The StrongWomen-Healthy Hearts program in Pennsylvania: RE-AIM analysis

被引：8
|
作者：
Folta, Sara C. [1 ]
Lichtenstein, Alice H. [2 ]
Seguin, Rebecca A. [3 ]
Goldberg, Jeanne P. [1 ]
Corbin, Marilyn A. [4 ]
Wiker, Nancy [4 ]
Gauker, Jodi [5 ]
Chui, Kenneth [6 ]
Nelson, Miriam E. [1 ]
机构：
[1] Tufts Univ, Friedman Sch Nutr Sci & Policy, John Hancock Res Ctr Phys Act Nutr & Obes Prevent, Medford, MA 02155 USA
[2] Jean Mayer USDA Human Nutr Res Ctr Aging, Boston, MA USA
[3] Cornell Univ, Div Nutr Sci, Ithaca, NY 14853 USA
[4] Penn State Cooperat Extens, University Pk, PA USA
[5] Chester Cty Econ Dev Council, Exton, PA USA
[6] Tufts Univ, Sch Med, Dept Publ Hlth & Community Med, Medford, MA 02155 USA
来源：
TRANSLATIONAL BEHAVIORAL MEDICINE | 2015年 / 5卷 / 01期
关键词：
Dissemination; RE-AIM; Cardiovascular disease; Women; Physical activity; Nutrition; PHYSICAL-ACTIVITY QUESTIONNAIRE; LIFE-STYLE; INTERVENTION; DISEASE; IMPACT; FRUIT; WOMEN; RISK;
D O I：
10.1007/s13142-014-0286-8
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Dissemination of evidence-based programs is needed to reduce CVD risk among midlife and older women. The aim of this study is to examine the public health impact of StrongWomen-Healthy Hearts in Pennsylvania using the RE-AIM framework. Reach, adoption, implementation, and maintenance were assessed using qualitative and quantitative measures; effectiveness was assessed using a pretest-posttest within-participants design. Reach into the target population was 5 in 100,000. Compared to the target population, a greater percentage of participants were white, married, middle-class, and had a graduate degree. Effectiveness was demonstrated (weight loss -2.0 kg, p<0.001). Adoption among trained leaders was high (83.3 %), as was fidelity in implementation (average score 9.3 of 10). No leaders maintained the program. To increase impact of the StrongWomen-Healthy Hearts Program, it will be important to lower the costs and modify the recruitment and training strategies to better reach low-income and minority women. Such strategies may also improve program maintenance.
引用
收藏
页码：94 / 102
页数：9
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