Leveraging Household Structure for Increasing Adult Physical Activity in a Low-Income, African American Community.

Health behavior changes often require focusing on factors beyond the individual, particularly in low-income and underresourced areas. The purpose of this article was to assess associations between household structure and adult physical activity levels. Data were collected using Community Assessment for Public Health Emergency Response methodology to administer a household survey ( = 100).

Maternity Nurses' Perceptions of Implementation of the Ten Steps to Successful Breastfeeding.

Objective: The purpose of this study was to determine maternity nurses' perceptions of implementing the Ten Steps to Successful Breastfeeding.

Methods: An online survey and a focus group were used to evaluate perceptions of maternity nurses of implementing the Ten Steps to Successful Breastfeeding in an urban Texas hospital at the onset of the project initiation. Responses were transcribed and coded using Nvivo software.

The National Health Educator Job Analysis 2010: process and outcomes.

The National Health Educator Job Analysis 2010 was conducted to update the competencies model for entry- and advanced-level health educators. Qualitative and quantitative methods were used. Structured interviews, focus groups, and a modified Delphi technique were implemented to engage 59 health educators from diverse work settings and experience levels in a seven-step instrument development process.

Relationships among self-esteem, stress, and physical activity in college students.

The purpose of this study was to identify population and sex-specific relationships between perceived stress, self-esteem, and physical activity in college students. 90 students, ages 18 and older and enrolled in five sections of a health and human behavior class during the spring 2010 semester, were contacted for this study with 74 consenting to serve as study participants. Each participant completed three surveys: the Rosenberg Self-Esteem Scale, the Perceived Stress Scale, and the International Physical Activity Questionnaire.

Cultural effectiveness in research: a summary report of a panel session entitled "Engaging Populations at Risk".

This paper summarizes two presentations and a panel discussion engaging health scientists, educators, and community outreach professionals who have drawn upon their experiences as researchers and agricultural workers to describe research challenges related to access, trust, language, culture, and participant benefit. These presentations and discussion took place at the New Paths: Health and Safety in Western Agriculture conference, November 11-13, 2008. An overview of changing demographics of the western agricultural workforce was provided followed by a presentation of the application of community-based participatory research (CBPR) principles including cultural considerations.

Systemic glucose level changes with a carbohydrate-restricted and higher protein diet combined with exercise.

Objective: The authors' purpose in this study was to compare the effects of macronutrient intake on systemic glucose levels in previously sedentary participants who followed 1 of 4 diets that were either higher protein or high carbohydrate, while initiating an exercise program.

Participants And Methods: The authors randomly assigned 94 sedentary participants to 1 of 4 diet groups consisting of Diet 1 (55% carbohydrate, 30% fat, 15% protein), Diet 2 (55% carbohydrate, 30% fat, 15% protein and caloric restriction), Diet 3 (40% carbohydrate, 30% fat, 25% protein), and Diet 4 (40% carbohydrate, 30% fat, 25% protein and caloric restriction) and followed recommended aerobic exercise prescriptions.

Results: Repeated measures analyses of variance (ANOVA) revealed a significant time factor (p=.

Pharmaceutical therapy in midwifery practice: a culturally competent approach.

The profession of midwifery can be part of the solution in America's quest for a culturally sensitive and competent health care system. Midwives who are familiar with a variety of health-related cultural beliefs and practice culturally sensitive inquiry, particularly when using pharmaceutical therapies, can effectively understand and respond to the cultural complexities that impact a client's health. This article describes needed cultural competencies, reviews a variety of health-related cultural beliefs, and relates how these beliefs impact the use and acceptability of pharmaceutical therapies.