Utilizing Participatory Research to Engage Underserved Populations to Improve Health-Related Outcomes in Delaware.

Shannon M Robson,P Michael Peterson,Samantha M Rex,Katie Greenawalt,Elizabeth Orsega-Smith

doi:10.3390/nu13072353

Shannon M Robson, P Michael Peterson + Show 3 more

Open Access

https://doi.org/10.3390/nu13072353

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Abstract

Cooperative Extension is a community outreach program. Despite its large reach, there is a need for the evaluation of changes in health-related outcomes for individuals engaged with Cooperative Extension. A team-based challenge was developed using community-engaged participatory research integrated with Cooperative Extension to encourage healthy eating and physical activity behaviors through Cooperative Extension programming. Thus, the primary purpose of this secondary analysis was to (1) evaluate changes in anthropometric outcomes and (2) evaluate changes in health behavior outcomes. Associations of anthropometric changes and health behavior changes with engagement in the three-month team-based challenge were explored. Anthropometrics were measured using standard procedures, and intake of fruits and vegetables and physical activity were self-reported. Of the 145 participants in the community-engaged participatory research portion of the study, 52.4% (n = 76) had complete anthropometrics before and after the team-based challenge and were included in this study. At 3 months, there was a significant reduction in body mass index (−0.3 kg/m2, p = 0.024) and no significant change in waist circumference (p = 0.781). Fruit and vegetable intake significantly increased (+0.44 servings/day, p = 0.018). Physical activity did not significantly change based on (1) the number of days 30 or more minutes of physical activity was conducted (p = 0.765) and (2) Godin Leisure-Time Exercise Questionnaire scores (p = 0.612). Changes in anthropometrics and health behaviors were not associated with engagement in the team-based challenge. Using community-engaged participatory research with community outreach programs, such as Cooperative Extension, can improve health-related outcomes in underserved populations. However, despite a participatory approach, changes in anthropometrics and health behaviors were not associated with engagement in the developed team-based challenge.

Highlights

Of the 145 individuals who participated in the participatory research portion of the study, 52.4% (n = 76) participated in the team-based challenge and had complete anthropometrics measures at baseline and three months
51.3 ± 17.4 years old, 77.0% female, with 59.2% identifying as non-Hispanic, African American, and 34.2% identifying as Hispanic, White
The utilization of community-based participatory research to develop a team-based challenge integrated with Cooperative Extension programming found an improvement in anthropometric outcomes based upon body mass index (BMI) and an increase in fruit and vegetable intake

Summary

Introduction

Poor dietary habits and low levels of physical activity are often associated with poor health outcomes, including overweight and obesity [1,2,3]. 70% of the adult population is classified as being overweight or obese [4]. Racial/ethnic and socioeconomic disparities exist in obesity with Hispanic and Black populations often experiencing a higher prevalence than White and Asian populations, and lower income populations having higher rates of overweight and obesity than higher income populations [5]. Biological and environmental determinants influence overweight and obesity, nutrition and physical activity are considered to be key factors [6]

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Discussion

Conclusion