Rebecca A Seguin-Fowler
Biographic Data
| ID | 5486566 |
|---|---|
| NAME | Rebecca A Seguin-Fowler |
| GIVEN NAMES | Rebecca A |
| FAMILY NAME | Seguin-Fowler |
| SIGNATURE | SEGUIN-FOWLER R A |
| AFFILIATIONS | Cornell University |
| ORCID | 0000-0002-5115-2341 |
| VERIFIED | Yes |
| TOTAL WORKS | 39 |
| TOTAL CITATIONS | 15 |
| AUTHOR COUNT | 39 |
| EDITOR COUNT | 0 |
| FIRST PUBLICATION YEAR | 2009 |
| LATEST PUBLICATION YEAR | 2026 |
| H-INDEX | 2 |
The Change Club intervention: 2-Year impacts from a cluster-randomized trial in rural communities in New York and Texas
Introduction Obesity and related chronic diseases in the U.S., particularly within rural communities and/or medically underserved areas, are a major societal and cost burden. Built environments with health-promoting attributes, which can be influenced through civic engagement, are a potential pathway to help address this substantial problem. Methods We conducted a community-randomized delayed intervention trial in medically underserved rural comm…
Reach and representativeness within a rural randomized controlled trial designed to improve community health through civic engagement for built environment change in Texas and New York
Background: Community-based trials are important for developing effective, real-world health improvement approaches that address built environment changes, but they often lack rural representation. This paper reports on community (n = 12) and study participant (n = 2420) characteristics of the Change Club (CC) project. Study participant characteristics are compared to publicly available data to determine reach and representativeness, and therefor…
Design and methodology of a cluster randomized factorial trial to optimize implementation strategies for the Healthy School Recognized Campus initiative
Background: The Healthy School Recognized Campus initiative bundles multiple school- and research-based programs for children and adults to improve physical activity and nutrition outcomes that affect cardiovascular disease risk. This study aims to test the individual and combined impact of three implementation strategies on implementation and effectiveness outcomes. Methods: = 16 total) of public elementary schools in North and East Texas will b…
Educators' perceived barriers and facilitators to implementing a school-based nutrition, physical activity, and civic engagement intervention: A qualitative analysis
Introduction: Strong Teens for Healthy Schools (STHS) is a middle school program that focuses on improving healthy eating habits, physical activity, and engages students in civic engagement projects to promote healthy environments within schools. As a novel approach to school-based health interventions, this program faces numerous intervention implementation challenges. Methods: = 15) were conducted prior to implementing the program to inform pro…
Protocol for a naturalistic study of residents living in an agriculturally-integrated (“agrihood”) neighborhood
Background: Poor nutrition and inadequate physical activity are key contributors to rising chronic disease rates across the United States. It is well-documented that neighborhood built environments play an important role in shaping these modifiable health behaviors. Agriculturally-integrated neighborhoods ("agrihoods") offer a relatively new and promising approach to health-promoting residential design and development. Centered around a working f…
Civic Engagement and Social Connectedness in Rural Communities: The Role of Sociodemographic Factors and Social Determinants of Health in Rural Areas of the United States
This study examined whether civic engagement (CE) and social connectedness (SC) differ by sociodemographic characteristics and social determinants of health (SDOH). Baseline data were drawn from a rural community-randomized controlled trial (n = 2381). Sociodemographic characteristics included sex, age, race/ethnicity, marital status, education, employment, and income. SDOH measures included food insecurity, having a regular healthcare provider, …
Assessing the Readiness of Rural Public Librarians to Implement Public Health Programs
Although health promotion is not the primary function of public libraries, it is well documented that many libraries engage in health promotion activities, even when resources are constrained. Less understood is the readiness of the public library workforce, particularly in rural communities, to implement evidence-based health promotion programs. This study uses a modified version of the Competency Assessment for Tier 2 Public Health Professional…
Is Walk Score a useful tool for measuring walkability in rural communities
How often Americans exercise, especially through walking, is strongly connected to the built environments in which they live.1 Numerous studies over two decades report residents walking more when their communities are judged more walkable, either by objective measures or through residents’ own perceptions.2, 3 However, the majority of these studies have focused on urban areas.2, 3 Researchers who wish to investigate the connection between walking…
Public health communication during the Covid-19 health crisis: Sustainable pathways to improve health information access and reach among underserved communities
This study aims to explore the perspectives of community leaders (CL) on trusted sources of health information, examine their roles, challenges, and needs in disseminating COVID-19 health information, and identify opportunities to improve public health reach and access for underserved communities. This qualitative study included seven focus groups conducted via online video conferencing from April-June 2021. The participants ( n = 9) were CL recr…
A qualitative exploration of the health needs and goals of urban women to inform the tailoring and adaptation of Strong Hearts Healthy Communities: A community-based cardiovascular disease prevention …
The SHHC intervention and similar health programs for Black/African American and Hispanic/Latinx women in urban settings should emphasize individualized nutrition and practical skills for healthy eating with accessible, familiar, and enjoyable exercises. Additionally, stress management strategies should be culturally and generationally sensitive and social support, whether through family, friends, or other program participants, should be based on…
Consideration of nutrition and sustainability in public definitions of ‘healthy’ food: An analysis of submissions to the US FDA
Objective: To better understand how the public defines ‘healthy’ foods and to determine whether the public considers sustainability, implicitly and explicitly, in the context of healthy eating. Design: We conducted a content analysis of public comments submitted to the US FDA in 2016 and 2017 in response to an invitation for feedback on use of the term ‘healthy’ on food labels. The analysis explored the ways in which commenters’ definitions of ‘h…
The role of the community café in addressing food security: Perceptions of managers and directors
Rural libraries implementing walking groups or walking groups plus civic engagement for walkability in rural communities: A comparative effectiveness trial study protocol
ClinicalTrials.gov Identifier: NCT05677906
Implementation of the Texas Community-Engaged Statewide Consortium for the Prevention of Covid-19
The Community Engagement Alliance (CEAL) Against COVID-19 Disparities aims to conduct community-engaged research and outreach. This paper describes the Texas CEAL Consortium's activities in the first year and evaluates progress. The Texas CEAL Consortium comprised seven projects. To evaluate the Texas CEAL Consortium's progress, we used components of the RE-AIM Framework. Evaluation included estimating the number of people reached for data collec…
Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: A cluster (community) randomized controlled trial
ClinicalTrials.gov: NCT05002660 , Registered 12 August 2021
Participation in cost-offset community-supported agriculture by low-income households in the USA is associated with community characteristics and operational practices
Objective: Subsidised or cost-offset community-supported agriculture (CO-CSA) connects farms directly to low-income households and can improve fruit and vegetable intake. This analysis identifies factors associated with participation in CO-CSA. Design: Farm Fresh Foods for Healthy Kids (F3HK) provided a half-price, summer CO-CSA plus healthy eating classes to low-income households with children. Community characteristics (population, socio-demogr…
Associations between farmers’ market shopping behaviours and objectively measured and self-reported fruit and vegetable intake in a diverse sample of farmers’ market shoppers: A cross-sectional study …
Objective: To examine cross-sectional associations between farmers’ market shopping behaviours and objectively measured and self-reported fruit and vegetable (FV) intake among rural North Carolina (NC) and New York City (NYC) shoppers. Design: Cross-sectional intercept surveys were used to assess self-reported FV intake and three measures of farmers’ market shopping behaviour: (1) frequency of purchasing FV; (2) variety of FV purchased and (3) do…
Healthy Hearts for an Abundant Life: Feasibility of a Culturally Adapted Cardiovascular Disease Prevention Curriculum for African American Women
Background: This study tested the feasibility of implementing Healthy Hearts for an Abundant Life (HHAL), a cultural adaptation for African American (AA) women of the evidence-based cardiovascular disease prevention program Strong Women-Healthy Hearts (SWHH). Methods: Using a quasi-experimental pre-post study design, this 12-week program was implemented in four faith-based organizations between 2017 and 2018. Eligible participants were AA women b…
Perceptions of nutrition education classes offered in conjunction with a community-supported agriculture intervention among low-income families
Objective: To examine participants’ experiences with nutrition education classes that were implemented with and designed to complement a cost-offset community-supported agriculture (CSA) programme. Design: Qualitative analysis of data from twenty-eight focus groups with ninety-six participants enrolled in Farm Fresh Foods for Healthy Kids (F3HK). Transcribed data were coded and analysed by a priori and emergent themes. Setting: Rural and micropol…
Effects of the Strong Hearts, Healthy Communities Intervention on Functional Fitness of Rural Women
PURPOSE: The purposes of these analyses were to determine whether Strong Hearts, Healthy Communities (SHHC), a multilevel, cardiovascular disease risk reduction program for overweight, sedentary rural women aged 40 or older, led to improved functional fitness, and if changes in fitness accounted for weight loss associated with program participation. METHODS: Sixteen rural communities were randomized to receive the SHHC intervention or a control p…
Web-Based Dissemination of a Civic Engagement Curriculum to Promote Healthy Eating and Active Living in Rural Towns: The eHeart Study
Civic engagement interventions aimed at improving food and physical activity environments hold promise in addressing rural health disparities, but ensuring feasible and sustained dissemination remains a challenge. The present study aimed to evaluate the feasibility of a civic engagement curriculum adapted for online dissemination (Healthy Eating and Activity in Rural Towns (eHEART)). The eHEART curriculum and website were developed based on feedb…
Mujeres Fuertes y Corazones Saludables, a Culturally Tailored Physical Activity and Nutrition Program for Rural Latinas: Findings from a Pilot Study
In the United States, Latino adults, compared with non-Hispanic white adults, are less likely to meet physical activity and dietary recommendations, and have higher rates of obesity. There is an urgent need for culturally adapted health promotion programs that meet the needs of the growing Latino population in the United States. We systematically adapted StrongWomen-Healthy Hearts, an evidence-based physical activity and nutrition program, for ru…
Examining the Associations between Walk Score, Perceived Built Environment, and Physical Activity Behaviors among Women Participating in a Community-Randomized Lifestyle Change Intervention Trial: Str…
Little is known about the relationship between perceived and objective measures of the built environment and physical activity behavior among rural populations. Within the context of a lifestyle-change intervention trial for rural women, Strong Hearts, Healthy Communities (SHHC), we examined: (1) if Walk Score (WS), an objective built environment measure, was associated with perceived built environment (PBE); (2) if WS and PBE were associated wit…
Associations between frequency of food shopping at different food sources and fruit and vegetable intake among rural residents in upstate New York, USA
Objective: To examine the frequency of shopping at different food sources and the associations between shopping at different food sources and fruit and vegetable (FV) intake among upstate New York rural residents. Design: Cross-sectional study. Descriptive statistics and linear mixed models were used. Setting: Eighty-two rural communities in upstate New York, USA. Participants: Adults ( n 465; 82·3 % female, mean age 51·5 years, mean BMI 31·7 kg/…
Accuracy of self-reported weight in the Women’s Health Initiative
Objective To assess the extent of error present in self-reported weight data in the Women’s Health Initiative, variables that may be associated with error, and to develop methods to reduce any identified error. Design Prospective cohort study. Setting Forty clinical centres in the USA. Participants Women ( n 75 336) participating in the Women’s Health Initiative Observational Study (WHI-OS) and women ( n 6236) participating in the WHI Long Life S…
Access to Supermarkets and Fruit and Vegetable Consumption
Objectives. We examined whether supermarket choice, conceptualized as a proxy for underlying personal factors, would better predict access to supermarkets and fruit and vegetable consumption than mere physical proximity. Methods. The Seattle Obesity Study geocoded respondents’ home addresses and locations of their primary supermarkets. Primary supermarkets were stratified into low, medium, and high cost according to the market basket cost of 100 …
The StrongWomen–Healthy Hearts Program: Reducing Cardiovascular Disease Risk Factors in Rural Sedentary, Overweight, and Obese Midlife and Older Women
Objectives. We tested a community-based intervention designed to reduce cardiovascular disease risk in sedentary midlife and older women who were overweight or obese. Methods. In a randomized controlled trial conducted in 8 counties in Arkansas and Kansas, counties were assigned to the intervention (a 12-week twice-weekly heart health program) group or to the delayed-intervention control group. Ten to fifteen women were selected from each site, a…
The role of the community café in addressing food security: Perceptions of managers and directors
Dispositional optimism and terminal decline in global quality of life
We examined whether dispositional optimism relates to change in global quality of life (QOL) as a function of either chronological age or years to impending death. We used a sample of 2,096 deceased postmenopausal women from the Women's Health Initiative clinical trials who were enrolled in the 2005-2010 Extension Study and for whom at least 1 global QOL and optimism measure were analyzed. Growth curve models were examined. Competing models were …
The StrongWomen–Healthy Hearts Program: Reducing Cardiovascular Disease Risk Factors in Rural Sedentary, Overweight, and Obese Midlife and Older Women
Objectives. We tested a community-based intervention designed to reduce cardiovascular disease risk in sedentary midlife and older women who were overweight or obese. Methods. In a randomized controlled trial conducted in 8 counties in Arkansas and Kansas, counties were assigned to the intervention (a 12-week twice-weekly heart health program) group or to the delayed-intervention control group. Ten to fifteen women were selected from each site, a…
A qualitative study of leadership characteristics among women who catalyze positive community change
These findings may be used to help develop or inform a model of women's leadership in public health and to improve the training and nurturance of leaders who promote health in their communities and beyond
Access to Supermarkets and Fruit and Vegetable Consumption
Objectives. We examined whether supermarket choice, conceptualized as a proxy for underlying personal factors, would better predict access to supermarkets and fruit and vegetable consumption than mere physical proximity. Methods. The Seattle Obesity Study geocoded respondents’ home addresses and locations of their primary supermarkets. Primary supermarkets were stratified into low, medium, and high cost according to the market basket cost of 100 …
Strong Hearts, healthy communities: A rural community-based cardiovascular disease prevention program
ClinicalTrials.gov Identifier: NCT02499731 Registered on July 1, 2015
National Dissemination of StrongWomen–Healthy Hearts: A Community-Based Program to Reduce Risk of Cardiovascular Disease Among Midlife and Older Women
Objectives. We describe the national dissemination of an evidence-based community cardiovascular disease prevention program for midlife and older women using the RE-AIM (reach effectiveness adoption implementation maintenance) framework and share key lessons learned during translation. Methods. In a 2010 to 2014 collaboration between the StrongWomen program and the National Extension Association of Family and Consumer Sciences, we assessed reach,…
Dispositional optimism and terminal decline in global quality of life
We examined whether dispositional optimism relates to change in global quality of life (QOL) as a function of either chronological age or years to impending death. We used a sample of 2,096 deceased postmenopausal women from the Women's Health Initiative clinical trials who were enrolled in the 2005-2010 Extension Study and for whom at least 1 global QOL and optimism measure were analyzed. Growth curve models were examined. Competing models were …
A qualitative study of factors related to cardiometabolic risk in rural men
ClinicalTrials.gov NCT02499731 . Registered 1 July 2015
Physical impairment and body weight history in postmenopausal women: The Women’s Health Initiative
Objective To examine whether weight history and weight transitions over adult lifespan contribute to physical impairment among postmenopausal women. Design BMI categories were calculated among postmenopausal women who reported their weight and height at age 18 years. Multiple-variable logistic regression was used to determine the association between BMI at age 18 years and BMI transitions over adulthood on severe physical impairment (SPI), define…
Environmental Influences on Physical Activity among Rural Adults in Montana, United States: Views from Built Environment Audits, Resident Focus Groups, and Key Informant Interviews
Rural populations in the United States have lower physical activity levels and are at a higher risk of being overweight and suffering from obesity than their urban counterparts. This paper aimed to understand the environmental factors that influence physical activity among rural adults in Montana. Eight built environment audits, 15 resident focus groups, and 24 key informant interviews were conducted between August and December 2014. Themes were …
Improving heart health among Black/African American women using civic engagement: A pilot study
NCT02173366
Farm Fresh Foods for Healthy Kids (F3HK): An innovative community supported agriculture intervention to prevent childhood obesity in low-income families and strengthen local agricultural economies
ClinicalTrials.gov NCT02770196 . Registered 5 April 2016
Mujeres Fuertes y Corazones Saludables: Adaptation of the StrongWomen —healthy hearts program for rural Latinas using an intervention mapping approach
The intervention mapping process was feasible and provided a systematic approach to balance fit and fidelity in the adaptation of an evidence-based program. Collaboration with community members ensured that the components of the curriculum that were adapted were culturally appropriate and relevant within the local community context
Support and Sabotage: A Qualitative Study of Social Influences on Health Behaviors Among Rural Adults
PURPOSE: Social environments exert an important influence on health behaviors, yet evidence from rural-specific contexts is limited. This study explored how social relationships influence health-related behaviors among midlife and older rural adults at increased risk of chronic disease. METHODS: Seventeen focus groups were conducted with 125 sedentary, overweight/obese adults (aged 40-91 years) residing in "medically underserved" rural Montana to…
The perceived influence of cost-offset community-supported agriculture on food access among low-income families
Objective To examine perspectives on food access among low-income families participating in a cost-offset community-supported agriculture (CO-CSA) programme. Design Farm Fresh Foods for Healthy Kids (F3HK) is a multicentre randomized intervention trial assessing the effect of CO-CSA on dietary intake and quality among children from low-income families. Focus groups were conducted at the end of the first CO-CSA season. Participants were interviewe…
Mujeres Fuertes y Corazones Saludables, a Culturally Tailored Physical Activity and Nutrition Program for Rural Latinas: Findings from a Pilot Study
In the United States, Latino adults, compared with non-Hispanic white adults, are less likely to meet physical activity and dietary recommendations, and have higher rates of obesity. There is an urgent need for culturally adapted health promotion programs that meet the needs of the growing Latino population in the United States. We systematically adapted StrongWomen-Healthy Hearts, an evidence-based physical activity and nutrition program, for ru…
Examining the Associations between Walk Score, Perceived Built Environment, and Physical Activity Behaviors among Women Participating in a Community-Randomized Lifestyle Change Intervention Trial: Str…
Little is known about the relationship between perceived and objective measures of the built environment and physical activity behavior among rural populations. Within the context of a lifestyle-change intervention trial for rural women, Strong Hearts, Healthy Communities (SHHC), we examined: (1) if Walk Score (WS), an objective built environment measure, was associated with perceived built environment (PBE); (2) if WS and PBE were associated wit…
Associations between frequency of food shopping at different food sources and fruit and vegetable intake among rural residents in upstate New York, USA
Objective: To examine the frequency of shopping at different food sources and the associations between shopping at different food sources and fruit and vegetable (FV) intake among upstate New York rural residents. Design: Cross-sectional study. Descriptive statistics and linear mixed models were used. Setting: Eighty-two rural communities in upstate New York, USA. Participants: Adults ( n 465; 82·3 % female, mean age 51·5 years, mean BMI 31·7 kg/…
Accuracy of self-reported weight in the Women’s Health Initiative
Objective To assess the extent of error present in self-reported weight data in the Women’s Health Initiative, variables that may be associated with error, and to develop methods to reduce any identified error. Design Prospective cohort study. Setting Forty clinical centres in the USA. Participants Women ( n 75 336) participating in the Women’s Health Initiative Observational Study (WHI-OS) and women ( n 6236) participating in the WHI Long Life S…
Effects of the Strong Hearts, Healthy Communities Intervention on Functional Fitness of Rural Women
PURPOSE: The purposes of these analyses were to determine whether Strong Hearts, Healthy Communities (SHHC), a multilevel, cardiovascular disease risk reduction program for overweight, sedentary rural women aged 40 or older, led to improved functional fitness, and if changes in fitness accounted for weight loss associated with program participation. METHODS: Sixteen rural communities were randomized to receive the SHHC intervention or a control p…
Web-Based Dissemination of a Civic Engagement Curriculum to Promote Healthy Eating and Active Living in Rural Towns: The eHeart Study
Civic engagement interventions aimed at improving food and physical activity environments hold promise in addressing rural health disparities, but ensuring feasible and sustained dissemination remains a challenge. The present study aimed to evaluate the feasibility of a civic engagement curriculum adapted for online dissemination (Healthy Eating and Activity in Rural Towns (eHEART)). The eHEART curriculum and website were developed based on feedb…
Healthy Hearts for an Abundant Life: Feasibility of a Culturally Adapted Cardiovascular Disease Prevention Curriculum for African American Women
Background: This study tested the feasibility of implementing Healthy Hearts for an Abundant Life (HHAL), a cultural adaptation for African American (AA) women of the evidence-based cardiovascular disease prevention program Strong Women-Healthy Hearts (SWHH). Methods: Using a quasi-experimental pre-post study design, this 12-week program was implemented in four faith-based organizations between 2017 and 2018. Eligible participants were AA women b…
Perceptions of nutrition education classes offered in conjunction with a community-supported agriculture intervention among low-income families
Objective: To examine participants’ experiences with nutrition education classes that were implemented with and designed to complement a cost-offset community-supported agriculture (CSA) programme. Design: Qualitative analysis of data from twenty-eight focus groups with ninety-six participants enrolled in Farm Fresh Foods for Healthy Kids (F3HK). Transcribed data were coded and analysed by a priori and emergent themes. Setting: Rural and micropol…
Implementation of the Texas Community-Engaged Statewide Consortium for the Prevention of Covid-19
The Community Engagement Alliance (CEAL) Against COVID-19 Disparities aims to conduct community-engaged research and outreach. This paper describes the Texas CEAL Consortium's activities in the first year and evaluates progress. The Texas CEAL Consortium comprised seven projects. To evaluate the Texas CEAL Consortium's progress, we used components of the RE-AIM Framework. Evaluation included estimating the number of people reached for data collec…
Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: A cluster (community) randomized controlled trial
ClinicalTrials.gov: NCT05002660 , Registered 12 August 2021
Participation in cost-offset community-supported agriculture by low-income households in the USA is associated with community characteristics and operational practices
Objective: Subsidised or cost-offset community-supported agriculture (CO-CSA) connects farms directly to low-income households and can improve fruit and vegetable intake. This analysis identifies factors associated with participation in CO-CSA. Design: Farm Fresh Foods for Healthy Kids (F3HK) provided a half-price, summer CO-CSA plus healthy eating classes to low-income households with children. Community characteristics (population, socio-demogr…
Medicine (30 works) · Obesity, Physical Activity, Diet (21 works) · Gerontology (20 works) · Environmental health (17 works) · Public health (17 works) · Nursing (15 works) · Psychology (13 works) · Business (10 works) · Obesity (10 works) · Overweight (10 works)