An Ecological Exploration of Facilitators to Participation in a Mosque-Based Physical Activity Program for South Asian Muslim Women

in Journal of Physical Activity and Health
Restricted access

Purchase article

USD $24.95

Student 1 year subscription

USD $115.00

1 year subscription

USD $153.00

Student 2 year subscription

USD $218.00

2 year subscription

USD $285.00

Background: This descriptive qualitative study informed by an ecological framework explored factors influencing South Asian Muslim women’s decisions to participate in a mosque-based physical activity intervention. Methods: Individual, face-to-face, semistructured interviews were conducted in English, Hindi, or Urdu with 12 South Asian Muslim women at their home or mosque in Ontario, Canada. All interviews were audio-recorded, transcribed verbatim and managed, sorted, and analyzed for themes through a process of descriptive analysis. Results: The participants described as follows: (1) intrapersonal facilitators, which included their feelings, beliefs, and motivations to continue with this intervention; (2) interpersonal facilitators detailing the support that they had received from others during the intervention; and (3) environmental facilitators, which highlighted convenience and access to physical activity opportunities in a local community setting. Conclusion: This intervention displayed how South Asian Muslim women were motivated to continue with the mosque-based physical activity intervention due to interpersonal, intrapersonal, and environmental facilitators. The findings can be used to increase further understanding of how mosques may provide culturally and religiously sensitive contexts for physical activity interventions for South Asian Muslim women.

Abdulwasi and Nakamura are with the School of Kinesiology and Health Science, York University, Toronto, Ontario, Canada. Bhardwaj is with the City of Toronto, Toronto, Ontario, Canada. Zawi, Price, and Harvey are with the Women’s College Hospital, Toronto, Ontario, Canada. Banerjee is with the Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada.

Abdulwasi (mabdulw3@yorku.ca) is corresponding author.
Journal of Physical Activity and Health
Article Sections
References
  • 1.

    Ahmad FShik AVanza RCheung AGeorge U. Voices of South Asian women: immigration and mental health. Women Health. 2005;40(4):113130. doi:10.1300/J013v40n04_07

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 2.

    Statistics Canada. Canada’s Ethnocultural Mosaic 2006 Census: Findings (Catalogue No. 97-562-X). Ottawa, CA: Statistics Canada; 2008.

    • Search Google Scholar
    • Export Citation
  • 3.

    Hilton BAGrewal SPopatia Net al. The desi ways: traditional health practices of South Asian women in Canada. Health Care Women Int. 2001;22(6):553567. doi:10.1080/07399330127195

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Chiu MAustin PCManuel DGTu JV. Cardiovascular risk factor profiles of recent immigrants vs long-term residents of Ontario: a multi-ethnic study. Can J Cardiol. 2012;28(1):2026. PubMed doi:10.1016/j.cjca.2011.06.002

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 5.

    Anand SSYusuf SVuksan Vet al. Differences in risk factors, atherosclerosis, and cardiovascular disease between ethnic groups in Canada: the study of health assessment and risk in ethnic groups (SHARE). Lancet. 2000;356(9226):279284. PubMed doi:10.1016/S0140-6736(00)02502-2

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 6.

    Tuomilehto JLindström JEriksson JGet al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001;344(18):13431350. PubMed doi:10.1056/NEJM200105033441801

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 7.

    Banerjee ATGupta MSingh N. Patient characteristics, compliance, and exercise outcomes of South Asians enrolled in cardiac rehabilitation. J Cardiopulm Rehabil Prev. 2007;27(4):212218. PubMed doi:10.1097/01.HCR.0000281765.52158.be

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 8.

    Bryan SNTremblay MSPerez CEArdern CIKatzmarzyk PT. Physical activity and ethnicity: evidence from the Canadian Community Health Survey. C J Public Health. 2006;97(4):271276. PubMed

    • Search Google Scholar
    • Export Citation
  • 9.

    Williams EDStamatakis EChandola THamer M. Physical activity behavior and coronary heart disease mortality among South Asian people in the UK: an observational longitudinal study. Heart. 2011;97(8):655659. PubMed doi:10.1136/hrt.2010.201012

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Carroll RAli NAzam N. Promoting physical activity in South Asian Muslim women through “exercise on prescription”. Health Technol Assess. 2002;6(8):1101. PubMed doi:10.3310/hta6080

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 11.

    Matin MLeBaron S. Attitudes toward cervical cancer screening among Muslim women: a pilot study. Women Health. 2004;39(3):6377. PubMed doi:10.1300/J013v39n03_05

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Lawton JAhmad NHanna LDouglas MHallowell N. ‘I can’t do any serious exercise’: barriers to physical activity amongst people of Pakistani and Indian origin with type 2 diabetes. Health Educ Res. 2006;21(1):4354. PubMed doi:10.1093/her/cyh042

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 13.

    Lip GYCader MZLee FMunir SMBeevers DG. Ethnic differences in pre-admission levels of physical activity in patients admitted with myocardial infarction. Int J Cardiol. 1996;56(2):169175. PubMed doi:10.1016/0167-5273(96)02748-9

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Sriskantharajah JKai J. Promoting physical activity among South Asian women with coronary heart disease and diabetes: what might help? Fam Pract. 2007;24(1):7176. PubMed doi:10.1093/fampra/cml066

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 15.

    Campbell MKHudson MAResnicow KBlakeney NPaxton ABaskin M. Church-based health promotion interventions: evidence and lessons learned. Annu Rev Publ Health. 2007;28:213234. doi:10.1146/annurev.publhealth.28.021406.144016

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 16.

    Yanek LRBecker DMMoy TFGittelsohn JKoffman DM. Project joy: faith based cardiovascular health promotion for African American women. Public Health Rep. 2001;116(1):6881. doi:10.1093/phr/116.S1.68

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 17.

    Young DRStewart KJ. A church-based physical activity intervention for African American women. Fam Community Health. 2006;29(2):103117. PubMed doi:10.1097/00003727-200604000-00006

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 18.

    Banerjee ATLandry MZawi Met al. A pilot examination of a mosque-based physical activity intervention for South Asian Muslim women in Ontario, Canada. J Immigr Minor Health. 2016;19(2):349357. doi:10.1007/s10903-016-0393-3

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 19.

    O’Loughlin JRenaud LRichard LGomez LSParadis G. Correlates of the sustainability of community-based heart health promotion interventions. Prev Med. 1998;27(5):702712. doi:10.1006/pmed.1998.0348

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 20.

    Sandelowski M. Focus on research methods: whatever happened to qualitative description? Res Nurs Health. 2000;23(4):334340. PubMed doi:10.1002/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 21.

    Sallis JCervero RBAscher WHenderson KAKraft MKKerr J. An ecological approach to creating active living communities. Annu Rev Public Heal. 2006;27:297322. doi:10.1146/annurev.publhealth.27.021405.102100

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 22.

    Spence JCLee RE. Toward a comprehensive model of physical activity. Psychol Sport Exerc. 2003;4(1):724. doi:10.1016/S1469-0292(02)00014-6

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 23.

    Sallis JFOwen NFisher E. Ecological models of health behavior. In Glanz KRimer BKViswanath K eds. Health Behavior: Theory Research and Practice. 5th ed. San Francisco, CA: Jossey-Bass; 2015:4364.

    • Search Google Scholar
    • Export Citation
  • 24.

    Sallis JBauman APratt M. Environmental and policy interventions to promote physical activity. Am J Prev Med. 1998;15(4):379397. PubMed doi:10.1016/S0749-3797(98)00076-2

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 25.

    Stokols D. Translating social ecological theory into guidelines for community health promotion. Am J Health Promot. 1996;10(4):282298. PubMed doi:10.4278/0890-1171-10.4.282

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 26.

    McLeroy KRBibeau DSteckler AGlanz K. An ecological perspective on health promotion programs. Health Educ Quart. 1988;15(4):351377. doi:10.1177/109019818801500401

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 27.

    Boddy CR. Sample size for qualitative research. Qual Market Res Int J. 2016;19(4):426432. doi:10.1108/QMR-06-2016-0053

  • 28.

    Creswell JMiller DL. Determining validity in qualitative inquiry. Theor Pract. 2000;39(3):124130. doi:10.1207/s15430421tip3903_2

  • 29.

    Creswell J. Research Design: Qualitative Quantitative and Mixed Methods Approaches. Thousand Oaks, CA: Sage; 2003.

  • 30.

    Ryan RMWilliams GCPatrick HDeci EL. Self-determination theory and physical activity: the dynamics of motivation in development and wellness. Hell J Psyc. 2009;6(2):107124.

    • Search Google Scholar
    • Export Citation
  • 31.

    Teixeira PJCarraça EVMarkland DSilva MNRyan RM. Exercise, physical activity, and self-determination theory: a systematic review. Int J Behav Nutr Phys. 2012;9(1):130. doi:10.1186/1479-5868-9-1

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 32.

    Badawi JA. Islamic worldview: prime motive for development. Humanomics. 2002;18(3):325. doi:10.1108/eb018873

  • 33.

    Nakamura Y. Beyond the hijab: female Muslims and physical activity. Women Sport Phys Activ J. 2002;11(2):2148. doi:10.1123/wspaj.11.2.21

  • 34.

    Ibrahim H. Leisure and Islam. Leisure Stud. 1982;1(2):197210. doi:10.1080/02614368200390161

  • 35.

    Kamiyole IO. Physical education in a Muslim culture. Int J Phys Educ. 1986;23(1):2229.

  • 36.

    Sfeir L. The status of Muslim women in sport: conflict between cultural tradition and modernization. Int Rev Sociol Sport. 1985;20(4):283306. doi:10.1177/101269028502000404

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 37.

    Rahmath SChambers LWakewich P. Asserting citizenship: Muslim women’s experiences with the hijab in Canada. Women Stud Int Forum. 2016;58:3440. doi:10.1016/j.wsif.2016.06.001

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 38.

    Waugh E. Global contextualities and Alberta Muslim women’s health. Religious Studies and Theology. 2015;34(2):201233. doi:10.1558/rsth.v34i2.29296

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 39.

    Ibrahim EJohnson-Davies D trans. An-Nawawi’s Forty Hadith. Beirut, Lebanon: Kazi Publicaions; 1982.

  • 40.

    Watt LDix DGulati Set al. Family-centred care: a qualitative study of Chinese and South Asian immigrant parents’ experiences of care in paediatric oncology. Child Care Health Dev. 2013;39(2):185193. PubMed doi:10.1111/j.1365-2214.2011.01342.x

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 41.

    Saeed A. Islamic Thought: An Introduction. New York, NY: Routledge; 2006.

  • 42.

    Portes A. Social capital: its origins and applications in modern sociology. Annu Rev Sociol. 1998;24(1):124. doi:10.1146/annurev.soc.24.1.1

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 43.

    Statistics Canada. Immigrant women. March 32016. http://www.statcan.gc.ca/pub/89-503-x/2015001/article/14217-eng.htm. Accessed December 16 2017.

    • Export Citation
  • 44.

    Statistics Canada. 2006 Census: ethnic origin, visible minorities, place of work and mode of transportation. The Daily. April 22008. http://www.statcan.gc.ca/daily-quotidien/080402/dq080402a-eng.htm. Accessed December 16 2016.

    • Search Google Scholar
    • Export Citation
  • 45.

    Eng JJChu KSKim CMDawson ASCarswell AHepburn KE. A community-based group exercise program for persons with chronic stroke. Med Sci Sports Exerc. 2003;35(8):12711278. doi:10.1249/01.MSS.0000079079.58477.0B

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
Article Metrics
All Time Past Year Past 30 Days
Abstract Views 58 58 21
Full Text Views 5 5 2
PDF Downloads 2 2 0
Altmetric Badge
PubMed
Google Scholar