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Description
Among Latinos, chronic diseases continue to account for a significant portion of premature death. Regular participation in moderate intensity physical activity has immense health benefits and is protective against the development of many chronic diseases. The 2008 Physical Activity Guidelines (PAG) recommends that adults participate in at least 150 minutes/week of moderate to vigorous physical activity. Latinas participate in a disproportionately low amount of leisure time physical activity (LTPA). This study aimed to assess multilevel barriers to LTPA among churchgoing Latinas in the Fe en Acción intervention and determine whether baseline motivation and self-efficacy for physical activity predicted meeting the PAG at 12 months. Logistic regression analysis was used to determine whether the number of Motivational Interviewing (MI) calls received was associated with a greater likelihood of meeting PAG at 12 months and if baseline levels of motivation and self-efficacy for physical activity predicted meeting the PAG at 12 months. A qualitative content analysis of MI conducted as part of the Fe en Acción intervention aimed to reveal differences in barriers to LTPA among those who met PAG vs. those who didn’t. The number of MI calls received did not significantly predict meeting the PAG. Those with intermediate (OR=2.63, 95%CI= 1.00,6.95; p<.05) and high motivation (OR= 5.45; 95%CI= 2.00, 14.91; p<.05) at baseline were more likely to meet PAG at 12 months than those with low motivation. Those with high self-efficacy for physical activity were significantly more likely to meet PAG than those with low self-efficacy (OR=4.20, 95%CI= 1.52, 11.58; p<.05. No significant difference was found between those with intermediate self-efficacy and those with low self-efficacy for physical activity. The content analysis of MI calls revealed that those who didn’t meet PAG at baseline more often reported concerns with personal health and psychosocial factors as barriers compared to those who met PAG. Future interventions should identify and engage participants with low motivation and self-efficacy for physical activity early and tailor intervention activities to increase these characteristics.
