Foster Krys, Stoeckle John, Silverio Alexis, Castellan Christine, Hogue Angela, Gouch Ayanna, Weinstein Lara
Thomas Jefferson University, Department of Family and Community Medicine, Philadelphia, PA.
Stephen Klein Wellness Center, Philadelphia, PA.
Fam Med. 2019 Jul;51(7):598-602. doi: 10.22454/FamMed.2019.641507.
The population surrounding an urban federally qualified health center (FQHC) in Philadelphia has poorer health than Philadelphia overall. Community residents identified aerobics and dance classes as very important services or programs that an FQHC might provide. We sought to measure the impact of participation in a resident physician-led, patient-centered fitness and nutrition class on participants' attitudes, knowledge, and self-efficacy regarding their health.
An urban line dancing class and brief healthy eating intervention for adults was held at a YMCA adjacent to a residency-affiliated FQHC weekly for 8 weeks. Pre/postsurveys were administered to assess attitudes and confidence toward physical activity and healthy lifestyles.
Participants' self-assessment of health and levels of physical activity improved. Confidence in performing everyday activities, doing regular exercise and exercising without making symptoms worse increased. A significant decrease in participants' physical activity gratification was observed. Participants' confidence improved in reading food labels for health, but confidence in eating a balanced diet did not improve.
A resident-led fitness and nutrition class, tailored to perceived community needs, generated significant interest and sustained participation. This pilot study furthered development of community infrastructure addressing health, nutrition, and overall fitness, and the results reflect opportunities and challenges of engaging communities in physical fitness.
费城一家获得联邦资质的城市健康中心周边人群的健康状况比费城总体人群更差。社区居民认为有氧运动和舞蹈课程是健康中心可能提供的非常重要的服务或项目。我们试图衡量参与由住院医师主导、以患者为中心的健身与营养课程对参与者在健康方面的态度、知识和自我效能的影响。
在一家与住院医师培训相关的健康中心相邻的基督教青年会，每周为成年人举办一次排舞课程和简短的健康饮食干预，为期8周。通过前后调查来评估对体育活动和健康生活方式的态度及信心。
参与者对健康的自我评估以及体育活动水平有所改善。在进行日常活动、定期锻炼以及锻炼时不会使症状加重方面的信心增强。观察到参与者对体育活动的满意度显著下降。参与者在阅读食品健康标签方面的信心有所提高，但在均衡饮食方面的信心没有改善。
根据社区需求开展的由住院医师主导的健身与营养课程引起了极大兴趣并保持了较高参与度。这项试点研究推动了针对健康、营养和整体健身的社区基础设施建设，其结果反映了让社区参与健身活动的机遇与挑战。
