Community-based Education Program Research Articles

Embracing Society, Children, and Music: Approaches to Constructing Community-Based Educational Programs

Embracing Society, Children, and Music: Approaches to Constructing Community-Based Educational Programs

The effect of community-based health education programs on health literacy in severely impoverished counties in Southwestern China: Results from a quasi-experimental design.

A national health education program in impoverished counties to promote health literacy among rural populations was released by the Chinese government in 2018. Under this nationwide campaign, an integrated health education program was implemented in Yunnan province, which included additional culturally sensitive educational components for the severely impoverished prefectures. This study examined the differential effects of the health education program models on health literacy outcomes among residents in poverty-stricken areas. A quasi-experimental design was applied with two arms that included surveys at baseline (in October 2019) and endline (in June 2021) to collect a range of individual-level health information, including the Chinese Resident Health Literacy Scale. The intervention group received the national health education program with the additional Yunnan specific program; the control group received only the national program. Respondents were recruited via a multi-stage stratified sampling, including 641 participants at baseline (261 from the intervention sites and 380 from the control sites) and 693 participants at endline (288 from the intervention sites and 405 from the control sites). Chi-square and logistic regression analyses were performed to examine the association between program intervention and health literacy outcomes. The overall health literacy levels were low (1.87%) at baseline, and there was no statistically significant difference between two groups (1.92 vs. 1.84%, P = 1.000). A significant increase (from 1.87 to 11.11%, P < 0.001) in the health literacy level was observed at endline in both groups. The magnitude of increase was significantly greater in the intervention group relative to the control group (17.71 vs. 6.42%, P < 0.001). Adjusting for the confounding factors of individual and household characteristics, results from multivariate logistic regression revealed that the odds of having adequate health literacy among participants who received both the National Program and the Yunnan Program were 3.92 times higher than those who only received the National Program (95% CI: 2.10-7.33). The findings highlighted the importance of incorporating non-verbal visual aids and culturally-sensitive media tools in health literacy education to address healthy lifestyle and the living contexts of the populations in poverty-stricken areas.

Has novel coronavirus infection affected the professional identity recognised by medical students? - A historical cohort study

Introduction: The pandemic caused by the novel coronavirus (COVID-19) has produced dramatic changes in the learning environment for clinical practice in medical education, and the impact on medical students has been significant. However, few program evaluation studies involving professional identity, now emphasised in medical education, have compared current with pre-COVID-19 programs. Here, we compared the professional identity recognised by medical students in the years before and during COVID-19. Methods: Medical students who participated in clinical practice were evaluated using the Japanese version of the Professional Self-Identity Questionnaire (PSIQ), a 9-item inventory rated using 7-point Likert scales. They answered on the first day of a 4-week clinical practice module within a community-based medical education (CBME) program and at graduation in 2018-2019 (pre-COVID-19 pandemic) and in 2019-2020 (during-COVID-19 pandemic). We compared the mean difference in total PSIQ score of the 2019-2020 students to those of the 2018-2019 students as a historical cohort using an unpaired t-test. Results: Participants were 104 medical students in the 2018-2019 academic year and 92 in the 2019-2020 academic year. PSIQ was increased at graduation. Mean difference in total PSIQ score was statistically higher for the 2019-2020 students (13.5 ± 9.4) than for the 2018-2019 students (10.3 ± 8.1) (t =2.6, df =195, p = 0.01). Conclusion: Although clinical practice was restricted by COVID-19, this had some positive impact on the strengthening of professional identity recognised by medical students. This finding may have been influenced by the imprinting of professional norms and changes in society.

Live More Abundantly: A community-based lifestyle education program addressing selected chronic disease risk factors in Fiji—a pilot study

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Impact of COVID-19 on mental health of adolescents: A theoretical perspective

This theoretical paper examines the potential impact of the COVID-19 pandemic on the mental health of adolescents. The pandemic has brought about unprecedented changes in daily life and led to increased levels of anxiety and depression among adolescents. The paper explores potential long-term effects, including social anxiety, avoidant personality traits, PTSD, and other trauma-related disorders. Strategies for prevention and treatment of mental health problems during and after the pandemic are discussed, including community-based approaches and mental health education programs. The paper draws on studies by Loades et al. (2020), Xiong et al. (2020), Patrick et al. (2021), and Lee et al. (2020) to provide insights into the impact of the pandemic on adolescent mental health.

Abstract B058: Cervical cancer prevention hesitancy comparison between Muslim and Non-Muslim American women: Qualitative study

Abstract Introduction HPV vaccination and regular cervical cancer screening are crucial in reducing cervical cancer morbidity and mortality. The Muslim population is a growing and understudied minority group in the US presenting with higher rates of a late-stage cervical cancer diagnosis than non-Muslims. Studies showed specific factors impacting Muslim women's beliefs and practices related to cervical cancer prevention. This study explored multi-contextual factors, including religious, behavioral, and sociocultural elements that may influence Muslim women's decisions regarding cervical cancer prevention in Virginia, USA compared to in Egypt. Methods The project recruited 20 American women (Muslim and non-Muslim) for in-depth interviews. The interviews followed a detailed guideline, asking questions about knowledge, attitude, and behavior related to HPV vaccination and cervical cancer screening. The qualitative data were analyzed using the Strauss and Corbin variation of the Grounded Theory using an iterative coding process to extract concepts and causal relations between them in the interviews. The study was approved by the Institutional Review Boards of Virginia Commonwealth University. Results The Muslim and non-Muslim cohorts showed different results. Most participants (Muslim and non-Muslim) had information about cervical cancer but not prevention methods such as the HPV vaccine. None of the single Muslim women visited a gynecologist due to modesty (Virginity), while all married women had at least one gynecologist visit. Most non-Muslim single cohorts are visiting the Primary Care Physicians regularly but not gynecologists. Female physicians were a preference for all women, the non-Muslim women were more open to male providers if there are no other options. Religious misconceptions about the risk factors of cervical cancers were common in the Muslim women cohort (e.g., cancer is a punishment from God). All participants in both cohorts agreed that vaccination generally was useful and effective, but they did not know about the HPV vaccine. None of the participants (Muslim and non-Muslim) were vaccinated against HPV. A language barrier was observed among Muslim women’s experiences in the US, even though all participants spoke English fluently. Discussion Both populations need education related to HPV prevention even those who graduated from American high school. Muslim women interfacing the health system complexity every day while they are visiting any clinic, thus creating a gap that growing up with the next generations would lead to health disparities. The next steps in this project include the implementation of community-based education programs. Our results also showed that the US healthcare providers have very little cultural competency related to the needs of Muslim women. Citation Format: Asmaa Namoos, Maryam Abdelkarim, NourEldin Abosumak, Dina Ramadan, Rana Ramadan, Venessa B. Sheppard, Tamas Gal. Cervical cancer prevention hesitancy comparison between Muslim and Non-Muslim American women: Qualitative study [abstract]. In: Proceedings of the 15th AACR Conference on the Science of Cancer Health Disparities in Racial/Ethnic Minorities and the Medically Underserved; 2022 Sep 16-19; Philadelphia, PA. Philadelphia (PA): AACR; Cancer Epidemiol Biomarkers Prev 2022;31(1 Suppl):Abstract nr B058.

IMPROVED PREPAREDNESS COMMUNITIES IN FACING DISASTERS THROUGH DISASTER MITIGATION ON SAPEKEN ISLAND, SUMENEP REGENCY

Disasters can happen anytime and anywhere. Living as an archipelagic community is an advantage as well as a risk for the people of Sapeken Island. Behind the natural beauty and richness of life, the community is far from education related to disaster mitigation, and even government data related to mapping regional vulnerabilities and capacities are not optimal. The community-based disaster mitigation education program on Sapeken Island organized by the Disaster Management Masters Program at Airlangga University in collaboration with the Ksatria Airlangga Floating Hospital aims to improve preparedness and increase community capacity in dealing with potential disasters that can occur on Sapeken Island. Based on the results of the pre-test and post-test conducted, the level of community knowledge about disaster mitigation tends to be low and has an average increase of 9% in the post-test knowledge of earthquakes and an average increase of 29% in tsunami knowledge. In addition to disaster mitigation education programs, the community is also invited to determine gathering points and evacuation routes as anticipation and preparedness in the event of an unwanted disaster while waiting for evacuation assistance to arrive. Disaster education programs for archipelagic communities are very important to increase community capacity in addition to developing their tourism potential. So that the community can develop in a balanced way in developing tourism potential in the islands by taking into account the elements of disaster risk that can be prevented or reduced.

INCREASING MEDICATION SAFETY AWARENESS IN RURAL OLDER ADULTS

Abstract Compared to urban populations, rural residents have a higher incidence of chronic diseases and poorer health outcomes. Most medications in the United States are consumed by older adults who are more susceptible to adverse drug events due to the presence of multiple chronic conditions and physiologic changes in the body. This community-based project evaluated the impact of an interdisciplinary medication education intervention on medication knowledge and adherence to medications and refills. The study was a quasi-experimental pretest/posttest design with a convenience sample. The project was marketed via a multi-media approach. Most participants reported learning of the event at a senior center. Each participant received a private educational session for their specific medications with a nurse practitioner, pharmacist, or pharmacy resident. Forty-nine older adults participated in the study with 48 (97.9%) completing both the pretest and posttest. The average age of participants was 71.4 years and the average number of medications per participant was 5.4. There was a statistically significant difference in the adherence to medication and refills subscale score (p = .003). There was no statistically significant difference in the medication knowledge subscale (p = .192), however, the scores did trend upward indicating an increase in medication knowledge. Forty-four (89.8%) participants reported they were more comfortable understanding their medication since participating in the program and 48 (98%) reported they would recommend the program to others. The results of this study suggest community-based outreach medication educational programs can increase adherence to medication and refills for older adults residing in rural areas.

IF THEY BUILD IT, THEY WILL COME: ENGAGING OLDER AFRICAN AMERICANS IN EDUCATION AND RESEARCH

Abstract Engaging African Americans in health education and research is a mechanism for addressing health disparities and achieving health equity. The science of engagement and retention requires strong community partnerships, authentic leadership, and educational opportunities for students and the broader community. In this presentation, Karen Lincoln will discuss how findings from her research on health and mental health disparities laid the foundation for her community-based health education program and public scholarship. She will highlight Advocates for African American Elders (AAAE), the health education program that she founded and directs. AAAE provides culturally competent health education for older African Americans throughout Los Angeles County and has become a hub for her research, training and mentoring.

STIFLED UTILIZATION OF DEMENTIA-RELATED HEALTHCARE SERVICES DUE TO STIGMA IN RURAL APPALACHIA

Abstract Residency in rural Appalachia is linked with heightened morbidity and mortality due to a myriad of conditions, many of which are associated with increased risk and prevalence of Alzheimer’s disease and related dementias (ADRD). Despite this, access to and utilization of dementia-specific healthcare services in the region are limited. This study presents community-based stigma associated with enrollment in healthcare clinical research offered in rural Appalachia. Additional data from focus groups with care partners of people with memory impairment in rural Appalachia discuss implications of stigma in their communities. Findings elaborate on recruitment challenges associated with terminology, such as caregiver and dementia, as well as availability of diagnosticians. This study illustrates unique characteristics needed for community-based education programs tailored to the culture and customs of rural regions in order to increase utilization of healthcare for older adults at risk or living with ADRD.

Knowledge, attitude, and practice of Nepalese residents in the prevention and control of COVID-19: A cross-sectional web-based survey.

Coronavirus disease 2019 (COVID-19) has caused a global public health crisis. Preventive measures to tackle the deadly virus are influenced by people's knowledge, attitude, and practice (KAP) toward COVID-19. This study aimed to assess the level of knowledge, attitude, and practice toward COVID-19 among Nepalese residents in Nepal. A web-based cross-sectional survey was conducted among 755 Nepalese residents across all seven provinces of Nepal. The questionnaire used to determine the KAP of the participants was derived from a previous study conducted in Nepal. Descriptive analysis was done to identify the distribution of socio-economic and demographic characteristics of participants. Factors associated with residents' KAP regarding COVID-19 were examined using Chi-square tests at the significance level of 0.05. The mean age of the participants was 24.6 years. At the time of data collection, 8.2% of the participants had their families in isolation or quarantine center. In this study, 76.4%, 58.0%, and 63.6% of the participants had a good knowledge level, attitude level, and practice level respectively regarding COVID-19. Occupation and marital status were significantly associated with knowledge, attitude, and practice level. Age was significantly associated with knowledge and attitude level. Those participants who had their family members in quarantine were found to have a good level of preventive practice. The knowledge-attitude (rka= 0.184, p<0.001), attitude-practice (rap=0.125, p<0.001) and knowledge-practice (rkp= 0.07, p<0.05) were positively correlated in this study. This study showed satisfactory awareness regarding COVID-19 among Nepalese residents. Community-based health education programs should be promoted to develop a positive attitude toward healthy practices to tackle the COVID-19 pandemic or any future health crisis.

Public Knowledge and Belief Regarding Antibiotic Use and Antimicrobial Resistance in Qatar

Background: Antibiotics act as a therapeutic weapon in eradicating pathogens. Antibiotics are the most common group of drugs misused for self-medication. This is a global public health concern and is one of the major contributing factors to antibiotic resistance (ABR). Objective: This study aimed to assess the knowledge and beliefs of the public in Qatar regarding appropriate antibiotic use and antimicrobial resistance. Methods: A cross-sectional research design was used to collect the information from the participants based on an adapted questionnaire from the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO) between September – November 2018. The study enrolled 1000 participants who visited two large emergency departments (ED) of public hospitals in Qatar. Results: The mean knowledge and belief scores were 55.07±15.87 and 66.57±23.13 respectively. 42% of the participants had moderate knowledge regarding antibiotic and antimicrobial resistance. The majority of the participants (64.8%) believed that antibiotics fight against bacteria and viruses. The educational level significantly influences the belief of the participants. Graduates possess a higher belief score of 11.75±12.5 (P=0.001) compared to others. Conclusion: The key findings of this study highlighted the existing gap in knowledge among the public. A community-based health education program should be launched to raise citizen responsibility to use antibiotics judiciously.

Community Preventive Health Education Intervention for Pediatric Iron-Deficiency Anemia in Rural Southeast Nigeria.

Iron-deficiency anemia (IDA) is a global cause of morbidity in children under five, particularly in sub-Saharan Africa. In southeast Nigeria, poor dietary intake and caregiver knowledge about childhood anemia are observed; however, there is no consensus on how to best prevent it. This study seeks to test the effectiveness of caregiver education on improving anemia knowledge and dietary prevention strategies and promoting sustainable lifestyle changes to reduce the prevalence of childhood IDA. A questionnaire was administered to the primary caregivers of 41 patients under age five with anemia in southeast Nigeria regarding socioeconomic status (SES), diet diversity, and risk factors for anemia. Caregivers were administered a preeducation questionnaire, poster education on anemia and iron-rich foods, and a posteducation questionnaire. All patients underwent a medical exam to confirm a diagnosis of anemia or anemia-related conditions. Ninety-five percent of patients had moderate diet diversity, but there was no correlation between diet diversity and SES. Barriers to healthier diets were associated with SES. Preeducation scores were not associated with caregivers' education levels; however, posteducation scores were significantly higher in university-educated than technical-trained caregivers. Caregiver-reported self-efficacy increased after the education program. Caregivers' SES was associated with financial and knowledge barriers to a healthier diet but not diet diversity, suggesting that nutritional education could benefit all SES groups. Overall, the education program increased caregivers' anemia knowledge across educational levels. A community-based health education program could improve caregivers' anemia knowledge and self-efficacy in applying this information and potentially reduce this area's pediatric IDA.

Effectiveness of a community-based education and peer support led by women’s self-help groups in improving the control of hypertension in urban slums of Kerala, India: a cluster randomised controlled pragmatic trial

BackgroundWith less than 20% of people with hypertension achieving their target blood pressure (BP) goals, uncontrolled hypertension remains a major public health problem in India. We conducted a study to...

Personal caution about some cancer-related lifestyle habits in Northern Saudi Arabia.

The present study aimed at assessing community familiarity with cancer-related lifestyle habits in Northern Saudi Arabia. This descriptive cross-sectional study involved a community-based sample of 442 civilians living in Hail, Northern Saudi Arabia. Data were collected during the period between October and November 2020. Data were randomly collected from different public gathering places regardless of age or sex. Higher nescience percentages were associated with physical inactivity followed by obesity and fast food, representing 328/390 (84%), 311/390 (80%), and 263/390 (67%), respectively. Northern Saudi Arabia has a high negative attitude toward cancer risk factors, necessitating the implementation of community-based health education and cancer awareness programs. Level of education and age have no significant role in the level of cancer awareness.

Evaluating equity in community-based naloxone access among racial/ethnic groups in Massachusetts

BackgroundRacial/ethnic minorities have experienced disproportionate opioid-related overdose death rates in recent years. In this context, we examined inequities in community-based naloxone access across racial/ethnic groups in Massachusetts. MethodsWe used data from: the Massachusetts Department of Public Health on community-based overdose education and naloxone distribution (OEND) programs; the Massachusetts Office of the Chief Medical Examiner on opioid-related overdose deaths, and; the United States Census American Community Survey for regional demographic/socioeconomic details to estimate community populations by race/ethnicity and racial segregation between African American/Black and white residents. Race/ethnicity groups included in the analysis were African American/Black (non-Hispanic), Hispanic, white (non-Hispanic), and “other” (non-Hispanic). We evaluated racial/ethnic differences in naloxone distribution across regions in Massachusetts and neighborhoods in Boston descriptively and spatially, plotting the race/ethnicity-specific number of kits per opioid-related overdose death per jurisdiction. Lastly, we constructed generalized estimating equations models with a negative binomial distribution to compare the race/ethnicity-specific naloxone distribution rate by OEND programs. ResultsFrom 2016–2019, the median annual rate of naloxone kits received from OEND programs in Massachusetts per racial/ethnicity group ranged between 160 and 447 per 100,000. In a multivariable analysis, we found that the naloxone distribution rates for racial/ethnic minorities were lower than the rate for white residents. We also found naloxone was more likely to be distributed in racially segregated communities than non-segregated communities. ConclusionWe identified racial/ethnic inequities in naloxone receipt by individuals in Massachusetts. Additional resources focused on designing and implementing OEND programs for racial/ethnic minorities are warranted to ensure equitable access to naloxone.

Perspectives on a Novel Culturally Tailored Diabetes Self-Management Program for African Americans: A Qualitative Study of Healthcare Professionals and Organizational Leaders.

Background: There is an urgent need for culturally tailored diabetes self-management education to improve health outcomes in African Americans, especially given the disproportionate prevalence of diabetes and medication non-adherence. Stakeholder engagement can guide and enrich the development of these interventions by integrating content directly addressing barriers to African Americans’ adherence with existing community-based diabetes self-management education programs. The aim of this study is to explore stakeholder perspectives on a novel culturally tailored diabetes self-management program for African Americans. Methods: Thirteen semi-structured individual interviews were conducted in a large Midwestern U.S. city with healthcare professionals and organizational leaders serving African American communities and/or providing diabetes education. Transcripts were analyzed using directed content analysis with the Consolidated Framework for Implementation Research and inductive content analysis. Results: Five overarching themes were identified: (1) fulfill needs among stakeholders, (2) creating a supportive and trusting environment to address distrust, (3) building relationships and empowering peers, (4) logistical organization barriers to program implementation and (5) challenges to program acceptance by participants. Conclusion: Stakeholders delineated how the new culturally tailored diabetes self-management program aligned with the needs of African American patients. Perceived challenges and corresponding strategies to address barriers to participation were identified to inform program implementation and sustainability.

Lessons learned from a gender-specific educational programme supporting young women with experience of domestic abuse

Background: Domestic abuse is a public health issue, and increasing evidence suggests that young women are more likely to suffer than older women, yet limited evidence exists in England about educational and intervention programmes for young women at risk. Study’s objectives: To evaluate a gender-specific (women-only) programme aimed at educating young women aged 13–25 years about abuse and staying safe in one English city. Setting: A third sector (charitable) organisation, aiming to improve women’s health in one English city delivered the programme over a 3-year period, funded by the Big Lottery Fund. Young women received both peer and one-to-one support, to educationally inform them, develop their skills and improve their capabilities in responding to abuse. Method: This qualitative evaluation captured the perspectives of young women accessing the programme ( n = 33), exploring the positive difference that it made to their lives. We also captured the views of internal stakeholders in 2018 ( n = 2), then followed up in 2020 ( n = 3), and external stakeholders referring young women to the programme ( n = 8). Results: The programme met its aims. Self-reported changes in young women’s lives included increased knowledge about staying safe and being happier. Some young women gained or retained custody of their children, and others exited harmful relationships. Young women identified a range of mechanisms of success including a non-judgemental approach from workers, peer support and a trusted space in which to meet and learn. The programme increased young women’s skills to stay safe while improving their mental wellbeing. Conclusion: The programme worked well for young women who accessed it. However, it could not reach all those in need, was only funded in the short-term and tended to individualise the responsibility for staying safe. Further research is needed in other community-based educational programmes to provide evidence of their effectiveness as well as transferrable models for workers in other contexts.

Role of traditional beliefs in the knowledge and perceptions of mental health and illness amongst rural-dwelling women in western Nigeria.

BackgroundGlobally, the public health importance of mental health has gained significant attention in recent years. In Africa, many traditional belief systems impact the perceptions, attitude and management of mental illness. Women are usually the primary caregivers of mentally ill persons, but they have lower mental health literacy.AimTo assess rural women’s knowledge, perceptions and attitudes regarding mental illnesses and the role of traditional beliefs in their management.SettingEpe Local Government Area of Lagos State, Nigeria.MethodsThis was a cross-sectional study with a total of 295 rural women recruited through a multistage sampling method. A pretested interviewer-administered questionnaire was used to collect data. Summary and inferential statistics were measured using Epi Info version 7. The level of significance was predetermined at 5%.ResultsA total of 253 questionnaires were adequately filled and analysed. Overall, just over one-third (35%) of respondents had good knowledge and only 26% had positive attitudes towards mental health and illness. About 45% reported that mental illness should first be treated in ‘the traditional way’, whilst 47% felt that there was no need for collaboration between orthodox and unorthodox healthcare for mental illness. Sociodemographic variables were significantly associated with knowledge (educational level p = 0.001) and attitude (marital status p = 0.001 and ethnicity p = 0.001).ConclusionRespondents had poor knowledge of and attitude towards mental health, and traditional beliefs played a role in their perception and management of mental illness. We recommend community-based health education programmes to improve knowledge and help-seeking for mental illness amongst rural women.

A Web-Delivered, Clinician-Led Group Exercise Intervention for Older Adults With Type 2 Diabetes: Single-Arm Pre-Post Intervention.

BackgroundThe COVID-19 pandemic created unprecedented shifts in the way health programs and services are delivered. A national lockdown to prevent the spread of COVID-19 in Australia was introduced in March 2020. This lockdown included the closure of exercise clinics, fitness centers, and other community spaces, which, before the pandemic, were used to deliver Beat It. Beat It is an 8-week in-person, community-based, and clinician-led group exercise and education program for adults self-managing diabetes. To continue offering Beat It, it was adapted from an in-person program to a fully web-based supervised group exercise program for adults with type 2 diabetes (T2DM).ObjectiveThis study aims to assess whether the Beat It Online program produced comparable health outcomes to the Beat It in-person program in terms of improving physical fitness (muscular strength and power, aerobic endurance, balance, and flexibility) and waist circumference in older adults with T2DM.MethodsAustralians with T2DM who were aged ≥60 years were included. They were enrolled in Beat It Online, a twice-weekly supervised group exercise and education program conducted via videoconference over 8 weeks. Anthropometric measurements and physical fitness parameters were assessed at baseline and completion. The adaptations to Beat It are reported using the Model for Adaptation, Design, and Impact, including the type of changes (what, where, when, and for whom), the criteria for making those changes (why and how), and the intended and unintended outcomes. The intended outcomes were comparable functional fitness as well as physical and mental health improvements across demographics and socioeconomic status.ResultsA total of 171 adults (mean 71, SD 5.6 years; n=54, 31.6% male) with T2DM were included in the study, with 40.4% (n=69) residing in lower socioeconomic areas. On the completion of the 8-week program, significant improvements in waist circumference, aerobic capacity, muscular strength, flexibility, and balance were observed in both male and female participants (all P<.001). The Model for Adaptation, Design, and Impact reports on 9 clinical, practical, and technical aspects of Beat It that were adapted for web-based delivery.ConclusionsThis study found that Beat It Online was just as effective as the in-person program. This adapted program produced comparable health benefits across demographics and socioeconomic status. This study offers important findings for practitioners and policy makers seeking to maintain independence of older people with T2DM, reversing frailty and maximizing functional and physical fitness, while improving overall quality of life. Beat It Online offers a flexible and inclusive solution with significant physical and mental health benefits to individuals. Further evaluation of Beat It (both in-person and Online) adapted for culturally and linguistically diverse communities will provide greater insights into the efficacy of this promising program.