Family & Community Health最新文献

Predicting the Use of New Multi-Use Trails and Parks in Historically Black, Low-Income Neighborhoods: The Role of Interpersonal Discussion and Civic Engagement. 预测历史上黑人低收入社区的新多用途步道和公园的使用：人际讨论和公民参与的作用。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1097/FCH.0000000000000435

Akansha Sirohi, Holley Wilkin, Mathew Gayman

{"title":"Predicting the Use of New Multi-Use Trails and Parks in Historically Black, Low-Income Neighborhoods: The Role of Interpersonal Discussion and Civic Engagement.","authors":"Akansha Sirohi, Holley Wilkin, Mathew Gayman","doi":"10.1097/FCH.0000000000000435","DOIUrl":"10.1097/FCH.0000000000000435","url":null,"abstract":"Background: Residents of historically Black low-income neighborhoods experience disproportionately poorer health. Public infrastructure redevelopment projects (eg, multi-use trails, parks, and public transportation) may improve quality of life and health outcomes in these neighborhoods.Objectives: The current study draws from communication infrastructure theory to examine the role of interpersonal discussion and civic engagement (belonging, collective efficacy) in intentions to use newly built trails and parks for physical activity.Methods: Community-based survey data from 398 randomly selected households in historically Black low-income neighborhoods impacted by health inequities were used to identify factors associated with intention to use multi-use trails being developed in the neighborhoods.Results: Interpersonal discussion, belonging, and collective efficacy were positively and independently associated with intentions to use parks and trails. Additionally, the civic engagement factors (belonging and collective efficacy) mediate the relationship between interpersonal discussion and intentions to use parks and trails.Conclusion: Interpersonal discussions and civic engagement can promote new parks and trails in low-income neighborhoods, which in turn may increase physical activity and improve overall health of community members.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"197-206"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144015730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Examination of Shared Use and Community-School Partnerships in West Virginia Public Schools. 西弗吉尼亚州公立学校共享使用和社区学校合作关系的研究。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1097/FCH.0000000000000432

Brooke C Towner, Eloise M Elliott

{"title":"Examination of Shared Use and Community-School Partnerships in West Virginia Public Schools.","authors":"Brooke C Towner, Eloise M Elliott","doi":"10.1097/FCH.0000000000000432","DOIUrl":"10.1097/FCH.0000000000000432","url":null,"abstract":"Background: Research suggests that physical activity policy is emerging as an avenue to target physical activity behaviors. Shared use has been identified as a policy strategy to increase access to physical activity opportunities. Still, few studies have examined the shared use process and the partnerships at the policy and environmental levels within the local context.Objectives: This study examined the influential factors of shared use initiatives and the community-school partnership.Methods: A multiple case study method was utilized to investigate shared use policies and procedures. Seven interviews were conducted with nine combined participants from three schools. The qualitative data were analyzed using thematic analysis.Results: Cross-case analysis revealed three salient themes: (1) the need for coordinated communication, (2) variation in partnership collaboration, and (3) fluctuation in the use of established policy.Implications for policy: This study revealed gaps in communication from upper-level education administration, and having diverse partners can enhance shared use implementation efforts. Additionally, having a specific shared use policy was a nominal factor in schools participating in shared use.Conclusion: The findings suggest that policy dissemination and education should be considered for local school administration and the community. Multifaceted partnerships are needed to implement robust shared use initiatives.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"250-258"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144054375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Addressing Social Determinants of Health to Promote Health Equity for Latinx Families: A Mixed-Methods Study of the DULCE Intervention. 解决健康的社会决定因素以促进拉丁裔家庭的健康公平：DULCE干预的混合方法研究。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1097/FCH.0000000000000433

Aresha Martinez-Cardoso, Emma Monahan, Angela Garza, Nola Wallace

{"title":"Addressing Social Determinants of Health to Promote Health Equity for Latinx Families: A Mixed-Methods Study of the DULCE Intervention.","authors":"Aresha Martinez-Cardoso, Emma Monahan, Angela Garza, Nola Wallace","doi":"10.1097/FCH.0000000000000433","DOIUrl":"10.1097/FCH.0000000000000433","url":null,"abstract":"Background: Social determinants of health (SDOH) interventions within clinical settings have been proposed to address health-related social needs, but few studies have explored intervention needs and challenges for Latinx families. This sequential mixed-methods study examined the effect of Developmental Understanding and Legal Collaboration for Everyone (DULCE), a 6-month SDOH intervention conducted in pediatric clinics in California and Florida.Methods: Using survey data collected among Latinx caregivers who participated in the DULCE evaluation (n = 393), we examined changes in caregivers' depression, stress, and resilience, including differences by nativity. Qualitative interviews were conducted with DULCE participants (n = 16) across nativity to elucidate the components of the intervention that impacted caregiver outcomes.Results: DULCE led to significant increases in resilience among Latinx caregivers, especially immigrants, but no changes in depression or stress. Qualitative interviews illuminated that the following themes contributed to caregivers' resilience through the DULCE program: trusted relationship with family specialist caseworkers, connection to critical resources, addressing postpartum depression and social isolation, building caregivers' capacity to withstand challenges, and bolstering caregivers' confidence to seek resources independently.Discussion: Pediatric SDOH interventions are a promising strategy to support Latinx families in early childhood. Effective interventions for Latinx families, however, require strategies that pair resource connection with relationship building, address immigrants' and Latinx system avoidance, and incorporate additional supports or boosters for families experiencing extreme stress.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"207-222"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144006463","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Measuring Equity Principles for Capacity-Building of Home-Based Programs for Children Aged 5 and Under in a Public Health Initiative: Results From 2 Time Points 6 Months Apart. 一项公共卫生倡议中5岁及以下儿童家庭方案能力建设的衡量公平原则：相隔6个月的两个时间点的结果。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1097/FCH.0000000000000434

Di Wang, Doris M Boutain, Eunjung Kim, Sungwon Lim, Rebekah Maldonado Nofziger

{"title":"Measuring Equity Principles for Capacity-Building of Home-Based Programs for Children Aged 5 and Under in a Public Health Initiative: Results From 2 Time Points 6 Months Apart.","authors":"Di Wang, Doris M Boutain, Eunjung Kim, Sungwon Lim, Rebekah Maldonado Nofziger","doi":"10.1097/FCH.0000000000000434","DOIUrl":"10.1097/FCH.0000000000000434","url":null,"abstract":"Background: To shift home-based program delivery, public health initiatives seek to increase capacity of community-based organizations (CBOs) to provide such services. Yet, no study measured how a public health initiative used equity principles for capacity-building (EPCB).Objectives: Study aims were measured at 2 time points 6 months apart and explored how participants rated (1) the Initiative's use of 10 EPCB; (2) their CBO's organizational strengths and conditions; and (3) the relationships among EPCB, CBOs' organizational strengths, and CBOs' organizational conditions.Design and sample: Community-based participatory research was conducted with 20 multicultural, multilingual participants from 9 CBOs.Methods: Equity principles were measured in May and November 2019. Demographics, CBOs' organizational strengths, and CBOs' organizational conditions were collected. Descriptive and correlational analysis was employed.Results: Between May and November, 4 significant findings were observed: (1) There was a significant decrease in transformational principle use, reducing CBOs' power and leadership. (2) Racial equity principle use was significantly associated with CBOs' total organizational strengths and CBOs' clear communication. (3) Participants' confidence significantly decreased. (4) Workloads become manageable with funding.Conclusion: Power transfer using the transformational principle is vital. Equity principles need repeated measurement.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"238-249"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144018064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Bridging the Gap: Implementing Consultation-Liaison Psychiatry for Mental Illness in Unhoused Populations. 弥合差距：在无家可归人口中实施精神疾病咨询联络精神病学。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-07-01 Epub Date: 2025-04-29 DOI: 10.1097/FCH.0000000000000431

Seyed-Nasrollah Hosseini-Navid, Melody Bral, John S Nuhn, Robert T Rubin

{"title":"Bridging the Gap: Implementing Consultation-Liaison Psychiatry for Mental Illness in Unhoused Populations.","authors":"Seyed-Nasrollah Hosseini-Navid, Melody Bral, John S Nuhn, Robert T Rubin","doi":"10.1097/FCH.0000000000000431","DOIUrl":"10.1097/FCH.0000000000000431","url":null,"abstract":"Background and objectives: California has one of the largest unhoused populations in the United States, a crisis compounded by the prevalence of untreated mental illness among those living on the streets. In this Perspective, we elucidate the critical importance of addressing mental illness within California's and other states' unhoused populations, who often are overlooked and not connected to psychiatric services.Methods and results: We propose the consultation-liaison (C/L) psychiatrist as a bridge between community outreach teams and psychiatric services, in addition to their traditional roles in inpatient and outpatient psychiatry. Drawing upon clinical experience, literature review, and community insights, we underscore the urgent need for comprehensive mental health interventions to mitigate the profound impact of psychiatric disorders on unhoused individuals and consider the C/L psychiatrist to be particularly skilled in this endeavor.Discussion: We highlight the safety concerns, improved quality of life, and other benefits of timely recognition and treatment of mental illness in unhoused populations.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"234-237"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144021827","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers and Facilitators to Video Telehealth Use in Low-Income Hispanic Patients: A Theory of Planned Behavior Perspective. 阻碍和促进视频远程医疗使用在低收入西班牙裔患者：一个理论的计划行为的观点。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-07-01 Epub Date: 2025-01-14 DOI: 10.1097/FCH.0000000000000430

Devan J Peterson, Cristina M de Haro, David B Kilgore, Dara H Sorkin, Sergio Gago-Masague, John Billimek

{"title":"Barriers and Facilitators to Video Telehealth Use in Low-Income Hispanic Patients: A Theory of Planned Behavior Perspective.","authors":"Devan J Peterson, Cristina M de Haro, David B Kilgore, Dara H Sorkin, Sergio Gago-Masague, John Billimek","doi":"10.1097/FCH.0000000000000430","DOIUrl":"10.1097/FCH.0000000000000430","url":null,"abstract":"Background and objectives: As telehealth grows in ubiquity, it is important to understand the barriers and facilitators to telehealth utilization in historically marginalized populations. This study utilizes the Theory of Planned Behavior (TPB) to assess correlates of the intention to utilize video consultations among low-income Hispanic patients.Methods: This cross-sectional observational study included participants (N = 138) recruited from a federally qualified health center affiliated with a large university health system. Components of the TPB were assessed using an in-person survey. Participant survey responses were analyzed using multiple logistic regression to identify correlates of participants' intention to utilize video consultations.Results: Multiple logistic regression revealed subjective norms (adjusted odds ratio (aOR [95% CI]) = 3.29 [1.66, 6.52], P = .001) as the only significant correlate of participants' intention to utilize video consultations. Attitudes toward video consultations (aOR [95% CI] = 1.32 [0.60, 2.89], P = .49) and perceived behavioral control (1.72 [0.89, 3.32], P = .11) did not independently correlate with behavioral intention.Conclusions: Ratings of subjective norms were independently correlated with intention to utilize video consultations among low-income, predominantly Spanish-speaking Hispanic adults. These results suggest a potentially central role of relational influences in determining telehealth engagement in this population.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"223-233"},"PeriodicalIF":1.5,"publicationDate":"2025-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980031","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Explaining Health-Related Internet Use for Three Patient Engagement Activities in Rural Pacific Northwest. 解释太平洋西北农村地区三个患者参与活动中与健康相关的互联网使用情况。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-05-22 DOI: 10.1097/FCH.0000000000000437

Wei Peng, Jocelyn McKinnon-Crowley, Jihae Han, Jazmyne Bryant

{"title":"Explaining Health-Related Internet Use for Three Patient Engagement Activities in Rural Pacific Northwest.","authors":"Wei Peng, Jocelyn McKinnon-Crowley, Jihae Han, Jazmyne Bryant","doi":"10.1097/FCH.0000000000000437","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000437","url":null,"abstract":"Background and objective: Internet-based patient engagement (PE) can empower rural individuals in essential health services. This study investigated predisposing, need, and enabling factors associated with major online PE activities in the rural populations of the United States Pacific Northwest region.Method: A cross-sectional survey of 250 adults aged 45 to 75 residing in rural parts of Alaska, Idaho, Oregon, and Washington was conducted. Three domains of predictors (predisposing, need, and enabling factors) were assessed. The outcomes were 3 major online PE activities (online access to care, information seeking and sharing, and self-management support).Result: Online health engagement was associated with multiple chronic diseases, perceived need for colorectal cancer screening, difficulty finding providers, and lower mistrust. Younger age, higher awareness of colorectal cancer risk, better health status, difficulty finding providers, frequent internet use, and misunderstanding between patients and providers were associated with increased online information seeking and sharing. Female gender, more cancer knowledge, lower income, and higher information search difficulty were associated with increased online self-management support. Health information literacy was associated with all PE activities.Conclusion: Different factors influence online PE activities among rural populations. Optimizing diverse PE activities should assess different predisposing, need, and enabling factors in rural health care.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Self-Reported Health Care Disparities and Barriers Among LGBTQIA+ Individuals: Implications for Equitable Health Care Delivery. LGBTQIA+个体自我报告的卫生保健差异和障碍：对公平卫生保健服务的影响

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-05-22 DOI: 10.1097/FCH.0000000000000436

Jill Del Pozzo, Carrie Esopenko, Jason D Flatt, Kristen Dams-O'Connor

{"title":"Self-Reported Health Care Disparities and Barriers Among LGBTQIA+ Individuals: Implications for Equitable Health Care Delivery.","authors":"Jill Del Pozzo, Carrie Esopenko, Jason D Flatt, Kristen Dams-O'Connor","doi":"10.1097/FCH.0000000000000436","DOIUrl":"https://doi.org/10.1097/FCH.0000000000000436","url":null,"abstract":"Background and objectives: Nearly 24 million adults in the United States identify as LGBTQIA+, facing significant health disparities due to discrimination, structural barriers, and lack of culturally competent health care. This study explores health care disparities, barriers, facilitators, and the association of perceived discrimination on LGBTQIA+ health care.Methods: Participants were recruited from June 2023 to January 2024 using convenience sampling methods via LGBTQIA+ organizations and social media platforms. A total of 501 participants completed a REDCap survey, with 255 providing complete data. The survey queried demographics, physical and mental health, and health care utilization. Data analysis included descriptive statistics and CHERRIES guidelines.Results: Participants reported significant barriers to care, including being uninsured (22%), geographic distance (33%), fear of negative reactions (26%), and past trauma (23%). Discrimination in health care settings was reported by 83%, impacting access. High rates of homelessness (26%), food insecurity (73%), and chronic medical conditions (92%) were reported. Approximately 55% reported head trauma, 26% experienced intimate partner violence-related head injuries, and only 44% sought care for head injuries. Moderate depressive and anxiety symptoms were common, and 49% screened positive for possible PTSD.Conclusions: This study highlights barriers to care reported by LGBTQIA+ individuals, emphasizing the need for culturally informed services. Addressing these disparities requires education, cultural humility, and systemic reforms to reduce disparities in health care for LGBTQIA+ individuals.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144121127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Evaluation of the Food Literacy Project's "Nourishing Food Literacy, Community Health and Sense of Place in Louisville, Kentucky" Initiative. 评估食品素养项目的“肯塔基州路易斯维尔的营养食品素养、社区健康和地方感”倡议。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-04-01 Epub Date: 2025-01-07 DOI: 10.1097/FCH.0000000000000427

Kristi M King, Aishia Brown, Lindsay J Della, Shakeyrah Elmore, Kimberly Hartson, Carol O'Neal, Rebecka Bloomer, Angelique Perez, Carol Gundersen

{"title":"Evaluation of the Food Literacy Project's \"Nourishing Food Literacy, Community Health and Sense of Place in Louisville, Kentucky\" Initiative.","authors":"Kristi M King, Aishia Brown, Lindsay J Della, Shakeyrah Elmore, Kimberly Hartson, Carol O'Neal, Rebecka Bloomer, Angelique Perez, Carol Gundersen","doi":"10.1097/FCH.0000000000000427","DOIUrl":"10.1097/FCH.0000000000000427","url":null,"abstract":"Background and objectives: Community-based organizations, such as Food Literacy Project, Inc. (FLP), focused on cultivating food justice through increasing access to healthy foods in under-resourced areas are uniquely positioned to positively affect the nutrition landscape. This article reports on an evaluation of FLP's efforts in implementing food justice programming.Methods: A single, longitudinal case study evaluation framed within the socioecological model included the collection of survey, interview and focus group, on-site observational and field notes data at multiple points throughout the evaluation period of July 2019 through August 2020.Results: Research findings lauded FLP's initiatives providing food access, creating youth advocacy programming, and fostering community connections. However, critical need existed to implement initiatives by individuals who reflected the communities in which they served on land that was fully secured for tenure and ownership.Conclusions: The results from this evaluation suggest a call to action for non-profit organizations to build and maintain trust in under-resourced communities. When applying for grants, partnering with academic institutions and implementing programming, the site team members, as well as evaluation team members, should be intentional to identify (eg, race, gender, residence, socioeconomic status, education level) with the community in which the initiatives aim to serve.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"108-115"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956237","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

SPLASH Into Fitness: A Swimming-Based Pilot Intervention to Promote Healthful Identities and Behaviors Among Preadolescent Girls. 溅入健身：以游泳为基础的先导干预促进青春期前女孩的健康认同和行为。

IF 1.5 4区医学

Family & Community Health Pub Date : 2025-04-01 Epub Date: 2025-01-14 DOI: 10.1097/FCH.0000000000000429

Eydie N Kramer-Kostecka, Beth A Lewis, Daheia J Barr-Anderson

{"title":"SPLASH Into Fitness: A Swimming-Based Pilot Intervention to Promote Healthful Identities and Behaviors Among Preadolescent Girls.","authors":"Eydie N Kramer-Kostecka, Beth A Lewis, Daheia J Barr-Anderson","doi":"10.1097/FCH.0000000000000429","DOIUrl":"10.1097/FCH.0000000000000429","url":null,"abstract":"Background: Girls' physical activity and healthful eating behaviors decline throughout adolescence. These trajectories may be linked to the underdevelopment of exercise and healthful eater identities. Youth programs might consider prioritizing identity development as an innovative health promotion strategy, especially during the formative preadolescent life stage.Objectives: This study examines healthful identities and behaviors among a sample of preadolescent girls who participated in SPLASH, a multicomponent youth program consisting of identity development (\"I am an exerciser\"; \"I am a healthy eater\"), physical activity, and healthful eating.Methods: SPLASH was piloted in a community-based recreational facility in the Midwest United States. Participants had differing levels of program access: all girls (N = 32, age = 10.6 ± 0.8) attended a 1-week summer day camp, and a subset (n = 16) received supplementary access to a 10-week eHealth program. Using a feasibility framework, we examined SPLASH's (1) preliminary efficacy, (2) implementation, and (3) acceptability.Results: Girls' exercise identities and behaviors improved following camp participation. At follow-up, those in the camp-plus-eHealth group reported greater improvements in physical activity enjoyment relative to girls in the camp-only group.Conclusions: SPLASH is a promising identity-focused health promotion program for preadolescent girls. Community support and family engagement facilitated this pilot study. Programmatic impact should be assessed in additional communities.","PeriodicalId":47183,"journal":{"name":"Family & Community Health","volume":" ","pages":"178-196"},"PeriodicalIF":1.5,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142980129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0