Online Program

Physical activity among adult somali women: The cultural adaptation of an evidence-based intervention

Monday, November 4, 2013 : 3:00 p.m. - 3:15 p.m.

Kate Murray, PhD, MPH, Department of Family & Preventive Medicine, UCSD, La Jolla, CA
Amina Sheik Mohamed, MPH, Department of Pediatrics, Center for Community Health, UCSD, La Jolla, CA
Amber Lung, Department of Family and Preventive Medicine, UC San Diego, La Jolla, CA
Azieb Ermias, Department of Family and Preventive Medicine, UC San Diego, La Jolla, CA
Physical activity (PA) is recommended as an important health behavior for warding off a host of chronic diseases; however, the minority of U.S. adults currently meets recommended PA guidelines. While data is sparse, pilot data suggests that PA among adult Somalis is lower than average despite rapidly shifting obesity and chronic disease profiles in the years following resettlement. Preliminary research with the local Somali community identified unique cultural and religious barriers that influence opportunities to engaging in PA, such as religious practices related to dress and the challenges of living in resource poor, low-income communities. While there are many evidence-based interventions promoting PA among sedentary populations, none have been adapted or tested with the large and growing Somali community in the U.S. The current research describes the process of piloting a program previously shown to be successful with White and Latino sedentary populations. Based on adaptation guidelines, a series of steps will be detailed that describe the translation and back-translation of measures, the formation of a community panel to provide oversight, and conducting cognitive interviews and focus groups to identify key issues in adaptation. In particular, the pilot testing focuses on ways of addressing limited PA resources within the community, low levels of knowledge of intentional PA for health benefits, low levels of literacy, and the methods and materials for intervention. Key findings and implications for future efforts with the Somali and other refugee and Muslim communities will be discussed.

Learning Areas:

Conduct evaluation related to programs, research, and other areas of practice
Diversity and culture
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs

Learning Objectives:
Describe recommended steps for cultural adaptation of evidence-based public health intervention for a new cultural group Identify some of the unique barriers and opportunities for physical activity interventions with Somalis living in the United States Discuss some of the methodological challenges of piloting and adapting a physical activity intervention for use with a sedentary adult Somali population in the United States

Keyword(s): Physical Activity, Cultural Competency

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have conducted research and outreach with immigrant and refugee communities over the past 10 years. This includes serving as Principal Investigator on several grants and numerous peer-reviewed publications addressing issues related to the cultural adaptation of health and mental health interventions for immigrant and refugee communities.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.