INTRODUCTION: Less than half of all U.S. adults meet the 2008 Physical Activity Guidelines. Leader behaviors and group cohesion have been associated with increased participation or adherence in sports team and exercise class settings. Physical activity interventions in community settings that encompass these factors may enhance intervention adherence. The purpose of this study is to examine the impact of Community Health Promoter leader behaviors and group cohesion on participation in a walking group intervention among racially/ethnically diverse adults in low to moderate-income communities in Detroit, Michigan. DESIGN: Data for the current study were drawn from the Walk Your Heart to Health (WYHH) data set. WYHH was a multisite cluster RCT with a lagged intervention and outcome measurements at baseline and 4, 8, and 32 weeks. Pooled survey data from both intervention arms were used for the current study. Data were analyzed between August 2013 and October 2014. SETTING/PARTICIPANTS: A total of 603 non-Hispanic black, non-Hispanic white, and Hispanic adults across five cohorts that began the 32-week WYHH intervention between March 2009 and October 2011. INTERVENTION: The intervention was a 32-week walking group program hosted by community- and faith-based organizations and facilitated by Community Health Promoters. Walking groups met three times per week for 90 minutes per session. To promote participation in or adherence to WYHH, Community Health Promoters used evidence-based strategies to facilitate group cohesion. Group members assumed increasing leadership responsibility for facilitating sessions over time. MAIN OUTCOME MEASURES: Participation in WYHH as measured by consistency of attendance. RESULTS: Community Health Promoter leader behaviors were positively associated with participation in WYHH. Social but not task cohesion was significantly associated with consistent participation. Social cohesion may mediate the relationship between leader behaviors and walking group participation. CONCLUSIONS: Providing leaders with training to build socially cohesive groups may help motivate individuals to continue participation in community-based physical activity programs.
INTRODUCTION: Less than half of all U.S. adults meet the 2008 Physical Activity Guidelines. Leader behaviors and group cohesion have been associated with increased participation or adherence in sports team and exercise class settings. Physical activity interventions in community settings that encompass these factors may enhance intervention adherence. The purpose of this study is to examine the impact of Community Health Promoter leader behaviors and group cohesion on participation in a walking group intervention among racially/ethnically diverse adults in low to moderate-income communities in Detroit, Michigan. DESIGN: Data for the current study were drawn from the Walk Your Heart to Health (WYHH) data set. WYHH was a multisite cluster RCT with a lagged intervention and outcome measurements at baseline and 4, 8, and 32 weeks. Pooled survey data from both intervention arms were used for the current study. Data were analyzed between August 2013 and October 2014. SETTING/PARTICIPANTS: A total of 603 non-Hispanic black, non-Hispanic white, and Hispanic adults across five cohorts that began the 32-week WYHH intervention between March 2009 and October 2011. INTERVENTION: The intervention was a 32-week walking group program hosted by community- and faith-based organizations and facilitated by Community Health Promoters. Walking groups met three times per week for 90 minutes per session. To promote participation in or adherence to WYHH, Community Health Promoters used evidence-based strategies to facilitate group cohesion. Group members assumed increasing leadership responsibility for facilitating sessions over time. MAIN OUTCOME MEASURES: Participation in WYHH as measured by consistency of attendance. RESULTS: Community Health Promoter leader behaviors were positively associated with participation in WYHH. Social but not task cohesion was significantly associated with consistent participation. Social cohesion may mediate the relationship between leader behaviors and walking group participation. CONCLUSIONS: Providing leaders with training to build socially cohesive groups may help motivate individuals to continue participation in community-based physical activity programs.
Authors: Bess H Marcus; David M Williams; Patricia M Dubbert; James F Sallis; Abby C King; Antronette K Yancey; Barry A Franklin; David Buchner; Stephen R Daniels; Randal P Claytor Journal: Circulation Date: 2006-12-04 Impact factor: 29.690
Authors: Amy J Schulz; Barbara A Israel; Chris M Coombe; Causandra Gaines; Angela G Reyes; Zachary Rowe; Sharon L Sand; Larkin L Strong; Sheryl Weir Journal: Health Promot Pract Date: 2011-08-26
Authors: Marie H Murphy; Elaine M Murtagh; Colin Ag Boreham; Lesley G Hare; Alan M Nevill Journal: BMC Public Health Date: 2006-05-22 Impact factor: 3.295
Authors: Jamila L Kwarteng; Amy J Schulz; Graciela B Mentz; Barbara A Israel; Trina R Shanks; Denise White Perkins Journal: Am J Health Promot Date: 2017-03-19
Authors: Katherine N Irvine; Daniel Fisher; Melissa R Marselle; Margaret Currie; Kathryn Colley; Sara L Warber Journal: Int J Environ Res Public Health Date: 2022-04-28 Impact factor: 4.614
Authors: Hadlai A Neff; Yvonne Kellar-Guenther; Catherine M Jankowski; Carly Worthington; Sean A McCandless; Jacqueline Jones; Kristine M Erlandson Journal: AIDS Care Date: 2018-07-03
Authors: Cynthia K Perry; Laura P Campbell; Jessica Currier; Paige E Farris; Elizabeth S Wenzel; Mary E Medysky; Adrienne Zell; Miriam McDonell; Jackilen Shannon; Kerri Winters-Stone Journal: Prev Chronic Dis Date: 2020-12-10 Impact factor: 2.830
Authors: Erika Bohn-Goldbaum; Aaron Cashmore; Adrian Bauman; Anna Sullivan; Lose Rose Fonua; Andrew Milat; Kate Reid; Anne Grunseit Journal: Prev Med Rep Date: 2022-01-29
Authors: Kerryn Husk; Kelly Blockley; Rebecca Lovell; Alison Bethel; Iain Lang; Richard Byng; Ruth Garside Journal: Health Soc Care Community Date: 2019-09-09
Authors: Ana María Jaramillo; Felipe Montes; Olga Lucía Sarmiento; Ana Paola Ríos; Lisa G Rosas; Ruth Hunter; Ana Lucía Rodríguez; Abby C King Journal: Netw Sci (Camb Univ Press) Date: 2020-08-06