Translation of an Action Learning Collaborative Model Into a Community-Based Intervention to Promote Physical Activity and Healthy Eating

Health Promotion Practice
Karen E SchifferdeckerDorothy A Bazos

Abstract

Action Learning Collaboratives (ALCs), whereby teams apply quality improvement (QI) tools and methods, have successfully improved patient care delivery and outcomes. We adapted and tested the ALC model as a community-based obesity prevention intervention focused on physical activity and healthy eating. The intervention used QI tools (e.g., progress monitoring) and team-based activities and was implemented in three communities through nine monthly meetings. To assess process and outcomes, we used a longitudinal repeated-measures and mixed-methods triangulation approach with a quasi-experimental design including objective measures at three time points. Most of the 97 participants were female (85.4%), White (93.8%), and non-Hispanic/Latino (95.9%). Average age was 52 years; 28.0% had annual household income of $20,000 or less; and mean body mass index was 35. Through mixed-effects models, we found some physical activity outcomes improved. Other outcomes did not significantly change. Although participants favorably viewed the QI tools, components of the QI process such as sharing goals and data on progress in teams and during meetings were limited. Participants' requests for more education or activities around physical activity and...Continue Reading

References

Dec 1, 1993·Journal of the American Dietetic Association·L A LytleH Feldman
Feb 18, 2003·Journal of the American Dietetic Association·Deanna M HoelscherJerri L Ward
Aug 6, 2003·Medicine and Science in Sports and Exercise·Cora L CraigPekka Oja
Sep 15, 2005·Circulation·David J MalenkaUNKNOWN Northern New England Cardiovascular Disease Study Group
Feb 13, 2009·Journal of Physical Activity & Health·Ann ForsythKathryn H Schmitz
Apr 15, 2009·Qualitative Health Research·Lora E BurkeLinda J Ewing
Jul 4, 2009·Medical Education·Karen E Schifferdecker, Virginia A Reed
Oct 17, 2009·American Journal of Public Health·Rebecca S MozaffarianSteven L Gortmaker
Dec 28, 2010·Journal of the American Dietetic Association·Lora E BurkeMary Ann Sevick
Jul 14, 2011·American Journal of Epidemiology·Carol M HamiltonJonathan Haines
Apr 30, 2013·American Journal of Health Promotion : AJHP·Yael BenyaminiRonit Endevelt
Jun 5, 2013·Journal of Health Care for the Poor and Underserved·Dorothy A BazosYvonne Goldsberry

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Action Learning
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