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Two-Phase Evaluation of a Community-Based Lifestyle Intervention for Palestinian Women in East Jerusalem: A Quasi-Experimental Study Followed by Dissemination

Author

Listed:
  • Nisreen Agbaria

    (Linda Joy Pollin Cardiovascular Wellness Center for Women, Division of Cardiology, Hadassah University Medical Center, Jerusalem 91120, Israel)

  • Maha Nubani-Husseini

    (Linda Joy Pollin Cardiovascular Wellness Center for Women, Division of Cardiology, Hadassah University Medical Center, Jerusalem 91120, Israel)

  • Raghda A. Barakat

    (The Nutrition Division, The Israeli Ministry of Health, Jerusalem 91011002, Israel)

  • Elisheva Leiter

    (Linda Joy Pollin Cardiovascular Wellness Center for Women, Division of Cardiology, Hadassah University Medical Center, Jerusalem 91120, Israel)

  • Keren L. Greenberg

    (Linda Joy Pollin Cardiovascular Wellness Center for Women, Division of Cardiology, Hadassah University Medical Center, Jerusalem 91120, Israel)

  • Mayada Karjawally

    (Linda Joy Pollin Cardiovascular Wellness Center for Women, Division of Cardiology, Hadassah University Medical Center, Jerusalem 91120, Israel)

  • Osnat Keidar

    (Braun School of Public Health and Community Medicine, The Hebrew University of Jerusalem-Hadassah, Jerusalem 91120, Israel)

  • Milka Donchin

    (Braun School of Public Health and Community Medicine, The Hebrew University of Jerusalem-Hadassah, Jerusalem 91120, Israel)

  • Donna R. Zwas

    (Linda Joy Pollin Cardiovascular Wellness Center for Women, Division of Cardiology, Hadassah University Medical Center, Jerusalem 91120, Israel)

Abstract

Palestinian-Arab women are at increased risk of cardiovascular disease due to high prevalence of diabetes and other risk factors. The current study investigates the effectiveness of an intensive group-based intervention on lifestyle habits that can prevent diabetes and cardiovascular disease. To that end, we conducted a group-based intervention based on the diabetes prevention program in two consecutive phases. The first phase consisted of a quasi-experimental study and the second phase included community-wide dissemination, with a 6-month follow-up. Findings from the quasi-experiment indicate increased consumption of fruit, vegetables and whole grains, weight reduction (−2.21 kg, p < 0.01), and a significant increase in the average daily steps in the intervention group (from 4456 to 6404). Findings from the dissemination indicate that average daily vegetables consumption increased from 1.76 to 2.32/day as did physical activity and average daily steps (from 4804 to 5827). There was a significant reduction in blood pressure, total cholesterol and LDL. These gains were sustained over 6 months following the intervention. This community-based, culturally adapted, health-promotion intervention led to improved nutrition and physical activity which were maintained after 6 months. Collaboration with community centers and local community partners created an effective channel for dissemination of the program to pre-clinical individuals.

Suggested Citation

  • Nisreen Agbaria & Maha Nubani-Husseini & Raghda A. Barakat & Elisheva Leiter & Keren L. Greenberg & Mayada Karjawally & Osnat Keidar & Milka Donchin & Donna R. Zwas, 2020. "Two-Phase Evaluation of a Community-Based Lifestyle Intervention for Palestinian Women in East Jerusalem: A Quasi-Experimental Study Followed by Dissemination," IJERPH, MDPI, vol. 17(24), pages 1-12, December.
    • Handle: RePEc:gam:jijerp:v:17:y:2020:i:24:p:9184-:d:458970
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    References listed on IDEAS

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    1. Anat Jaffe & Shmuel Giveon & Liat Wulffhart & Bernice Oberman & Maslama Baidousi & Arnona Ziv & Ofra Kalter-Leibovici, 2017. "Adult Arabs have higher risk for diabetes mellitus than Jews in Israel," PLOS ONE, Public Library of Science, vol. 12(5), pages 1-9, May.
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