TY - JOUR KW - physical activity KW - health education KW - exercise KW - health communication KW - public health AU - Cheng Li AU - Garry Auld AU - Karen D'Alonzo AU - Debra Palmer-Keenan AB -
ObjectiveThis investigation sought to identify the physical activity (PA) terms and concepts that are best understood by low-income adults.DesignThis was a cross-sectional study using semistructured cognitive interviews that employed retrospective verbal probing techniques.SettingInterviews were conducted in Expanded Food and Nutrition Education Program (EFNEP) sites in New Jersey, Tennessee, and Washington.ParticipantsA convenience sample of 57 adults participating in or eligible for participation in EFNEP.Phenomenon of InterestParticipants’ interpretations and conceptualizations of PA concepts and terms.AnalysisTemplate and constant comparative analysis.ResultsParticipants interpreted many PA terms and concepts in unintended ways. Exercise was the term that came closest to conveying moderate to vigorous PA. Terms used to describe muscle-strengthening activities were mostly understood. Intentional engagement in extra activities was difficult for participants to conceptualize despite multiple tested wordings; making small changes to be active came closest to conveying this concept. Participants’ comprehension of the PA terms differed by their PA and literacy levels.Conclusions and ImplicationsNutrition educators should be mindful of the terminologies they used in communicating messages and assessing PA behaviors to EFNEP participants or similar populations.
BT - Journal of Nutrition Education and Behavior DA - 11/2018 DO - 10.1016/j.jneb.2018.07.008 IS - 10 LA - eng N2 -ObjectiveThis investigation sought to identify the physical activity (PA) terms and concepts that are best understood by low-income adults.DesignThis was a cross-sectional study using semistructured cognitive interviews that employed retrospective verbal probing techniques.SettingInterviews were conducted in Expanded Food and Nutrition Education Program (EFNEP) sites in New Jersey, Tennessee, and Washington.ParticipantsA convenience sample of 57 adults participating in or eligible for participation in EFNEP.Phenomenon of InterestParticipants’ interpretations and conceptualizations of PA concepts and terms.AnalysisTemplate and constant comparative analysis.ResultsParticipants interpreted many PA terms and concepts in unintended ways. Exercise was the term that came closest to conveying moderate to vigorous PA. Terms used to describe muscle-strengthening activities were mostly understood. Intentional engagement in extra activities was difficult for participants to conceptualize despite multiple tested wordings; making small changes to be active came closest to conveying this concept. Participants’ comprehension of the PA terms differed by their PA and literacy levels.Conclusions and ImplicationsNutrition educators should be mindful of the terminologies they used in communicating messages and assessing PA behaviors to EFNEP participants or similar populations.
PY - 2018 SN - 1499-4046 SP - 984 EP - 992 ST - Journal of Nutrition Education and Behavior T2 - Journal of Nutrition Education and Behavior TI - Communicating and Assessing Physical Activity: Outcomes From Cognitive Interviews With Low-Income Adults VL - 50 ER -