title: Evaluation of the Arthritis Foundation's Camine Con Gusto Program for Hispanic Adults With Arthritis.
abstract: Camine Con Gusto (CCG) is the Hispanic version of an evidence-based walking program for people with arthritis. This study examined CCG outcomes, feasibility, tolerability, safety, and acceptability and potential tailoring.
  
  
  
  A pre and post 6-week evaluation was conducted in Hispanic people with arthritis. Outcomes included pain, stiffness, fatigue, functional capacity, helplessness, and self-efficacy. A formative evaluation with program participants and key stakeholders explored program tailoring.
  
  
  
  Participants' mean age was 46.9 years, 44.4% had a high school degree or less, 2.5% were born in United States, 60.1% spoke only Spanish, and 74.7% were female. Moderate effect sizes were found: 0.50 for pain, 0.75 for fatigue, 0.49 for stiffness, 0.33 for function, 0.26 for helplessness, and 0.24 for self-efficacy. There were 285 participants recruited with an 82% 6-week retention (feasibility), no adverse events were reported (safety), and 98% reported program satisfaction (acceptability). Recommended adaptations included simpler language, more pictures and content addressing nutrition and chronic conditions, shortened materials, and inclusion of motivational strategies.
  
  
  
  CCG showed improvement in outcomes in Hispanic individuals comparable to those noted in non-Hispanic White and Black individuals with arthritis.
authors.affiliation: University of North Carolina at Chapel Hill, NC, USA leigh_callahan@med.unc.edu.
authors.forename: Leigh F
authors.initials: LF
authors.lastname: Callahan
authors.affiliation: University of North Carolina at Chapel Hill, NC, USA.
authors.forename: Alfredo
authors.initials: A
authors.lastname: Rivadeneira
authors.affiliation: University of North Carolina at Chapel Hill, NC, USA.
authors.forename: Mary
authors.initials: M
authors.lastname: Altpeter
authors.affiliation: University of North Carolina at Chapel Hill, NC, USA.
authors.forename: Leigha
authors.initials: L
authors.lastname: Vilen
authors.affiliation: University of North Carolina at Chapel Hill, NC, USA.
authors.forename: Rebecca J
authors.initials: RJ
authors.lastname: Cleveland
authors.affiliation: University of North Carolina at Chapel Hill, NC, USA.
authors.forename: Victoria E
authors.initials: VE
authors.lastname: Sepulveda
authors.affiliation: University of North Carolina at Chapel Hill, NC, USA.
authors.forename: Betsy
authors.initials: B
authors.lastname: Hackney
authors.affiliation: University of North Carolina at Chapel Hill, NC, USA.
authors.forename: Daniel S
authors.initials: DS
authors.lastname: Reuland
authors.affiliation: UNC Hospitals, Chapel Hill, NC, USA.
authors.forename: Claudia
authors.initials: C
authors.lastname: Rojas
mesh_terms: D000203:Activities of Daily Living; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001168:Arthritis / Q000150:complications / Q000628:therapy*; D005081:Exercise Therapy; D005221:Fatigue; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain; D059408:Pain Management; D015397:Program Evaluation; D016059:Range of Motion, Articular; D020377:Self Efficacy; D014481:United States; D016138:Walking; D055815:Young Adult
keywords: Hispanic Americans; chronic conditions; health disparities; health promotion; qualitative methods; quantitative methods