ArticleAmerican journal of health promotion : AJHP2023
Integrating Civic Engagement Into a Lifestyle Intervention for Rural Women - A Mixed Methods Process Evaluation.
Article in American journal of health promotion : AJHP, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
What it found
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The trial behind it
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Who cites it
5 citing papers in PubMed.
- Implementation of Change Club action plans to promote built environment change in rural communities.The international journal of behavioral nutrition and physical activity · 2026Trial
- Implementation of and Recommendations From the Change Club Civic Engagement Curriculum Targeting Health Behavior Improvement.American journal of health promotion : AJHP · 2026Article
- Educators' perceived barriers and facilitators to implementing a school-based nutrition, physical activity, and civic engagement intervention: a qualitative analysis.Frontiers in public health · 2025Article
- Strong Teens for Healthy Schools: Protocol for evaluating a youth nutrition, physical activity, and civic engagement protocol.Frontiers in public health · 2025Article
- Process evaluation findings from Strong Hearts, Healthy Communities 2.0: a cardiovascular disease prevention intervention for rural women.The international journal of behavioral nutrition and physical activity · 2024Article
Corrections and comments
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Authors and funding
5 authors.
Funding
Abstract
purposeThe present study aimed to evaluate the implementation of a civic engagement curriculum (HEART Club) designed to catalyze positive environmental change in rural communities.
designThe HEART Club curriculum was integrated into a six-month community-based health behavior intervention to reduce cardiovascular disease risk.
settingParticipants were recruited from eight rural towns in Montana and New York. SUBJECTS: 101 midlife and older women.
interventionParticipants worked to address an issue related to their local food or physical activity environment and establish progress monitoring benchmarks.
methodEvaluation components included after-class surveys, program leader interviews (
resultsIntervention sites reported high fidelity (78%) to the curriculum. Average attendance was 69% and program classes were rated as highly effective (4.1 out of 5). Despite positive participant feedback, low readiness for civic engagement and insufficient time were implementation challenges. The majority of HEART Club groups had accomplished two or more benchmarks post-intervention. Facilitators of progress included community support, effective leadership, and collective effort. Participants also indicated that trying to affect community change while simultaneously making personal health improvements likely stalled initial progress.
conclusionThese findings highlight the potential and challenges associated with civic engagement within the context of rural lifestyle interventions. Future implementation efforts should focus on reframing civic engagement as an approach to support and maintain behavior change.
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Registered trials
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