Identifying Opportunities to Promote Physical Activity in a Diverse Low-Income Population: A Mixed-Method Study at a Boys & Girls Club Site
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Prevalence and consequences of obesity and sedentary lifestyle are well-documented public health concerns for youth in the United State of America (USA) that disproportionally affect children from low income and minority families.
This mixed-method study focused on estimating levels of physical activity and sedentary behavior and prevalence of overweight and obesity among the child members served in one Boys & Girls Club in the Midwest USA. We aimed to better understand opportunities for improving children’s engagement in physical activity through focus groups with members, staff, and parents/caregivers of members.
Social cognitive learning theory, the ecological model of health behavior, and community based participatory research principles provided the study framework. Members completed assessments of physical activity, sedentary activity, height, and weight. Focus groups with members, staff, and parents/caregivers identified barriers, facilitators, and opportunities for promoting physical activity.
Nearly 50% of members were overweight or obese. Most (87%) participants reported at least 60 min physical activity every day across the 3-day recall. Fewer than half (41%) reported 2 h or less of sedentary screen time every day across the 3 day recall. Focus group themes identified opportunities for addressing needs associated with health disparities in physical activity and pediatric obesity.
Findings suggest stakeholder interest in physical activity promotion through afterschool programs. We discuss study implications regarding needs specific to individuals from diverse, low-income households that may not be adequately addressed with existing empirically-supported treatments and opportunities to address health disparities in physical activity and pediatric obesity through afterschool programs.
KeywordsPhysical activity Obesity Health disparities Community-based participatory research Child health Mixed methods Focus group Physical activity levels
Boys & Girls Club of America
Boys & Girls Club of Rochester, Minnesota
Body Mass Index
Community-based participatory research
Rochester Healthy Community Partnership
This research was supported by CTSA Grant Number UL1 TR000135 from the National Center for Advancing Translational Sciences (NCATS), a component of the National Institutes of Health (NIH). Its contents are solely the responsibility of the authors and do not necessarily represent the official view of NIH. We appreciate the contributions of all participants in this study, the support of Boys & Girls Club Rochester staff and board, and support from the broader membership of the Rochester Healthy Community Partnership. We are grateful to Marcelo Hanza and Tabitha Brockman for study coordination, Gladys Asiedu and Leslie Sim for assistance with qualitative analysis, Jane Rosenman for assistance with data collection, and Jennifer Weis for guidance and support for navigating the logistics of conducting research in academic-community partnership.
Compliance with Ethical Standards
Conflict of interest
The authors declare that they have no conflict of interest.
- Boys & Girls Clubs of America. (2019). About us. Retrieved from http://www.bgca.org.
- Creswell, J. W. (2008). Research design: Qualitative, quantitative, and mixed methods approaches (3rd ed.). Thousand Oaks, CA: Sage.Google Scholar
- Goh, Y. Y., Bogart, L. M., Sipple-Asher, B. K., Uyeda, K., Hawes-Dawson, J., Olarita-Dhungana, J., et al. (2009). Using community-based participatory research to identify potential interventions to overcome barriers to adolescents’ healthy eating and physical activity. Journal of Behavioral Medicine, 32(5), 491–502.CrossRefGoogle Scholar
- Government of Australia, Department of Health. (2014). Australia’s physical activity and sedentary behaviour guidelines: 5–12 years. Commonwealth of Australia.Google Scholar
- Krieger, J., Allen, C., Cheadle, A., Ciske, S., Schier, J. K., Senturia, K., et al. (2002). Using community-based participatory research to address social determinants of health: Lessons learned from Seattle Partners for Healthy Communities. Health Educcation & Behavior, 29(3), 361–382.CrossRefGoogle Scholar
- Krueger, R. A., & Casey, M. A. (2009). Focus groups: A practical guide for applied research (4th ed.). Thousand Oaks, CA: Sage.Google Scholar
- Lambourne, K., & Donnelly, J. E. (2011). The role of physical activity in pediatric obesity. Pediatric Clinics of North America, 58(6), 1481–1491, xi–xii.Google Scholar
- Ogden, C. L., Carroll, M. D., Kit, B. K., & Flegal, K. M. (2012). Prevalence of obesity in the United States, 2009–2010. NCHS Data Brief, 82(82), 1–8.Google Scholar
- Rochester Health Community Partnership. (2018). About us. Retrieved from https://rochesterhealthy.org.
- Sallis, J. F., Owen, N., & Fisher, E. B. (2008). Ecological model of health behavior. In K. Glanz, B. K. Rimer, & K. Viswanath (Eds.), Health behavior and health education: Theory, research, and practice (4th ed., pp. 465–485). San Francisco, CA: Jossey-Bass.Google Scholar
- Shalowitz, M. U., Isacco, A., Barquin, N., Clark-Kauffman, E., Delger, P., Nelson, D., et al. (2009). Community-based participatory research: A review of the literature with strategies for community engagement. Journal of Developmental and Behavioral Pediatrics, 30(4), 350–361.CrossRefGoogle Scholar
- Skinner, A. C., & Skelton, J. A. (2014). Prevalence and trends in obesity and severe obesity among children in the United States, 1999–2012. Pediatrics, 168(6), 561–566.Google Scholar
- Tremblay, M. S., Carson, V., Chaput, J. P., Connor Gorber, S., Dinh, T., Duggan, M., et al. (2016). Canadian 24-hour movement guidelines for children and youth: An integration of physical activity, sedentary behaviour, and sleep. Applied Physiology, Nutrition, and Metabolism/Physiologie appliquee, nutrition et metabolisme, 41(6 Suppl 3), S311–S327.CrossRefGoogle Scholar
- U.S. Department of Health and Human Services. (2018). Physical activity guidelines for Americans (2nd ed.). Washington, DC: U.S. Department of Health and Human Services.Google Scholar
- van Sluijs, E. M., McMinn, A. M., & Griffin, S. J. (2008). Effectiveness of interventions to promote physical activity in children and adolescents: Systematic review of controlled trials. British Journal of Sports Medicine, 42(8), 653–657.Google Scholar
- Weaver, R. G., Beets, M. W., Hutto, B., Saunders, R. P., Moore, J. B., Turner-McGrievy, G., et al. (2015b). Making healthy eating and physical activity policy practice: Process evaluation of a group randomized controlled intervention in afterschool programs. Health Education Research, 30(6), 849–865.CrossRefGoogle Scholar
- Center for Disease Control and Prevention. About children’s BMI. Retrieved from https://www.cdc.gov/shealthyweight/assessing/bmi/childrens_bmi/about_childrens_bmi.html.