一种针对阿拉伯裔澳大利亚女性的文化适应型身体活动干预的可行性和可接受性。

Feasibility and acceptability of a culturally tailored physical activity intervention for Arab-Australian women.

机构信息

School of Health Sciences, Western Sydney University, Locked Bag 1797, Penrith, NSW, 2751, Australia.

Translational Health Research Institute, Western Sydney University, Penrith, Australia.

出版信息

BMC Womens Health. 2021 Mar 30;21(1):131. doi: 10.1186/s12905-021-01250-3.

DOI:10.1186/s12905-021-01250-3

PMID:33784997

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8008684/

Abstract

BACKGROUND

Despite being one of the largest migrant groups in Australia, few physical activity interventions exist for Arab-Australians. The primary aim of this study was to test the feasibility and acceptability of a 12-week culturally tailored physical activity intervention for Arab-Australian women.

METHODS

This study used a single-group pretest-posttest design, and was informed by extensive formative research and consultation involving the Arab-Australian community. Participants were insufficiently active Arab-Australian women aged 35-64 with no current illness or injury that would limit physical activity participation. The intervention comprised 6 face-to-face physical activity and education sessions over 12 weeks. The intervention was conducted at 2 separate intervention sites in Western Sydney, Australia. Feasibility outcomes included recruitment, session attendance, and retention. The acceptability of the intervention was assessed through a process evaluation questionnaire completed post-intervention. Accelerometers and the short-form International Physical Activity Questionnaire were used to measure physical activity at baseline and post-intervention. Descriptive statistics were used for feasibility and acceptability outcomes, and changes in physical activity were examined using Wilcoxon signed-rank tests.

RESULTS

Of the 53 women who were contacted or expressed interest, 22 were eligible and enrolled in the study. Participants were primarily recruited through direct contact by Arab-Australian community workers and by word-of-mouth. Average session attendance was 63% and the retention rate post-intervention was 68%. The culturally-related intervention components, such as the appropriateness of content, and women-only setting, were rated highly favourably (4.33 to 4.87/5). General intervention elements, such as the face-to-face delivery, knowledge and approachability of facilitators, and session structure, were also rated favourably (4.33 to 4.93/5), and the lowest scored item was the intervention session frequency (3.2/5). There were no statistically significant changes in physical activity post-intervention.

CONCLUSIONS

The findings from this study highlighted factors related to recruitment and delivery that need to be considered when developing physical activity interventions for Arab-Australian women. Further research is required using a larger sample and a randomised controlled trial design to examine the longer-term impact on physical activity, and to also examine ways of increasing intervention engagement and retention among Arab-Australian women.

TRIAL REGISTRATION

ANZCTR, ACTRN12618001392257. Registered 20 August 2018, https://www.anzctr.org.au/Trial/Registration/TrialReview.aspx?id=375636 .

摘要

背景

尽管阿拉伯裔澳大利亚人是澳大利亚最大的移民群体之一，但针对他们的身体活动干预措施却很少。本研究的主要目的是测试针对阿拉伯裔澳大利亚女性的为期 12 周的文化适应性身体活动干预措施的可行性和可接受性。

方法

本研究采用单组前后测设计，并借鉴了涉及阿拉伯裔澳大利亚社区的广泛形成性研究和咨询。参与者是身体活动不足的 35-64 岁的阿拉伯裔澳大利亚女性，没有当前会限制身体活动参与的疾病或损伤。干预措施包括 12 周内进行 6 次面对面的身体活动和教育课程。干预在澳大利亚西部悉尼的 2 个单独的干预地点进行。可行性结果包括招募、出席率和保留率。通过干预后完成的过程评估问卷评估干预措施的可接受性。使用加速度计和简短的国际身体活动问卷在基线和干预后测量身体活动。使用描述性统计数据评估可行性和可接受性结果，并使用 Wilcoxon 符号秩检验检查身体活动的变化。

结果

在联系或表示有兴趣的 53 名女性中，有 22 名符合条件并参加了研究。参与者主要通过阿拉伯裔澳大利亚社区工作者的直接联系和口碑来招募。平均出席率为 63%，干预后保留率为 68%。与文化相关的干预措施，如内容的适当性以及仅限女性的环境，得到了高度评价（4.33 到 4.87/5）。一般干预措施，如面对面的交付、促进者的知识和亲和力以及课程结构，也得到了很好的评价（4.33 到 4.93/5），评分最低的项目是干预课程的频率（3.2/5）。干预后身体活动没有统计学上的显著变化。