title: Integrating health education and physical activity programming for cardiovascular health promotion among female inmates: A proof of concept study.
abstract: Female inmate populations in the United States tend to be overweight, physically inactive, experience high stress, and have a history of nicotine and other drug dependence. Thus, they bear an elevated risk of cardiovascular (CV) disease than the general population. However, few evidence-based health interventions exist for this population. This study will test proof of concept, feasibility, and potential efficacy of a multiple health behavior change intervention that integrates CV-health promotion education delivered during a physical activity (PA) program (indoor cycling) tailored to this population. This study uses a quasi-experimental 2-group design with two measurement time-points: baseline and 8-week end of treatment. N=120 incarcerated women (18-59years of age) who are medically cleared for participation in PA will be enrolled. Indoor cycling instructors will be trained to deliver five health education topics over an 8-week period during twice-weekly cycling classes. Topics match the American Heart Association recommendations for CV health: (a) nutrition, (b) PA promotion, (c) weight management, (d) stress management, and (e) smoking cessation and relapse prevention. Modes of intervention include instructor advice, written materials and audio/video clips reviewed during class. CV-related and mental health measures will be assessed at both time-points. Results will guide a full scale efficacy study. Future research in this area has potential to impact the health of female inmates, a high-risk population. Moreover, this multiple health behavior change intervention model represents a community approach to health promotion that could generalize to other underserved populations who may benefit most from similar intervention efforts.
authors.affiliation: Department of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Avenue, Ritter Annex, 9th floor, Philadelphia, PA 19122, USA; Mel and Enid Zuckerman College of Public Health, University of Arizona, Abrams Public Health Center, 3950 S Country Club Rd, STE 300, Tucson, AZ 85714, USA. Electronic address: umanair@email.arizona.edu.
authors.forename: Uma S
authors.initials: US
authors.lastname: Nair
authors.affiliation: Fox School of Business, Temple University, 1810 Liacouras Walk, Alter Hall, Philadelphia, PA 19122, USA.
authors.forename: Jeremy S
authors.initials: JS
authors.lastname: Jordan
authors.affiliation: Fox School of Business, Temple University, 1810 Liacouras Walk, Alter Hall, Philadelphia, PA 19122, USA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Funk
authors.affiliation: Gearing Up, Inc., 1221 Locust Street, Philadelphia, PA 19107, USA.
authors.forename: Kristin
authors.initials: K
authors.lastname: Gavin
authors.affiliation: Gearing Up, Inc., 1221 Locust Street, Philadelphia, PA 19107, USA; Department of Kinesiology, College of Public Health, Temple University, 1800 N. Broad Street, 230 Pearson Hall, Philadelphia, PA 19122, USA.
authors.forename: Erica
authors.initials: E
authors.lastname: Tibbetts
authors.affiliation: Department of Social and Behavioral Sciences, College of Public Health, Temple University, 1301 Cecil B. Moore Avenue, Ritter Annex, 9th floor, Philadelphia, PA 19122, USA. Electronic address: collinsb@temple.edu.
authors.forename: Bradley N
authors.initials: BN
authors.lastname: Collins
mesh_terms: D000293:Adolescent; D000328:Adult; D001642:Bicycling; D001835:Body Weight; D002318:Cardiovascular Diseases; D000072001:Diet, Healthy; D015444:Exercise; D005260:Female; D015438:Health Behavior; D006266:Health Education / Q000379:methods*; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008875:Middle Aged; D050177:Overweight / Q000628:therapy*; D011329:Prisoners; D000075082:Proof of Concept Study; D016540:Smoking Cessation; D013315:Stress, Psychological / Q000628:therapy; D014481:United States; D035862:Vulnerable Populations; D055815:Young Adult
keywords: Cardiovascular health; Multiple health behavior change; Physical activity; Underserved women