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Jilcott Pitts, Stephanie B.; Laraia, Barbara A.; Evenson, Kelly R.; Lowenstein, Lisa M.; & Ammerman, Alice S. (2007). A Guide for Developing Intervention Tools Addressing Environmental Factors to Improve Diet and Physical Activity. Health Promotion Practice, 8(2), 192-204.


Low-income populations have an elevated risk of obesity and associated chronic diseases. Environmental factors influence health behaviors that contribute to obesity. Although low-income neighborhoods may pose barriers to healthy behaviors, they may also have health-promoting environmental features (e.g., produce stands, walking trails). Thus, a potentially effective intervention strategy is to help individuals identify and overcome neighborhood barriers by making use of community resources that support a healthy diet and physical activity. The authors describe the formative research process undertaken to develop two community-focused intervention tools to complement a clinic-based cardiovascular disease risk-reduction program for underserved women. Literature review, community exploration, and examination of Internet and print resources contributed to development of a neighborhood assessment with tip sheets and a community resource guide. These tools were finalized using community members' feedback. This formative process can serve as a guide for other health promotion programs to create and use similar tools.


Reference Type

Journal Article

Year Published


Journal Title

Health Promotion Practice


Jilcott Pitts, Stephanie B.
Laraia, Barbara A.
Evenson, Kelly R.
Lowenstein, Lisa M.
Ammerman, Alice S.