention to increase PA in older women (≤50 years) living in socio-economically disadvantaged areas was developed.
Results/findings: Of 5,905 articles identified, 41 articles (38 studies) were included. Meta-analyses identified increased steps/week (Mean Difference (MD): 7,480; 95% CI 1,940, 13,020) and minutes of PA/week (MD: 59.96; 95% CI 15.67, 104.25) associated with interventions. Interventions were mostly multifactorial, PA-based, educational and psychological. Studies lacked objective PA measures, included few women and reported little data regarding socio-economic status. Effective intervention components appeared to include PA, education and a theoretical framework. Utilising SPT as a framework and these components in the design, the outcome of the logic model for the intervention was a 12-week programme, providing education about PA, social support and information about local opportunities for PA and walking routes, targeting an increase in PA among women attending pre-existing groups in community centres, in socio-economically disadvantaged areas.
Conclusions: Our review identified strong evidence that community-based lifestyle interventions have positive effects on PA, suggesting that community-based opportunities should be promoted. Our findings have informed the development of an innovative approach, based in community centres using SPT, to increase PA for older women in areas of socio-economic disadvantage. An evaluation of the intervention is currently underway, using a randomised trial with a crossover design.

Original languageEnglish
Publication statusAccepted - 07 Jun 2017
EventInternation Society of Behavioral Nutrition and Physical Activity Annual Meeting - University of Victoria, Victoria, Canada
Duration: 07 Jun 201710 Jun 2017
https://www.isbnpa.org/index.php?r=annualMeeting/index&year=2017

Conference

ConferenceInternation Society of Behavioral Nutrition and Physical Activity Annual Meeting
Abbreviated titleISBNPA
CountryCanada
CityVictoria
Period07/06/201710/06/2017
Internet address

Fingerprint Dive into the research topics of 'Promoting physical activity among older women living in socio-economically disadvantaged areas: Development of a community-based intervention'. Together they form a unique fingerprint.

Cite this