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      “That's like therapy”—A qualitative study on socially disadvantaged women's views on the effects of a community-based participatory research project on their health and health behavior

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          Abstract

          Background

          Regular physical activity has positive effects on both physical and mental health. Nevertheless, socially disadvantaged women are often insufficiently physically active. Through needs-based physical activity offers, community-based participatory research (CBPR) projects have the potential to reach these women and increase the effectiveness of physical activity interventions by supporting women's empowerment, health, and health behaviors. This study aimed to examine socially disadvantaged women's views on the effects of long-term participation in Bewegung als Investition in Gesundheit (BIG, i.e., movement as an investment in health), a long-standing German CBPR project, on their health and health behavior.

          Methods

          Semi-structured qualitative interviews were conducted with 30 participating women at five BIG sites across Germany between April and August 2022. The interviews were recorded, transcribed verbatim, and analyzed using framework analysis.

          Results

          Women reported that participation in BIG classes contributed to their physical, mental, and social health. For many women, the positive effects on their mental and social wellbeing were most important. In addition to increased fitness and improved physical endurance, many participating women were able to expand their social networks, thus receiving further social support, and improve their self-esteem, self-confidence, and self-efficacy. Furthermore, participation in BIG physical activity classes positively influenced the health awareness of many women helping them to improve their activity level and diet over time.

          Conclusion

          Our results suggest that CBPR projects, such as the BIG project, can increase physical activity among socially disadvantaged groups and contribute to their overall health and wellbeing. CBPR projects could thus be considered a key element of health promotion for this target group. Future interventional research is required to confirm and further explore the effects of CBPR interventions and to examine whether the effects can be replicated in other settings.

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          Most cited references63

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          Using the framework method for the analysis of qualitative data in multi-disciplinary health research

          Nicola K Gale, Gemma Heath, Elaine Cameron … (2013)
          Background The Framework Method is becoming an increasingly popular approach to the management and analysis of qualitative data in health research. However, there is confusion about its potential application and limitations. Discussion The article discusses when it is appropriate to adopt the Framework Method and explains the procedure for using it in multi-disciplinary health research teams, or those that involve clinicians, patients and lay people. The stages of the method are illustrated using examples from a published study. Summary Used effectively, with the leadership of an experienced qualitative researcher, the Framework Method is a systematic and flexible approach to analysing qualitative data and is appropriate for use in research teams even where not all members have previous experience of conducting qualitative research.
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            Purposeful Sampling for Qualitative Data Collection and Analysis in Mixed Method Implementation Research.

            Lawrence A. Palinkas, Sarah M. Horwitz, Carla A. Green … (2015)
            Purposeful sampling is widely used in qualitative research for the identification and selection of information-rich cases related to the phenomenon of interest. Although there are several different purposeful sampling strategies, criterion sampling appears to be used most commonly in implementation research. However, combining sampling strategies may be more appropriate to the aims of implementation research and more consistent with recent developments in quantitative methods. This paper reviews the principles and practice of purposeful sampling in implementation research, summarizes types and categories of purposeful sampling strategies and provides a set of recommendations for use of single strategy or multistage strategy designs, particularly for state implementation research.
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              Worldwide trends in insufficient physical activity from 2001 to 2016: a pooled analysis of 358 population-based surveys with 1·9 million participants

              Regina Guthold, Gretchen Stevens, Leanne Riley … (2018)
              Insufficient physical activity is a leading risk factor for non-communicable diseases, and has a negative effect on mental health and quality of life. We describe levels of insufficient physical activity across countries, and estimate global and regional trends.
              Article 0 comments Cited 1323 times – based on 0 reviews     Review now
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                Author and article information

                Contributors
                Verena Kreiml: URI : http://loop.frontiersin.org/people/2567771/overviewRole: Role: Role: Role: Role: Role:
                Alexandra Sauter: URI : http://loop.frontiersin.org/people/1027352/overviewRole: Role: Role: Role: Role: Role: Role:
                Karim Abu-Omar: URI : http://loop.frontiersin.org/people/1063337/overviewRole:
                Sascha Eickmann: Role: Role:
                Anne Herrmann-Johns: URI : http://loop.frontiersin.org/people/1914619/overviewRole: Role: Role:
                Journal
                Journal ID (nlm-ta): Front Public Health
                Journal ID (iso-abbrev): Front Public Health
                Journal ID (publisher-id): Front. Public Health
                Title: Frontiers in Public Health
                Publisher: Frontiers Media S.A.
                ISSN (Electronic): 2296-2565
                Publication date (Electronic): 18 January 2024
                Publication date Collection: 2024
                Volume: 12
                Electronic Location Identifier: 1339556
                Affiliations
                [1] 1Department of Epidemiology and Preventive Medicine, Medical Sociology, University of Regensburg , Regensburg, Germany
                [2] 2Department of Sport Science and Sport, Friedrich-Alexander-University Erlangen-Nuremberg , Erlangen, Germany
                [3] 3School of Medicine and Public Health, University of Newcastle , Newcastle, NSW, Australia
                Author notes

                Edited by: John Patrick Cullen, University of Rochester Medical Center, United States

                Reviewed by: Laura Sugarwala, University of Rochester, United States

                Karen Carlisle, James Cook University, Australia

                Article
                DOI: 10.3389/fpubh.2024.1339556
                PMC ID: 10830699
                PubMed ID: 38304180
                SO-VID: d0f3fb83-d034-4296-809d-5f29fc3d4f25
                Copyright © Copyright © 2024 Kreiml, Sauter, Abu-Omar, Eickmann and Herrmann-Johns.
                License:

                This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

                History
                Date received : 16 November 2023
                Date accepted : 08 January 2024
                Page count
                Figures: 0, Tables: 3, Equations: 0, References: 65, Pages: 13, Words: 11078
                Funding
                Funded by: Bundesministerium für Bildung und Forschung, doi 10.13039/501100002347;
                Award ID: 01EL2012A
                Award ID: 01EL2012B
                The author(s) declare financial support was received for the research, authorship, and/or publication of this article. The described BIG project and the work on this manuscript were supported by the German Federal Ministry of Education and Research, Grant Nos. 01EL2012B and 01EL2012A.
                Categories
                Subject: Public Health
                Subject: Original Research
                Custom metadata
                section-at-acceptance Public Health Education and Promotion

                Keywords: physical activity,community-based participatory research,qualitative research,low socioeconomic status,women's health,mental health,social health,health behavior
                Data availability:
                Keywords: physical activity, community-based participatory research, qualitative research, low socioeconomic status, women's health, mental health, social health, health behavior

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