Madanat H, Martinez A, Molina M, Ayala G X
Graduate School of Public Health, San Diego State University, USA.
Institute for Behavioural and Community Health, San Diego State University, USA.
J Health Sci Educ. 2023 Jan;1(3):1-7.
Community health workers, , have been identified as effective change agents of their community members' health behaviors and health status. However, few studies have examined the effects of delivering an intervention on the themselves.
This study assessed whether delivering a healthy lifestyle intervention for adults improved their health behaviors and health status from baseline to 6- and 12-months post-baseline.
Volunteer were trained to promote healthy lifestyles including physical activity through workshops and free group exercise classes throughout their communities. Twenty completed all required trainings and delivered at least one class during the period between baseline and 12-month assessments. The were measured on the following variables: Systolic and diastolic blood pressure, waist circumference, weight, and height. Additionally, they reported their health behaviors and status including moderate-to-vigorous physical activity, beverage consumption, sleep duration, and depressive symptoms.
Repeated measures ANOVAs showed statistically significant decreases from baseline to 6 months for systolic blood pressure (p ≤ 0.05), diastolic blood pressure (p ≤ 0.001) and body mass index (p ≤ 0.05). Changes in self-reported measures were not statistically significant although trends were observed with increases in water consumption.
Findings from this study suggest positive effects associated with delivery of a PA intervention. This is one of the first studies to focus on a cohort of to examine health outcomes from delivering a healthy lifestyle intervention. It is important to further explore these impacts on the community health workers as they have become increasingly essential to the health of some communities.
社区卫生工作者已被视为其社区成员健康行为和健康状况的有效变革推动者。然而，很少有研究考察对社区卫生工作者自身实施干预的效果。
本研究评估为成年人提供健康生活方式干预是否能改善他们从基线到基线后6个月和12个月的健康行为和健康状况。
志愿者社区卫生工作者通过在其社区举办讲习班和免费团体健身课程，接受培训以促进包括体育活动在内的健康生活方式。20名社区卫生工作者完成了所有所需培训，并在基线和12个月评估期间至少授课一次。对社区卫生工作者测量了以下变量：收缩压和舒张压、腰围、体重和身高。此外，他们报告了自己的健康行为和状况，包括中度至剧烈体育活动、饮料消费、睡眠时间和抑郁症状。
重复测量方差分析显示，从基线到6个月，收缩压（p≤0.05）、舒张压（p≤0.001）和体重指数（p≤0.05）有统计学意义的下降。自我报告测量的变化虽无统计学意义，但观察到饮水增加的趋势。
本研究结果表明实施体育活动干预有积极效果。这是首批关注社区卫生工作者群体以考察实施健康生活方式干预对健康结果影响的研究之一。随着社区卫生工作者对某些社区的健康变得越来越重要，进一步探索这些对他们的影响很重要。
