Your browser doesn't support javascript.
Innovative participatory evaluation methodologies to assess and sustain multilevel impacts of two community-based physical activity programs for women in Colombia.
Rubio, María Alejandra; Guevara-Aladino, Paula; Urbano, Marcela; Cabas, Santiago; Mejia-Arbelaez, Carlos; Rodriguez Espinosa, Patricia; Rosas, Lisa G; King, Abby C; Chazdon, Scott; Sarmiento, Olga L.
  • Rubio MA; School of Medicine, Universidad de los Andes, Bogotá, Colombia.
  • Guevara-Aladino P; School of Medicine, Universidad de los Andes, Bogotá, Colombia.
  • Urbano M; School of Medicine, Universidad de los Andes, Bogotá, Colombia.
  • Cabas S; School of Medicine, Universidad de los Andes, Bogotá, Colombia.
  • Mejia-Arbelaez C; School of Medicine, Universidad de los Andes, Bogotá, Colombia.
  • Rodriguez Espinosa P; Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA, 94305, USA.
  • Rosas LG; Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA, 94305, USA.
  • King AC; Division of Primary Care and Population Health, Stanford University School of Medicine, Stanford, CA, 94305, USA.
  • Chazdon S; Department of Epidemiology and Population Health, Stanford University School Medicine, Stanford, CA, 94305, USA.
  • Sarmiento OL; Stanford Prevention Research Center, Department of Medicine, Stanford University School of Medicine, Stanford, CA, USA.
BMC Public Health ; 22(1): 771, 2022 04 15.
Article in English | MEDLINE | ID: covidwho-2113166
ABSTRACT

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 Bogotá, Colombia (Recreovía 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 (Recreovía 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.
Subject(s)
Keywords

Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Male / Middle aged Country/Region as subject: South America / Colombia Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: S12889-022-13180-2

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Collection: International databases Database: MEDLINE Main subject: Pandemics / COVID-19 Type of study: Experimental Studies / Prognostic study / Qualitative research / Randomized controlled trials Limits: Female / Humans / Male / Middle aged Country/Region as subject: South America / Colombia Language: English Journal: BMC Public Health Journal subject: Public Health Year: 2022 Document Type: Article Affiliation country: S12889-022-13180-2