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A Guide for Developing Intervention Tools Addressing Environmental Factors to Improve Diet and Physical Activity

Department of Nutrition in the Schools of Public Health and Medicine at the University of North Carolina in Chapel Hill, North Carolina

Barbara A. Laraia

Department of Nutrition in the Schools of Public Health and Medicine, Carolina Population Center at the University of North Carolina in Chapel Hill, North Carolina

Kelly R. Evenson

Department of Epidemiology in the School of Public Health at the University of North Carolina in Chapel Hill, North Carolina

Lisa M. Lowenstein

Department of Nutrition in the Schools of Public Health and Medicine at the University of North Carolina in Chapel Hill, North Carolina

Alice S. Ammerman

Department of Nutrition in the Schools of Public Health and Medicine, Center for Health Promotion and Disease Prevention at the University of North Carolina in Chapel Hill, North Carolina

Low-income populations have an elevated risk of obesity and associated chronic diseases. Environmental factors influence health behaviors that contribute to obesity. Although low-income neighborhoods may pose barriers to healthy behaviors, they may also have health-promoting environmental features (e.g., produce stands, walking trails). Thus, a potentially effective intervention strategy is to help individuals identify and overcome neighborhood barriers by making use of community resources that support a healthy diet and physical activity. The authors describe the formative research process undertaken to develop two community-focused intervention tools to complement a clinic-based cardiovascular disease risk-reduction program for underserved women. Literature review, community exploration, and examination of Internet and print resources contributed to development of a neighborhood assessment with tip sheets and a community resource guide. These tools were finalized using community members' feedback. This formative process can serve as a guide for other health promotion programs to create and use similar tools.

Key Words: community resources • physical activity; nutrition • qualitative research • underserved women

Health Promotion Practice, Vol. 8, No. 2, 192-204 (2007)
DOI: 10.1177/1524839906293189


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