The Animadora Project: identifying factors related to the promotion of physical activity among Mexican Americans with diabetes
- PMID: 19601479
- PMCID: PMC4457370
- DOI: 10.4278/ajhp.08021915
The Animadora Project: identifying factors related to the promotion of physical activity among Mexican Americans with diabetes
Abstract
Purpose: There is a dearth of information about factors related to physical activity among Mexican-Americans with diabetes. Self-efficacy and social support are associated with physical activity; however, little is known about their roles within different cultural groups.
Design: Focus groups were used to identify factors that motivated walking.
Setting: Two Mexican-American communities located in Tucson, Arizona.
Subjects: Individuals who attended diabetes education.
Intervention: A community-based provider organized walking groups with people who previously attended diabetes classes. Walkers participated in focus groups exploring themes related to their experiences.
Measures: Self-efficacy, social support, and collective efficacy. Grounded theory was used to analyze focus group results using two rounds of analysis; the first identified references to self-efficacy and social support, and the second added collective efficacy as a theoretic basis for walking.
Results: Among 43 eligible participants, 20 participated in focus groups. Social support was expressed as commitment and companionship. Walkers demonstrated a high level of self-efficacy for walking. Development of group identity/social cohesion was also a motivator to walk. Collective efficacy emerged as an applicable theoretic model encompassing these themes and their interrelationship.
Conclusion: Collective efficacy, or the belief that the group can improve their lives through collective effort, is a viable theoretic construct in the development of physical activity interventions targeting Mexican-Americans with diabetes.
References
-
- Centers for Disease Control and Prevention. [Accessed 12/15/2007];National diabetes fact sheet. 2003 Available at http://www.cdc.gov/diabetes/pubs/factsheet.htm.
-
- Haffner SM, Fong D, Stern MP, et al. Diabetic retinopathy in Mexican Americans and non-Hispanic Whites. Diabetes Care. 1998;37(7):878–884. - PubMed
-
- Hanis CL, Chu HH, Lawson K, et al. Diabetes among Mexican Americans in Starr County, Texas. Am J Epidemiol. 1983;118:659–68. - PubMed
-
- American Diabetes Association. [Accessed 12/15/2007];Complications of Diabetes in the United States. 2007 Available at http://www.diabetes.org/diabetes-statistics/complications.jsp.
-
- Cohen SJ, Ingram M. Border Health Strategic Initiative: overview and introduction to a community-based model for diabetes prevention and control. Prev Chronic Dis. 2005 Available at http://www.cdc.gov/pcd/issues/2005/jan/04_0081.htm. - PMC - PubMed
