Effectiveness of implementing evidence-based approaches to promote physical activity in a Midwestern micropolitan area using a quasi-experimental hybrid type I study design

Barbara Baquero; Nicole Novak; Daniel K Sewell; Christine M Kava; Jason Daniel-Ulloa; Hanh Pham; Natoshia Askleson; Sato Ashida; Helena Laroche; Adriana Maldonado Gonzalez; Rebecca Bucklin; Heidi Haines; Edith A Parker; Active Ottumwa Community Advisory Board

doi:10.1186/s12889-024-18523-9

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Effectiveness of implementing evidence-based approaches to promote physical activity in a Midwestern micropolitan area using a quasi-experimental hybrid type I study design

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Effectiveness of implementing evidence-based approaches to promote physical activity in a Midwestern micropolitan area using a quasi-experimental hybrid type I study design

Barbara Baquero, Nicole Novak, Daniel K Sewell, Christine M Kava, Jason Daniel-Ulloa, Hanh Pham, Natoshia Askleson, Sato Ashida, Helena Laroche, Adriana Maldonado Gonzalez, …

BMC public health, Vol.24(1), 1082

04/19/2024

DOI: 10.1186/s12889-024-18523-9

PMCID: PMC11027347

PMID: 38637782

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Abstract

Much evidence-based physical activity (PA) interventions have been tested and implemented in urban contexts. However, studies that adapt, implement, and evaluate the effectiveness of these interventions in micropolitan rural contexts are needed. The study aimed to evaluate the effectiveness of the Active Ottumwa intervention to promote PA in a micropolitan community. Between 2013 - 2019, we implemented Active Ottumwa in a micropolitan setting, and subsequently implemented and evaluated its effectiveness using a Hybrid Type I design. In this paper, we describe the intervention's effectiveness in promoting PA. We collected PA data over 24 months from a cohort of community residents using accelerometers and PA data from two cross-sectional community surveys administered in 2013 and 2018, using the Global Physical Activity Questionnaire. From the cohort, we found significant change in PA over 24 months (P = 0.03) corresponding to a 45-min daily decrease in sedentary activity, a daily increase of 35-min in light PA and 9 min in moderate-to-vigorous PA. There was a statistically significant (P = 0.01) increasing trend at the population-level in the moderate-to-vigorous composition of 7 min between the two cross-sectional assessments (95% CI: 0.1%-1.34%). The study demonstrates that the adapted evidence-based PA interventions in a micropolitan context is effective.

Community-based participatory research

Physical activity

Participatory implementation

Evidence-based

Details

Title: Subtitle: Effectiveness of implementing evidence-based approaches to promote physical activity in a Midwestern micropolitan area using a quasi-experimental hybrid type I study design
Creators: Barbara Baquero - University of Iowa
Nicole Novak - University of Iowa
Daniel K Sewell - University of Iowa
Christine M Kava - University of Washington
Jason Daniel-Ulloa - University of Washington
Hanh Pham - University of Iowa
Natoshia Askleson - University of Iowa Prevention Research Center for Rural Health, Iowa City, IA, USA
Sato Ashida - University of Iowa
Helena Laroche - Sisters of Mercy Health System
Adriana Maldonado Gonzalez - University of Iowa Prevention Research Center for Rural Health, Iowa City, IA, USA
Rebecca Bucklin - University of Iowa
Heidi Haines - University of Iowa Prevention Research Center for Rural Health, Iowa City, IA, USA
Edith A Parker - University of Iowa
Active Ottumwa Community Advisory Board
Resource Type: Journal article
Publication Details: BMC public health, Vol.24(1), 1082
DOI: 10.1186/s12889-024-18523-9
PMID: 38637782
PMCID: PMC11027347
NLM abbreviation: BMC Public Health
ISSN: 1471-2458
Grant note: U48 DP006389 / CDC HHS
Language: English
Date published: 04/19/2024
Academic Unit: Public Health Administration; Office Of The Provost; Biostatistics; Injury Prevention Research Center; Public Policy Center (Archive); Community and Behavioral Health; Internal Medicine
Record Identifier: 9984586358702771

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