Innovative participatory evaluation methodologies to assess and sustain multilevel impacts of two community-based physical activity programs for women in Colombia

被引：11

作者：

Alejandra Rubio, Maria ^{[1
]}

Guevara-Aladino, Paula ^{[1
]}

Urbano, Marcela ^{[1
]}

Cabas, Santiago ^{[1
]}

Mejia-Arbelaez, Carlos ^{[1
]}

Espinosa, Patricia Rodriguez ^{[2
]}

Rosas, Lisa G. ^{[2
,3
]}

King, Abby C. ^{[2
,4
]}

Chazdon, Scott ^{[5
]}

Sarmiento, Olga L. ^{[1
]}

机构：

[1] Univ los Andes, Sch Med, Bogota, Colombia

[2] Stanford Univ, Sch Med, Dept Epidemiol & Populat Hlth, Stanford, CA 94305 USA

[3] Stanford Univ, Sch Med, Div Primary Care & Populat Hlth, Stanford, CA 94305 USA

[4] Stanford Univ, Sch Med, Dept Med, Stanford Prevent Res Ctr, Stanford, CA 94305 USA

[5] Univ Minnesota, Minneapolis, MN USA

来源：

BMC PUBLIC HEALTH | 2022年 / 22卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Physical activity; women's health; Community-based programs; Breast cancer survivors; Behavioral intervention evaluation; QUALITY-OF-LIFE; BREAST-CANCER; INTERVENTION; DANCE;

D O I：

10.1186/s12889-022-13180-2

中图分类号：

R1 [预防医学、卫生学];

学科分类号：

1004 ; 120402 ;

摘要：

Background Community-based physical activity (PA) programs are appealing to women in Latin America and show potential for improving women's health. This study aimed to engage healthy middle-aged women, breast cancer survivors and local stakeholders participating in two publicly funded community-based PA programs in Bogota, Colombia (Recreovia and My Body) to assess and visually map the perceived barriers, facilitators, and outcomes to promote programs' improvement, scaling and sustainability. Methods We used two participatory action research methods, the 1) Our Voice citizen science method to capture data and drive local change in built and social environmental facilitators and barriers that influence women's engagement in community-based PA; and 2) Ripple Effects Mapping to visually map the intended and unintended outcomes of PA programs. We used thematic analysis to classify the results at the individual, social, and community levels. Results The stakeholders engaged in the participatory evaluation included cross-sector actors from the programs (N = 6) and program users (total N = 34) from the two programs (Recreovia N = 16; My Body N = 18). Program users were women with a mean age of 55.7 years (SD = 8.03), 65% lived in low-income neighborhoods. They identified infrastructure as the main feature affecting PA, having both positive (e.g., appropriate facilities) and negative (e.g., poorly built areas for PA) effects. Regarding program improvements, stakeholders advocated for parks' cleaning, safety, and appropriate use. The most highlighted outcomes were the expansion and strengthening of social bonds and the engagement in collective wellbeing, which leveraged some participants' leadership skills for PA promotion strategies in their community. The facilitated dialogue among program users and stakeholders fostered the sustainability and expansion of the community-based PA programs, even during the COVID-19 pandemic. Conclusions The implementation of both participatory methodologies provided a multidimensional understanding of the programs' impacts and multisectoral dialogues that fostered efforts to sustain the community-based PA programs.

引用

页数：15

共 55 条

[31]

ICBF

[32]

UNAL, 2015, ENCUESTA NACL SITUAC

[33] Twenty years of social capital and health research: a glossary [J].