ArticleAmerican journal of health promotion : AJHP2022
Addressing Hispanic Obesity Disparities Using a Community Health Worker Model Grounded in Motivational Interviewing.
Article in American journal of health promotion : AJHP, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed, 6 citations in OpenAlex.
- The feasibility of a telephone-based weight loss intervention in rural Ohio: A pilot study.PloS one · 2023Trial
- How Community Health Workers can Address Tobacco Dependence of High-Risk patients: A Qualitative Analysis of the Unique Training Needs of Community Health Workers.Tobacco use insights · 2024Article
- Evaluating the Dissemination and Implementation of a Community Health Worker-Based Community Wide Campaign to Improve Fruit and Vegetable Intake and Physical Activity among Latinos along the U.S.-Mexico Border.International journal of environmental research and public health · 2022Article
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Authors and funding
4 authors at 2 institutions in 1 country.
Funding
Abstract
purposeTo determine whether Hispanic residents receiving the Healthy Fit intervention enhanced with Motivational Interviewing (MI) experienced greater improvements in body composition, relative to participants receiving the initial intervention.
designQuasi-experimental evaluation.
settingEl Paso, Texas. SAMPLE: Among 656 baseline participants, 374 (54%) completed the 12-month assessment.
interventionIn Healthy Fit, community health workers (CHWs) promote nutrition and exercise. To strengthen intrinsic motivation and help participants overcome barriers to change, we incorporated a 30-minute motivational interview into the baseline assessment. Follow-up phone calls at 1, 3, and 6 months were identical across conditions. MEASURES: CHWs assessed body mass index (BMI) and body fat percentage (BFP) using a bioelectrical impedance scale. ANALYSIS: Regression models estimated differences between intervention conditions on change in BMI and BFP from baseline to the 12-month assessment.
resultsParticipants receiving MI had 2.13 times higher odds of losing weight (OR = 2.14, 95% CI [1.30, 3.53], P = .003) and 2.59 times higher odds of reduced BFP (OR = 2.59, 95% CI [1.51, 4.41], P < .001), relative to initial intervention participants. MI participants lost an average of 1.23 kg (2.71 lbs.) and their BFP declined 2% over 12 months.
conclusionFindings suggest CHW use of MI is a promising approach for promoting incremental changes in diet and exercise, which Healthy Fit integrates into a low-cost intervention.
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