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Family & Community Health

Kate Guastaferro, Katy Miller, Jenelle R Shanley Chatham, Daniel J Whitaker, Kate McGilly, John R Lutzker
An effective approach in early intervention for children and families, including child maltreatment prevention, is home-based services. Although several evidence-based programs exist, they are often grouped or delivered together, despite having different foci and approaches. This article describes the development and pilot phases of a trial evaluating the systematic braiding of 2 evidence-based home-based models, SafeCare and Parents as Teachers. We describe the methodology for braiding model implementation and curriculum, specifically focusing on how structured qualitative feedback from pilot families and providers was used to create the braided curriculum and implementation...
January 2017: Family & Community Health
Margaret L Walsh-Buhi
Many current theories guiding substance abuse prevention (SAP) programs stem from Western ideologies, leading to a scarcity of research on theories from, and a disconnect with, Indigenous perspectives. This qualitative research study explored perceptions of theory by SAP researchers (N = 22) working with American Indian and Alaska Native communities. In-depth interviews identified components of Indigenous theoretical perspectives, including cultural elements such as balance, social cohesion, and belonging as being particularly significant and currently absent from many SAP programs...
January 2017: Family & Community Health
Vinu Ilakkuvan, Monique Mitchell Turner, Jennifer Cantrell, Elizabeth Hair, Donna Vallone
Turner's Anger Activism Model (AAM) contends anger and efficacy interact in a unique way to determine message responses to campaign materials. This study tested the AAM using responses to 2 truth antismoking advertisements collected in August-October 2014 via an online, cross-sectional survey of 15- to 21-year-olds. Those aware of each of the truth advertisements (n = 319 for each) were organized into 4 anger/efficacy groups. Analysis of variance and regressions were conducted to understand group differences in message-related cognitions (persuasiveness, receptivity, conversation)...
January 2017: Family & Community Health
Matthew Lee Smith, Adam E Barry, Ashley L Merianos
Alcohol, tobacco, and marijuana are commonly used substances among adolescents. In the context of the Biopsychosocial Model (BPSM), this study investigated the relationships between psychological and normative factors associated with adolescent alcohol, tobacco, and marijuana use. Data were analyzed from 1053 middle and high school students. Structural equation modeling was used to examine the relationships between BPSM constructs. Results indicate that latent constructs of the BPSM are significant antecedent factors to alcohol, tobacco, and marijuana use; however, the relationships between study constructs were inconsistent with those theorized by BPSM...
January 2017: Family & Community Health
Adam P Knowlden, Manoj Sharma, Vinayak K Nahar
The purpose of this article was to use the multitheory model of health behavior change in predicting adequate sleep behavior in college students. A valid and reliable survey was administered in a cross-sectional design (n = 151). For initiation of adequate sleep behavior, the construct of behavioral confidence (P < .001) was found to be significant and accounted for 24.4% of the variance. For sustenance of adequate sleep behavior, changes in social environment (P < .02), emotional transformation (P < ...
January 2017: Family & Community Health
Manoj Sharma, Adam P Knowlden, Vinayak K Nahar
Binge drinking is a serious public health problem in the United States, where it is estimated that 17.6% adults binge drink. Binge drinking is highest among college students. There is need for effective binge drinking interventions. Recently a new health behavior theory has been proposed called the multitheory model of health behavior change. The purpose of this article is to describe the application of the multitheory model for changing binge drinking behavior to a behavior of responsible drinking or abstaining from alcohol...
January 2017: Family & Community Health
Anne Cohen, Alyssa Perozich, Radha Rajan, Susan Persky, Jeanine Parisi, Janice Bowie, Jenna Fahle, Jeremy Cho, Aravind Krishnan, Zoe Cohen, Adaora Ezike, Cara Schulte, Jarrett Taylor, Douglas Storey, Rafay Syed Ahmed, Lawrence J Cheskin
More approaches to support weight control are needed, especially among racial minorities who shoulder a disproportionate obesity burden. Using an approach influenced by regulatory fit theory, we conducted a 28-day, 4-arm experimental trial with 89 obese adults recruited from urban, predominantly African American churches to ascertain the efficacy of framed text messages to motivate behaviors conducive to weight loss. Participants were assigned to receive message framing that was matched versus mismatched to their motivational orientation...
January 2017: Family & Community Health
Sarah B Maness, Paul Branscum
Health disparities reflect inequalities in health outcomes among different populations. As a planning tool for researchers and practitioners to address health disparities, multiple frameworks utilizing social determinants of health have been proposed. Perceived behavioral control, a construct within the Integrative Behavioral Model, reflects how much control one feels over a health behavior and how easy or difficult the behavior is to enact under internal and external barriers. The purpose of this commentary is to suggest how a unified social determinant of health framework can be utilized as a predictor and determinant of the construct perceived behavioral control...
January 2017: Family & Community Health
Paul Branscum, Karina Lora
The purpose of this study was to operationalize the Integrative Behavioral Model (IBM) to identify significant theory-based determinants of maternal monitoring of fruit and vegetables consumption among low-income, Hispanic mothers of 2- to 5-year-old children (N = 238). Mothers completed a survey evaluating each construct of the IBM. Path analysis showed that intentions significantly predicted maternal monitoring of fruit and vegetables consumption (5.3% of the variance explained) and autonomy significantly predicted intentions (33...
January 2017: Family & Community Health
Jennifer Abbass-Dick, Cindy-Lee Dennis
Targeting mothers and fathers in breast-feeding promotion programs is recommended as research has found that father's support positively impacts breast-feeding duration and exclusivity. Breast-feeding coparenting refers to the manner in which parents work together to achieve their breast-feeding goals. The Breast-feeding Coparenting Framework was developed on the basis of diverse coparenting models and research related to father's involvement with breast-feeding. This framework consists of 5 components: joint breast-feeding goal setting, shared breast-feeding responsibility, proactive breast-feeding support, father's/partner's parental-child interactions, and productive communication and problem solving...
January 2017: Family & Community Health
Katie M Heinrich, Taran Carlisle, Ainslie Kehler, Sarah J Cosgrove
Group-based training through CrossFit has recently exploded in popularity. Anecdotally, participants often make lifestyle changes and experience improved fitness. Participation factors were mapped to the Integrated Theory of Health Behavior Change and "sense of community" constructs. Key informant interviews were conducted with 6 CrossFit gym owners/coaches. Data were thematically coded with NVivo 10. Results revealed key factors that both facilitated and restricted participation in CrossFit. Findings provide implications for future theory application and highlight how to improve initiation and adherence by capitalizing on community building and taking steps to reduce intimidation and cost, facilitate realistic goals, and ensure social support...
January 2017: Family & Community Health
Whitney R Garney, Monica Wendel, Kenneth McLeroy, Angela Alaniz, George Cunningham, Billie Castle, Monique Ingram, James Burdine
The Physical Activity and Community Engagement Project utilized a comparative case study to understand how a theoretical framework called community health development (CHD) influences community capacity. Three rural communities (cases) developed interventions using a CHD framework. Researchers collected qualitative evidence measuring capacity and the CHD process for more than 3 years. Patterns identified seven capacity constructs relevant to CHD, including community history, civic participation, leadership, skills, resources, social and interorganizational networks, and critical reflection...
January 2017: Family & Community Health
Dziyana Nazaruk, Stuart H Tedders, Moya L Alfonso, Robert L Vogel
Physical activity rates in rural women are very low. The purpose of this study was to explore the determinants of physical activity in rural women aged 20 to 44 years. A survey was used to collect data on a cluster sample of 184 participants. This study was guided by Self-Determination Theory. Survey data suggest that the highest type of motivation was identified regulation, and husband's support had the strongest effect on physical activity. Findings suggest that a history of sports participation can lead to the formation of intrinsic motivation...
January 2017: Family & Community Health
Kara C Hamilton, Mark T Richardson, Teirdre Owens, Timothy Morris, Elizabeth D Hathaway, John C Higginbotham
The overall objective of Project SHAPE (Shaping Health using Activity Photovoice and E-Video) was to improve physical activity levels of rural, medically underserved children by designing and implementing a culturally relevant physical activity intervention. This objective was met by using a community-based participatory research approach to design and implement an intervention that would positively affect the psychosocial constructs related to increasing physical activity, which, in turn, would lead to increases in the time spent in daily physical activity...
January 2017: Family & Community Health
David Sleet, Paul Branscum, Adam P Knowlden
No abstract text is available yet for this article.
January 2017: Family & Community Health
Emily Wentzell, Yvonne N Flores, Jorge Salmerón, Roshan Bastani
Mexican and Mexican-American women bear high cervical cancer burdens, yet relationships between mothers' experiences of vaccinating daughters against cervical cancer-causing human papillomavirus (HPV) on both sides of the border are unknown. We surveyed 400 Mexican-born women in Oxnard, California, United States and Cuernavaca, Morelos, Mexico, about their beliefs and practices regarding daughters' HPV vaccination, conducting in-depth interviews with 35 participants. Contextualizing interview findings in survey data, we identify key factors influencing mothers' experiences regarding daughters' HPV vaccination in both countries...
October 2016: Family & Community Health
Michelle Nichols, Lynne S Nemeth, Gayenell Magwood, Adebowale Odulana, Susan Newman
Obesity, a global health epidemic, requires targeted interventions to promote sustainable health behavior change; yet, prior efforts have not yielded significant improvements in obesity rates. Using Photovoice as a data collection approach, this community-engaged research study partnered with a weight management program to understand participants' perspectives on access to physical activity and nutritious food. Twelve adolescent-parent dyads participated. Barriers, facilitators, and opportunities for change were identified and categorized through adolescent photographs, interviews, and participant focus groups, according to the social ecological model...
October 2016: Family & Community Health
William Mude, Lillian Mwanri
Physical inactivity is one of the determinants of childhood obesity. Although its facilitators are well documented for the general community, limited evidence exists informing newly arrived and emerging migrant communities in Australia. To explore parents' perspectives of barriers to participation in physical activity among South Sudanese children in South Australia. Qualitative, face-to-face interviews were conducted with parents. Data were transcribed, coded, and analyzed thematically using NVivo software...
October 2016: Family & Community Health
Monique Gill, Alec M Chan-Golston, Lindsay N Rice, Brian L Cole, Deborah Koniak-Griffin, Michael L Prelip
This study assessed the consistency of moderate to vigorous physical activity (MVPA) in a sample of middle school physical education lessons. Random intercept hierarchical linear regressions were employed to model the relationship between consistency of MVPA and independent variables, including lesson and teacher characteristics. Larger classes spent significantly more time in consistent MVPA in the absence of controlling for teacher characteristics. A significant interaction between class size and teacher experience suggests that experience may play a beneficial role in larger classes, and overall class size does not have to be a barrier to achieving high levels of MVPA...
October 2016: Family & Community Health
Jennie L Hill, Clarice N Waters, Korine N Kolivras, Paul A Estabrooks, Jamie M Zoellner
The goal of this work was to provide a community-academic partnership with actionable information for physical activity (PA) for a rural health-disparate region. Identified PA outlets were audited and combined with survey data for 813 residents in the region. Less than a third of sampled residents (28%) met PA recommendations, with low perceptions of safety for PA. PA resource outlets in rural areas had higher numbers of incivilities. On the basis of our findings, 4 actionable strategies are recommended: shared-use agreements, reducing incivilities, addressing issues related to safety from traffic, and increasing the number of PA resources in rural areas...
October 2016: Family & Community Health
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