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Exercise in later life is important for health and well-being, yet motivating older adults to exercise can be difficult. This book addresses that need by tailoring "The Transtheoretical Model" of behavior change to the client's level of readiness for change. The contributors show how TTM can be used to help older adults with varying needs and abilities to change their exercise behaviors. This book is essential for health care professionals including nurses, exercise specialists, occupational therapists, social workers, and others interested in helping older adults incorporate exercise into their daily lives.
Collection of papers written by recognised experts in the field of addictive behaviour. The book presents a new approach to understanding such behaviour based on the premise that it represents a breakdown in self-regulatory processes. Includes bibliographies.
Abstract: The sedentary lifestyle prevalent among many women has manifested itself as a serious public health problem. Inactive lifestyle has been linked to obesity and chronic disease, both serious health care issues for women today, and a disproportionate burden from these conditions is borne by African American women. Despite all that has been learned from the application of behavioral change theories to physical activity, long-term success of interventions to initiate and maintain a physically active lifestyle among African American women has not been realized. This study aimed to contribute to further theory development and to inform future investigations of the most effective ways to assist inactive African American women in maintaining an active lifestyle. Interviews were conducted with 15 African American women between the ages of 25-45 who were physically active at nationally recommended levels for one year or more. Interview questions were open-ended and designed to elicit lengthy accounts from the women using their own words to describe their experiences with physical activity. Focus groups were held at the conclusion of the interviews to gather feedback on the findings from the participants. Grounded theory was used to guide the data collection and analysis process. Data derived inductively from the interviews and focus groups guided the development of a process theory of physical activity evolution. The Physical Activity Evolution process theory identifies three key phases in the adoption and maintenance process: Initiation, Transition, and Integration. The dynamic nature of long-term physical activity participation is exemplified by modification and cessation loops. Important context and conditions within which this process takes place also emerged from the study including planning methods, social support, benefits, and the influence of African American race/culture. This study has made an important contribution to knowledge of the evolution of physical activity participation among African American women. The concept of investigating health behaviors in context and among people who have successfully incorporated those behaviors into their daily lives should be further utilized in research studies. By studying women who have successfully adopted a behavior, strategies to overcome known barriers can be elucidated and applied to intervention planning for other women.
A friendly introduction to the basics of focus group methods with an international feel and an ethical sensibility.
This book provides nurses, clinicians, practitioners, educators and students working with vulnerable and underserved populations with essential information on effective wellness strategies to address inadequate nutrition, promote physical activity, and reduce perceived stress through an integrative health nursing framework. It begins with an overview of cultural humility, health inequities, and social justice, establishing the need for an integrative health nursing framework. In turn, the book addresses a broad range of interventions; particular attention is given to wellness strategies designed to prevent the adverse effects of poor nutrition, perceived stress, and lack of physical activity. Written by respected experts in the field, the book offers readers valuable insights into strategies for working with vulnerable populations. Accordingly, it will appeal to researchers working to diminish health inequities among vulnerable populations, and will be of particular interest to nursing educators, practitioners, and students.
The older African American women living Texas fall into one of the most inactive population segments. Recently, the importance of socio-ecological models on human health behavior and more complex associations between variables have been discussed. Therefore, this cross-sectional study focuses on investigating the trends in physical activity among older African American women, exploring the effects of actual environmental variables that might encourage or discourage their physical activity, and discovering any plausible mediating effects between environmental factors and older African American women's physical activity. The study sample is composed of African American women aged 55 to 84 who reside in independent housing in Bryan, Texas. A total of 282 older African American women's addresses were systematically selected and a self-administrated survey questionnaire documenting the level of physical activity, psychological well-being, sense of community, perception of safety, physical health status, and background information was collected for each of the women. The environmental influences of natural and built environments were defined using two boundaries: 1) nearby home level (0.5 mile street distance), and 2) neighborhood level (1 mile street distance) from the participant's house. The natural and built environments were measured using a Geographic Information System (GIS) and aerial photographs. Results showed that a) walking was the most prevalent type of physical activity and streets were the most popular places for older African American women; b) at the nearby home level, greenery and land use mixture were positively associated with older African American women's physical activity while street pattern and access to commercial areas influenced their physical activity at the neighborhood level; and c) perceptions of crime-related neighborhood problems had significant mediating effects decreasing older African American women's physical activity. The findings revealed that the environmental variables had a distance effects on older women's physical activity. In addition, on a policy level, neighborhood problems should be dealt with using careful insight in order to encourage physical activity.