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
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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.
  • 1.

    Ahmad F, Shik A, Vanza R, Cheung A, George 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 BA, Grewal S, Popatia N, et 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 M, Austin PC, Manuel DG, Tu 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 SS, Yusuf S, Vuksan V, et 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 J, Lindström J, Eriksson JG, et 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 AT, Gupta M, Singh 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 SN, Tremblay MS, Perez CE, Ardern CI, Katzmarzyk 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 ED, Stamatakis E, Chandola T, Hamer 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 R, Ali N, Azam 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 M, LeBaron 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 J, Ahmad N, Hanna L, Douglas M, Hallowell 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 GY, Cader MZ, Lee F, Munir SM, Beevers 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 J, Kai 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 MK, Hudson MA, Resnicow K, Blakeney N, Paxton A, Baskin 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 LR, Becker DM, Moy TF, Gittelsohn J, Koffman 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 DR, Stewart 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 AT, Landry M, Zawi M, et 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 J, Renaud L, Richard L, Gomez LS, Paradis 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 J, Cervero RB, Ascher W, Henderson KA, Kraft MK, Kerr 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 JC, Lee 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 JF, Owen N, Fisher E. Ecological models of health behavior. In Glanz K, Rimer BK, Viswanath K, eds. Health Behavior: Theory, Research, and Practice. 5th ed. San Francisco, CA: Jossey-Bass; 2015:4364.

    • Search Google Scholar
    • Export Citation
  • 24.

    Sallis J, Bauman A, Pratt 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 KR, Bibeau D, Steckler A, Glanz 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 J, Miller 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 RM, Williams GC, Patrick H, Deci 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 PJ, Carraça EV, Markland D, Silva MN, Ryan 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 S, Chambers L, Wakewich 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 E, Johnson-Davies D, trans. An-Nawawi’s Forty Hadith. Beirut, Lebanon: Kazi Publicaions; 1982.

  • 40.

    Watt L, Dix D, Gulati S, et 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 3, 2016. 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 2, 2008. http://www.statcan.gc.ca/daily-quotidien/080402/dq080402a-eng.htm. Accessed December 16, 2016.

    • Search Google Scholar
    • Export Citation
  • 45.

    Eng JJ, Chu KS, Kim CM, Dawson AS, Carswell A, Hepburn 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
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