Evidence map›Paper›PMID 26377190›Full record

Trial reportTrials2015

Engaging rural women in healthy lifestyle programs: insights from a randomized controlled trial.

Samantha L Kozica, Cheryce L Harrison, Helena J Teede, Sze Ng, Lisa J Moran, Catherine B Lombard

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

7 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Trial
  3. Article
  4. Article
  5. Electronic Monitoring Of Mom's Schedule (eMOMSPreventive medicine reports · 2023
    Article
  6. Article
  7. Article
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

6 authors.

Samantha L KozicaMonash Centre for Health Research and Implementation, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia. samantha.kozica@monash.edu.
Cheryce L HarrisonMonash Centre for Health Research and Implementation, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia. cheryce.harrison@monash.edu.
Helena J TeedeMonash Centre for Health Research and Implementation, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia. helena.teede@monash.edu.
Sze NgMonash Centre for Health Research and Implementation, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia. lisa.moran@adelaide.edu.au.
Lisa J MoranMonash Centre for Health Research and Implementation, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia. nicole.ng@monash.edu.
Catherine B LombardMonash Centre for Health Research and Implementation, School of Public Health & Preventive Medicine, Monash University, Melbourne, Australia. catherine.lombard@monash.edu.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe obesity epidemic is well established, particularly in rural settings. Programs promoting healthy lifestyles for rural women are urgently needed; however, participant engagement is challenging. In the context of a large randomized controlled trial targeting the prevention of weight gain in rural women, we explored successful recruitment strategies and aimed to understand participants' barriers, enablers and reasons for program participation.

methodsWe recruited women (aged 18-55 years) from the general rural Australian population. A mixed-methods approach was applied to explore factors that influenced program participation, including quantitative questionnaires for all participants (n = 649) and qualitative semi-structured interviews conducted for a subgroup of participants (n = 45). Data were collected at three time points: baseline, 6 and 12 months post program commencement.

resultsWe recruited 649 rural women through a community communication and partnering strategy, a program marketing campaign and mobilization of social networks. Program participants were diverse across education and income levels and were representative of the wider Australian regional population. Factors that influenced program engagement were divided into personal (perceived program benefits and program accessibility) and social (peer persuasion and support). Identified enablers included convenience of the program location, perceived program utility, such as weight management and optimization of lifestyle choices, as well as attending the program with peer support. Barriers to engagement, which are likely exacerbated in rural communities included lack of anonymity, self-consciousness and segregated social networks in rural settings. Participants reported that eliciting local support and maximizing publicity is fundamental to improving future program engagement.

conclusionMultiple program promotion strategies including communication, marketing and partnering, as well as mobilization of social networks and peer persuasion, enabled engagement of rural women into a healthy lifestyle program. These recruitment strategies are consistent with successful strategies utilized previously to recruit urban-dwelling women into lifestyle programs. Future engagement efforts in rural settings could be enhanced by hosting multiple sessions within existing socio-cultural networks and assuring participants that they will not need to share their personal health information with others in their community.

trial registrationAustralia & New Zealand Clinical Trial Registry. Trial number ACTRN12612000115831. Date of registration 24 January 2012.

Indexed as

Health Knowledge, Attitudes, PracticePatient Acceptance of Health CarePatient SelectionRisk Reduction BehaviorRural HealthWomen's HealthAdolescentAdultAustraliaFemaleHumansInterviews as TopicLife StyleMiddle AgedMotivationObesity

Identifiers

PMID26377190
PMCPMC4574013

What OpenQuestion holds

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LicenceCC BY
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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.