Combining Photovoice and Focus Groups
Open accessAbstract
BACKGROUND: Latino adolescents, especially girls, experience higher obesity rates and are more likely to be physically unfit than non-Latino white peers. Out-of-school programs to increase physical activity and fitness in older Latino teens are critical, but sustained engagement is challenging. PURPOSE: This study combined a community-based participatory research methodology, Photovoice, with focus groups to engage Latina teens and their parents in identifying barriers to physical activity and initiating policy change actions to address them. The study investigates the effectiveness of applying Photovoice as both an evaluation tool and a leadership/advocacy intervention in a community-based obesity prevention program. DESIGN: Focus group data were collected between July 2009 and October 2010 and analyzed between November 2010 and July 2011. Five focus groups were held with adults (n = 41: 95% Latino) and four with teens (n = 36: 81% Latino, 10% non-Hispanic white, 9% African-American). SETTING/PARTICIPANTS: All participants (19 teens, six adults) were Latino. Spanish-speaking staff of a community-based agency, program staff, high school guidance counselors, and a job development agency recruited participants. Teens aged 14-19 years enrolled in New Britain CT, high schools, and their parents were eligible. MAIN OUTCOME MEASURES: Data from Photovoice workshops (three with teens, two with parent-teen dyads) were collected and concurrently analyzed between July 2009 and August 2011. RESULTS: Teens criticized school-based physical exercise programs in favor of out-of-school exercise and career advice. Parental restrictions and work, transportation, and safety issues were cited as barriers to afterschool physical activity programs. CONCLUSIONS: Photovoice can empower teens and parents to address exercise barriers by promoting advocacy that leads to policy change (e.g., an out-of-school physical education option).
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Students and PE teachers perceived that they simply do not acquire enough PE.
“Students (and PE teachers) additionally perceived that they simply do not acquire enough PE 45, 47, 49, 52, 57, 78.”
From The school environment and adolescent physical activity and sedentary behaviour: a mixed-studies systematic review (2016) · cites this paper as [47]
Students reported the need for more non-competitive activities and emphasized participation rather than competition and exclusion.
“Students also reported the need for more non‐competitive activities 38, 47, 54, 56 and emphasized participation rather than competition and exclusion 56.”
From The school environment and adolescent physical activity and sedentary behaviour: a mixed-studies systematic review (2016) · cites this paper as [47]
One study highlighted that timetabling PE class at the end of the day would facilitate participation in girls.
“Scheduling was also discussed in relation to PE, with one study highlighting that timetabling (avoid repetition of scheduling) PE class at the end of the day would facilitate participation in girls 47”
From The school environment and adolescent physical activity and sedentary behaviour: a mixed-studies systematic review (2016) · cites this paper as [47]
Parents and PE teachers noted that separating class by gender would facilitate participation for girls.
“Parents 47 and PE teachers 39 noted that separating class by gender would facilitate participation for girls.”
From The school environment and adolescent physical activity and sedentary behaviour: a mixed-studies systematic review (2016) · cites this paper as [47]
The notion of separating classes by gender or ability showed mixed opinions.
“The notion of separating classes by gender 39, 40, 47, 67 or ability 39 showed mixed opinions.”
From The school environment and adolescent physical activity and sedentary behaviour: a mixed-studies systematic review (2016) · cites this paper as [47]
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- Authors
- Hannay, J., Dudley, R., Milan, S., & Leibovitz, P. K.
- Affiliations
- Community Health Center (US)
- University of Connecticut (US)
- Corresponding author
- Hannay, Jayme
- Dudley, Robert
- ORCID
- Milan, Stephanie
- Venue
- American Journal of Preventive Medicine
- Publisher
- Elsevier BV
- Published
- 2013-03
- Volume
- 44
- Issue
- 3
- Pages
- S215-S224
- ISSN
- 0749-3797 (ISSN-L)
- OpenAlex
- W1998348603
- Cited by
- 64
- References
- 35
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2023: 6 · 2022: 4 · 2021: 4 · 2020: 5 · 2019: 5 · 2018: 4 · 2017: 3 · 2016: 8 · 2015: 5 · 2014: 8 · 2013: 5
- FWCI
- 26.75
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- American Journal of Preventive Medicine (publishedVersion, cc-by-nc-nd)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Sociology and Political Science › Participatory Visual Research Methods
- Health Sciences › Health Professions › General Health Professions › Community Health and Development
- Health Sciences › Medicine › Physiology › Physical Activity and Health
- Keywords
- photovoice, Latino adolescents, adolescent obesity, barriers to physical activity, out-of-school time programs, community-based participatory research, adolescent girls, transportation barriers, parental restriction
- MeSH terms
- Adolescent, Awareness, Culture, Environment, Female, Health Promotion, Hispanic or Latino, Humans, Obesity, Photography, Safety, Sex Factors, Transportation, Exercise, Focus Groups, Community-Based Participatory Research
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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