Development of a supervised exercise programme for immigrant women: Feasibility study of a practical intervention in a physiotherapy setting
DOI:
https://doi.org/10.2340/16501977-2853Keywords:
exercise, wellbeing, immigrant women, supervised trainingAbstract
Background: While Denmark is facing growing inequality between Danish women and immigrant women in relation to exercise and health, research on interventions and targeted exercise programmes is limited. This study aimed to test the feasibility of a physiotherapeutic supervised exercise programme for immigrant women.
Methods: Inspired by improvement research a programme was developed in cooperation with the immigrant women. The intervention was modified continuously according to the women’s wishes and needs.
Intervention: Baseline focus-group interviews, completion of questionnaire and physical-strength tests, was followed by a 12-week supervised training period. After completion of the training the participants were re-interviewed and re-tested.
Results: Twenty-nine women were recruited to the training programme, and 10 attended follow-up. Mean body mass index was 34 kg/m2. Attendance rate among follow-up tested participants was 70%. The women gained knowledge about their bodies, a healthier lifestyle, and awareness of the importance of active living.
Conclusion: It was possible to recruit and maintain immigrant women in the exercise programme. This study demonstrated the importance of involving the women in the process, and revealed important factors, such as privacy, a local setting and trust in the physiotherapists.
Lay Abstract
While Denmark is facing growing inequality between Danish women and immigrant women in relation to exercise and health, research on interventions and targeted exercise programmes is limited. This study tested the useful-ness of a physiotherapeutic exercise programme developed in cooperation with immigrant women based on inter-views. The intervention was modified continuously according to the women’s wishes and needs. A total of 29 women were included. Attendance rate among follow-up tested participants was 70%. The women gained knowledge about their bodies, a healthier lifestyle, and awareness of the importance of active living. It was possible to recruit and maintain immigrant women in the exercise programme. The study demonstrated the im-portance of involving the women in the process and revealed important factors for successful execution of the intervention.
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Olesen BR, Samuelsen H. Forebyggelse og sundhedsfremme blandt etniske minoriteter - inspiration til kommunen. [Prevention and health promotion among ethnic minorities - inspiration for municipalities.] Copenhagen: Center for Forebyggelse, Sundhedsstyrelsen; 2008 (in Danish).
Cambridge online dictionary. Immigrant. [Cited 2021 May 10]. Available from: https://dictionary.cambridge.org/dictionary/english/immigrant.
Ahlmark N. Control and recognition in diabetes management. Social practices and meanings surrounding diabetes management in training and everyday life of Arab immigrants in Denmark [dissertation]. Odense: University of Southern Denmark; 2015.
Ritzau. Kvinder med indvandrerbaggrund dyrker mindre motion [Women with ethnic backgrounds are less likely to be physically active] [Internet]. 2012 [updated 2012 Jun 25 cited 2019 Apr 4]. Available from: https://voxmeter.dk/kvinder-med- indvandrerbaggrund-dyrker-mindre-motion/ (in Danish).
Vinther-Jensen K, Primdahl R, editors. Etniske minoriteter i det danske sundhedsvæsen - en antologi. [Ethnic minorities in the Danish health care system- an antology.] 1st ed. Copenhagen: Sundhedsstyrelsen; 2010 (in Danish).
Eskildsen NB, Biswas D, Ahlmark N. Indsatser målrettet etniske minoriteters sundhed i danske kommuner. [Efforts targeted towards the health of ethnic minorities in Danish municipalities.] Southern University of Denmark; 2012 (in Danish).
Siddiqui F, Kurbasic A, Lindblad U, Nilsson PM, Bennet L. Effects of a culturally adapted lifestyle intervention on cardio-metabolic outcomes: a randomized controlled trial in Iraqi immigrants to Sweden at high risk for Type 2 diabetes. Metabolism - Clinical and Experimental 2017; 66: 1-13. https://doi.org/10.1016/j.metabol.2016.10.001
Wieland ML, Weis JA, Palmer T, Goodson M, Loth S, Omer F, et al. Physical activity and nutrition among immigrant and refugee women: a community-based participatory research approach. Womens Health Issue 2012; 22: 225-232. https://doi.org/10.1016/j.whi.2011.10.002
Gademann MGJ, Deutekom M, Hosper K, Stronks K. The effect of exercise on prescription on physical activity and wellbeing in a multi-ethnic female population: A controlled trial. BMC Public Health 2012; 12: 758. https://doi.org/10.1186/1471-2458-12-758
Ahlmark N, Broholm-Jørgensen M. Procesevaluering af Sund for livet. En sundhedsintervention på Indvandrer Kvindecentret. [Process evaluation of Healthy for life. A health intervention at immigrant's women center.] National Institute of Public Health, University of Southern Denmark; 2016 (in Danish).
Taylor MJ, McNicholas C, Nicolay C, Darzi A, Bell D, Reed JE. Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Safe 2014; 23: 290-298. https://doi.org/10.1136/bmjqs-2013-001862
Batalden M, Batalden P, Margolis P, Seid M, Armstrong G, Opipari-Arrigan L, et al. Coproduction of healthcare service. BMJ Qual Safe 2016; 25: 509-517. https://doi.org/10.1136/bmjqs-2015-004315
Van Velsen L, Wildevuur S, Flierman I, Van Schooten B, Tabak M, Hermens H. Trust in telemedicine portals for rehabilitation care: an exploratory focus group study with patients and healthcare professionals. BMC Med Inform Decis Mak 2015; 16: 11. https://doi.org/10.1186/s12911-016-0250-2
Sass U. Rystende tal: Mange indvandrerkvinder vil ikke have et arbejde. [chocking numbers: Many immigrant women do not want to work.] [Internet]. [Updated 2016; cited 2021 Mar 27]. Available from: https://fyens.dk/artikel/rystende-tal-mange-indvandrerkvinder-vil-ikke-have-et-arbejde (in Danish).
Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports 2015; 25: 1-72. https://doi.org/10.1111/sms.12581
Eq-5d-5l About. [Internet]. 2017 [updated 2017; cited 2018 Sep 10]. Available from: https://euroqol.org/eq-5d-instruments/eq-5d-5l-about/.
Sørensen J, Davidsen M, Gudex C, Pedersen KM, Brønnum-Hansen H. Danish EQ-5D population norms. Scand J Public Health 2009; 37: 467-474. https://doi.org/10.1177/1403494809105286
Dansk Selskab for Fysioterapi. 6-minuttersgangtest. [six- minutes walking test.] [database on the Internet]. Copenhagen: Dansk Selskab for Fysioterapi (DK). c2017 [cited 2021 May 17]. Available from: https://www.fysio.dk/fafo/maleredskaber/6-minuttersgangtest (in Danish).
Dansk Selskab for Fysioterapi. Rejse-sætte-sig test. [chair stand test.] [database on the Internet]. Copenhagen: Dansk Selskab for Fysioterapi (DK). c2017 [cited 2021 May 17]. Available from: https://www.fysio.dk/fafo/maleredskaber/rejse-satte-sig-test-rss1 (in Danish).
Crabtree B, Miller WL. Doing qualitative research. 2nd ed. London: Sage publications; 1999.
Abott JH. The Distinction Between Randomized Clinical Trials (RCTs) and Preliminary Feasibility and Pilot Studies: What They Are and Are Not. J Orthop Sports Phys Ther 2014; 44:555-558. https://doi.org/10.2519/jospt.2014.0110
Poureslami I, Camp P, Shum J, Afshar R, Tang T, Fitz-Gerald JM. Using exploratory focus groups to inform the development of a peer-supported pulmonary rehabilitation program: Directions for further research. J Cardiopulm Rehabil Prev 2017; 37:57-64.
https://doi.org/10.1097/HCR.0000000000000213
Laursen DH, Frølich A, Christensen U. Patients' perception of disease and experience with type 2 diabetes patient education in Denmark. Scand J Caring Sci 2017; 31: 1039-1047. https://doi.org/10.1111/scs.12429
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