COVID-19 Related Protocol Considerations and Modifications within a Rural, Community-Engaged Health Promotion Randomized Trial.
COVID-19 Related Protocol Considerations and Modifications within a Rural, Community-Engaged Health Promotion Randomized Trial.
复制标题
DOI：
10.3390/mps6010005
复制
发表时间：
2023-01-05
影响因子：
2.4
通讯作者：
Maddock JE
中科院分区：
文献类型：
--
作者：
Seguin-Fowler RA;Eldridge GD;Graham M;Folta SC;Hanson KL;Maddock JE
农村社区缺乏体育活动、不良饮食行为以及相关慢性病和肥胖症的风险更高。这些差异在很大程度上是由建筑环境、社会经济和社会因素推动的。改变俱乐部是一项以社区为基础的干预措施的随机分组对照试验，旨在通过公民参与建筑环境变化来解决其中一些差异。基线数据收集始于2020年2月，但因新冠肺炎疫情而暂停。在这种情况下，研究人员在研究恢复时评估了多种收集数据的方法，重点是生活的简单7，以及德克萨斯州和纽约的农村和小城市(50,000人口)社区的额外人体测量学、生理学和行为结果。生活的简单7条包括空腹血糖、总胆固醇、血压、体重、体力活动、饮食和吸烟。严谨性和可行性被考虑在各种面对面和居家测量选项中。在参与者、合作伙伴、工作人员、研究人员和基金联络人的综合意见之后，研究小组选择了自我测量和使用有效的问卷/调查来衡量生活的简单7个组成部分。这个案例提供了一个例子，说明研究团队如何在意外和紧急事件期间调整数据收集方案，同时考虑严谨性、可行性、利益相关者的意见以及参与者的健康和安全。
Rural communities are at higher risk for physical inactivity, poor dietary behaviors, and related chronic diseases and obesity. These disparities are largely driven by built environment, socioeconomic, and social factors. A community-based cluster randomized controlled trial of an intervention, the Change Club, aims to address some of these disparities via civic engagement for built environment change. Baseline data collection began in February 2020, only to be paused by the COVID-19 pandemic. In this context, the investigators evaluated multiple approaches for collecting data when the study resumed, focusing on Life’s Simple 7, and additional anthropometric, physiologic, and behavioral outcomes in rural and micropolitan (<50,000 population) communities in Texas and New York. Life’s Simple 7 includes fasting blood glucose, total cholesterol, blood pressure, weight, physical activity, diet, and smoking. Rigor and feasibility were considered across a variety of in-person versus at-home measurement options. After a comprehensive input from participants, partners, staff, researchers, and the funding liaison, the study team chose self-measurement and use of validated questionnaires/surveys to measure the Life’s Simple 7 components. This case provides an example of how a study team might adjust data collection protocol during unexpected and acute events while giving consideration to rigor, feasibility, stakeholder views, and participants’ health and safety.