North Carolina Center for Health and Wellness, University of North Carolina Asheville, Asheville, NC, USA.
Osteoarthritis Action Alliance, Thurston Arthritis Research Center, University of North Carolina Chapel Hill, NC, USA.
Inquiry. 2023 Jan-Dec;60:469580231152314. doi: 10.1177/00469580231152314.
This descriptive study retrospectively evaluates the reach and impact of cohorts enrolled in Group (in-person, 2017-2020) and Self-Directed (remote, 2019-2020) delivery formats of the evidenced-based health promotion program, Walk with Ease, implemented statewide in North Carolina. An existing dataset consisting of pre- and post-surveys were analyzed for 1,890 participants; 454 (24%) from the Group format and 1,436 (76%) from Self-Directed. Self-Directed participants were younger, had more years of education, represented more Black/African American and multi-racial participants, and participated in more locations than Group, though a higher percentage of Group participants were from rural counties. Self-Directed participants were less likely to report having arthritis, cancer, chronic pain, diabetes, heart disease, high cholesterol, hypertension, kidney disease, stroke, or osteoporosis, though more likely to report being obese or having anxiety or depression. All participants walked more and expressed higher confidence in managing joint pain following the program. These results promote opportunities for enhancing engagement in Walk with Ease with diverse populations.
本描述性研究回顾性评估了参加循证健康促进计划“轻松行走”的两个组别的参与度和影响：面对面组（2017-2020 年）和自我指导组（远程，2019-2020 年）。该计划在北卡罗来纳州全州范围内实施。对 1890 名参与者的预调查和后调查现有数据集进行了分析；其中 454 名（24%）来自面对面组，1436 名（76%）来自自我指导组。自我指导组参与者更年轻，受教育程度更高，代表了更多的黑人和多种族参与者，并且比面对面组参加了更多的地点，但更多的面对面组参与者来自农村县。自我指导组参与者报告有关节炎、癌症、慢性疼痛、糖尿病、心脏病、高胆固醇、高血压、肾病、中风或骨质疏松症的可能性较低，而报告肥胖、焦虑或抑郁的可能性较高。所有参与者在参加该计划后步行量增加，对管理关节疼痛的信心增强。这些结果为与不同人群增强参与“轻松行走”提供了机会。
