Toronto General Hospital Research Institute, University Health Network, Toronto, Ontario, Canada.
Faculty of Kinesiology and Physical Education, University of Toronto, Toronto, Ontario, Canada.
BMJ Open. 2024 Nov 24;14(11):e086653. doi: 10.1136/bmjopen-2024-086653.
Little prior research investigated how to promote physical activity (PA), which can reduce cancer risk, to immigrant women. The overall aim of the current study was to pilot test education session feasibility. The objectives were to assess participation in, satisfaction with and potential impact of the education session, knowledge needed to refine the education session prior to a future trial.
Pre-post multiple-methods comparative cohort, SETTING: Canadian immigrant settlement agencies recruited intervention and control women.
Intervention: 60 baseline, 53 education (49 virtual group, 4 video only), 1 month (43 virtual, 4 video), 6 months (38 virtual, 4 video), 37% African black; control: 41, 32% African black.
Among intervention women, PA knowledge increased significantly from baseline at 1 (p<0.001) and 6 (p=0.01) months, as did PA confidence at both time points (p<0.001). PA behaviour increased significantly from baseline at 1 and 6 months for (p<0.001), moderate (p=0.02) and mild (p=0.05) intensity PA. Total PA metabolic equivalent units (METs) also increased significantly from baseline at both time points (p=0.01). PA confidence (p=0.002) and behaviour assessed by weekly minutes of vigorous (p=0.04, n=0.05) and moderate (p=0.005) intensity PA, and total PA METs (p=0.01) were significantly greater among intervention women compared with control women. PA knowledge was greater among intervention women compared with control women but not significantly (p=0.8).
The findings underscore an important health promotion role for community agencies, which may interest policy-makers, healthcare leaders and health promotion specialists.
针对移民女性,鲜有研究关注如何促进能降低癌症风险的身体活动(PA)。本研究的总体目的是对教育课程进行试点测试,以评估其可行性。具体目标是评估教育课程的参与度、满意度以及潜在影响,以及在未来试验之前获得细化教育课程所需的知识。
前瞻性多方法比较队列研究,设置:加拿大移民定居机构招募干预组和对照组女性。
干预组:60 名基线女性,53 名接受教育(49 名虚拟组,4 名仅视频组),1 个月(43 名虚拟组,4 名仅视频组),6 个月(38 名虚拟组,4 名仅视频组),37%为非洲裔黑人;对照组:41 名,32%为非洲裔黑人。
在干预组女性中,PA 知识在 1 个月(p<0.001)和 6 个月(p=0.01)时显著增加,而 PA 信心在两个时间点均显著增加(p<0.001)。PA 行为在 1 个月和 6 个月时显著增加(p<0.001),包括中高强度(p=0.02)和低强度(p=0.05)。PA 总代谢当量(MET)在两个时间点也显著增加(p=0.01)。PA 信心(p=0.002)和每周剧烈(p=0.04,n=0.05)和中强度(p=0.005)PA 分钟以及 PA 总 MET 方面的行为,干预组女性显著高于对照组女性(p=0.002)。干预组女性的 PA 知识显著高于对照组女性,但无统计学意义(p=0.8)。
这些发现强调了社区机构在促进健康方面的重要作用,这可能引起政策制定者、医疗保健领导者和健康促进专家的兴趣。