Resources for health: A primary-care-based diet and physical activity intervention targeting urban Latinos with multiple chronic conditions
Resources for health: A primary-care-based diet and physical activity intervention targeting urban Latinos with multiple chronic conditions
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DOI：
10.1037/0278-6133.26.4.392
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发表时间：
2007-07-01
影响因子：
4.2
通讯作者：
Gutierrez, Silvia
中科院分区：
文献类型：
--
作者：
Eakin, Elizabeth G.;Bull, Sheana S.;Gutierrez, Silvia
目的：健康资源试验评估社会生态为基础的生活方式（体力活动和饮食）干预针对低收入，主要是讲西班牙语的患者与多种慢性conditions.Design：一个随机对照试验进行了200例患者从城市社区卫生中心招募，并分配到干预和常规护理条件。干预涉及2个面对面的，自我管理的支持和社区联系会议与健康教育，3个后续电话，和3个量身定制的newslets.Main结果测量：在6个月的主要成果是在饮食行为和身体活动的变化。对健康生活多层次支持的变化进行了评估，作为次要outcome.Results：在调整年龄、性别、语言和慢性疾病数量后，观察到饮食行为和健康生活方式多层次支持的显著干预效果，但对体力活动没有影响。健康资源干预为改善低收入人群的健康行为提供了一个有效和实用的模式，患有多种慢性病的西班牙语患者。
Objective: The Resources for Health trial evaluates a social-ecologically based lifestyle (physical activity and diet) intervention targeting low-income, largely Spanish-speaking patients with multiple chronic conditions.Design: A randomized controlled trial was conducted with 200 patients recruited from an urban community health center and assigned to intervention and usual care conditions. Intervention involved 2 face-to-face, self-management support and community linkage sessions with a health educator, 3 follow-up phone calls, and 3 tailored newsletters.Main Outcome Measures: Primary outcomes measured at 6-months were changes in dietary behavior and physical activity. Changes in multilevel support for healthy living were evaluated as a secondary outcome.Results: After adjustment for age, sex, language, and number of chronic conditions, significant intervention effects were observed for dietary behavior and multilevel support for healthy lifestyles but not for physical activity.Conclusion: The Resources for Health intervention provides an effective and practical model for improving health behavior among low-income, Spanish-speaking patients with multiple chronic conditions.