Evidence map›Paper›PMID 24445103›Full record

ArticleAnnals of family medicine

Measuring capability for healthy diet and physical activity.

Robert L Ferrer, Inez Cruz, Sandra Burge, Bryan Bayles, Martha I Castilla

Open access · diamondAbstract read
In one paragraph

Article in Annals of family medicine. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed, 1 pooled it
5.1field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

18 citing papers in PubMed, 1 synthesis or guideline pooled it, 51 citations in OpenAlex.

  1. Pooled it
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  7. [Capabilities for Physical Activity in Older People: Development and Testing of a Measurement Tool].Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) · 2024
    Article
  8. A Study of Immigrant Latinas Perspectives of Caring for their Diabetes.Journal of racial and ethnic health disparities · 2023
    Article
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  11. Neighborhood Influences and BMI in Urban Older Adults.Journal of applied gerontology : the official journal of the Southern Gerontological Society · 2017
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 1 country.

Robert L FerrerDepartment of Family and Community Medicine, University of Texas Health Science Center at San Antonio, San Antonio, Texas.
Inez Cruz
Sandra Burge
Bryan Bayles
Martha I Castilla
The University of Texas Health Science Center at San Antonio · US

Funding

ZOLEDRONATE VS AREDIA IN MULTIPLE MYELOMA/BREAST CANCER W /BONE DISORDERSM01RR001346 · NCRR · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI PLISZKA, STEVEN R. · 1985 to 2008
$23.1M
Capability and Clinical Success for Obesity and Diabetes MellitusR03HS017974 · AHRQ · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI FERRER, ROBERT L · 2009 to 2009
$100k
AHRQ HHS R03 HS017974AHRQ HHS R03HS017974
6 · The paper itself

Abstract

purposePatterns of diet and physical activity, major drivers of morbidity and mortality, are contingent on people's feasible opportunities to pursue healthy behaviors. Our objective for this mixed methods study was to develop measures of feasible opportunities for diet and activity.

methodsThe Capability Approach framework for evaluating people's real freedoms to pursue their values guided the research. A community-based participatory model was applied to conduct focus groups of adults with obesity or diabetes mellitus from an economically disadvantaged Latino community. Focus group themes were developed into survey items that assess how individual circumstances and neighborhood contexts influence opportunities for diet and activity. The prevalence of different influences was explored in a sample of 300 patients from a primary care safety net clinic. Scales measuring different aspects of opportunity were created through principal components analysis.

resultsAvailability, convenience, safety, cost of food, and activity resources interact with individual circumstances, such as illness, depression, family and nonfamily supports, and scope of personal agency, to shape practical opportunities. Multiple vulnerabilities in availability of resources and moderators of resource use commonly occur together, intensifying challenges and creating difficult trade-offs. Only one-half of participants reported that physicians understood their difficulties pursuing activity, and just one-third for diet.

conclusionsOur results suggest that practical opportunities for healthy behavior can be measured as a primary target for clinical and public health assessment and intervention. The Capability Approach holds promise as a framework for developing interventions responsive to both personal and environmental determinants.

Indexed as

DietHealth BehaviorHispanic or LatinoMotor ActivityPovertySocial EnvironmentAdolescentAdultAgedCommunity-Based Participatory ResearchDiabetes MellitusFemaleFocus GroupsHealth ResourcesHumansMalehealth behaviorsmodels, theoreticalqualitative researchsocial environment

Identifiers

PMID24445103
PMCPMC3896538
OpenAlexW1951344028

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.