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Perceived Barriers to Community-based Health Promotion Program Participation

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Objectives : To examine barriers and self-efficacy relative to attendance at a cardiovascular risk reduction program.

Methods : Subjects (N=161) represented 3 levels of program participation: full, minimum, and none. Survey scales for barriers to attendance and health behavior change, food security, and self-efficacy for nutrition and physical activity were administered.

Results : Minimumand no-exposure participants perceived significantly more barriers to attendance than did the full-exposure participants (P<0.05); barriers to health behavior change were not significantly different. Self-efficacy for nutrition and physical activity were not significantly different among the groups.

Conclusions : Health promotion programs need to consider anytime, anyplace modes of program delivery to address program day and time and no time to attend barriers perceived by target audiences.

Keywords: WISEWOMAN; barriers; cardiovascular disease; health belief model; self-efficacy

Document Type: Research Article


Affiliations: 1 Graduate Research Assistant, Iowa State University, Ames, IA.

Publication date: May 1, 2008

More about this publication?
  • The American Journal of Health Behavior seeks to improve the quality of life through multidisciplinary health efforts in fostering a better understanding of the multidimensional nature of both individuals and social systems as they relate to health behaviors.

    The Journal aims to provide a comprehensive understanding of the impact of personal attributes, personality characteristics, behavior patterns, social structure, and processes on health maintenance, health restoration, and health improvement; to disseminate knowledge of holistic, multidisciplinary approaches to designing and implementing effective health programs; and to showcase health behavior analysis skills that have been proven to affect health improvement and recovery.

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