Are evidence-based, community-engaged energy balance interventions enough for extremely vulnerable populations?

ABSTRACT: Well-documented associations between lifestyle behaviors and disease outcomes necessitate evidence-based health promotion interventions. To enhance potential efficacy and effectiveness, interventionists increasingly respond to community priorities, employ comprehensive theoretical frameworks, invest heavily to ensure cultural fit, implement evidence-based programming, and deploy research gold standards. We describe a project that followed all of these recommended strategies, but did not achieve desired outcomes. This community-based participatory research (CBPR) energy balance (diet and physical activity) intervention, conducted in Appalachian Kentucky among 900+ residents, employed a wait list control cluster randomized design. We engaged faith institutions, took an intergenerational appr

SUBMITTER: Schoenberg NE 

PROVIDER: S-EPMC6128962 | biostudies-literature | 2018 Sep

REPOSITORIES: biostudies-literature