The Social Ecological Model and Physical Activity Interventions for Hispanic Women With Type 2 Diabetes: A Review

J Transcult Nurs. 2017 May;28(3):306-314. doi: 10.1177/1043659616649671. Epub 2016 May 16.

Abstract

Hispanic women are less physically active and have higher rates of type 2 diabetes (DM2) when compared with other population groups. This review uses the social ecological model as a framework to identify the individual and social environmental factors associated with successful physical activity (PA) interventions for Hispanic women with DM2. Research questions include (a) Which social ecological levels have been applied to PA interventions? (b) Which individual and social environmental intervention strategies are associated with successful PA outcomes? Database searches using CINAHL, PubMed, and Scopus for the years 2000 to 2015 identified 10 studies; with 6 using quasi-experimental study designs and 4 using randomized controlled designs. Inclusion criteria were Hispanic/Latina women with DM2, ≥70% women, PA interventions, measures of PA, and quantitative designs. Future research should focus on a combination of intervention levels, and DM2 programs should place a greater emphasis on PA intervention strategies.

Keywords: clinical areas; diabetes; intervention; physical activity; social ecological model.

Publication types

  • Review

MeSH terms

  • Adult
  • Diabetes Mellitus, Type 2 / complications
  • Diabetes Mellitus, Type 2 / psychology*
  • Exercise / psychology*
  • Female
  • Health Promotion / methods
  • Hispanic or Latino / psychology*
  • Humans
  • Social Environment*