Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: a cluster (community) randomized controlled trial.
Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: a cluster (community) randomized controlled trial.
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DOI：
10.1186/s12889-022-13653-4
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发表时间：
2022-09-04
影响因子：
4.5
通讯作者：
Kenkel, Don
中科院分区：
文献类型：
--
作者：
Seguin-Fowler, Rebecca A.;Hanson, Karla L.;Villarreal, Deyaun;Rethorst, Chad D.;Ayine, Priscilla;Folta, Sara C.;Maddock, Jay E.;Patterson, Megan S.;Marshall, Grace A.;Volpe, Leah C.;Eldridge, Galen D.;Kershaw, Meghan;Luong, Vi;Wang, Hua;Kenkel, Don
先前的研究表明，肥胖和相关慢性疾病（例如心血管疾病）的危险因素与建筑环境特征之间存在关联。对于农村人口来说尤其如此，他们的肥胖、癌症和其他慢性病发病率高于城市居民。还有证据表明健康行为和结果与社会支持、反对和规范等社会因素有关。因此，具有高度社会资本和社区凝聚力的重叠社交网络（例如农村社区中的社交网络）可能是引入和维持健康行为的有效目标。本研究将评估变革俱乐部 (CC) 干预措施的有效性，这是一种针对建筑环境变化的公民参与干预措施，旨在改善农村社区居民的健康行为和结果。 CC 干预措施为小群社区居民（大约 10-14 人）提供营养和体育活动课程，以及由经过培训的推广教育者通过面对面、虚拟或混合方法举办的逐步构建的环境变化规划研讨会。我们将使用双臂平行设计，在两个州的 10 个社区进行整群随机对照试验，对 CC 干预的实施进行过程、多层次结果和成本评估。主要结局（美国心脏协会的 Life’s Simple 7 综合心血管健康评分）的变化将在 CC 成员、他们的朋友和家人以及其他社区居民中进行评估，并与对照社区的可比样本进行比较。我们还将评估社会/集体层面的变化（例如社会凝聚力、社会信任），并检查成本以及实施的障碍和促进因素。我们的中心假设是 CC 干预将在 24 个月内改善参与公民及其家人和朋友的健康行为和结果。此外，我们假设积极的变化将促进通过改善健康饮食和体育活动机会来改善社区居民长期健康的关键步骤。这项研究还提供了评估流程和成本相关数据的独特机会，这将为了解这种方法广泛传播的可行性提供重要见解。 ClinicalTrials.gov：NCT05002660，注册于 2021 年 8 月 12 日。在线版本包含可在 10.1186/s12889-022-13653-4 获取的补充材料。
Prior studies demonstrate associations between risk factors for obesity and related chronic diseases (e.g., cardiovascular disease) and features of the built environment. This is particularly true for rural populations, who have higher rates of obesity, cancer, and other chronic diseases than urban residents. There is also evidence linking health behaviors and outcomes to social factors such as social support, opposition, and norms. Thus, overlapping social networks that have a high degree of social capital and community cohesion, such as those found in rural communities, may be effective targets for introducing and maintaining healthy behaviors. This study will evaluate the effectiveness of the Change Club (CC) intervention, a civic engagement intervention for built environment change to improve health behaviors and outcomes for residents of rural communities. The CC intervention provides small groups of community residents (approximately 10–14 people) with nutrition and physical activity lessons and stepwise built environment change planning workshops delivered by trained extension educators via in-person, virtual, or hybrid methods. We will conduct process, multilevel outcome, and cost evaluations of implementation of the CC intervention in a cluster randomized controlled trial in 10 communities across two states using a two-arm parallel design. Change in the primary outcome, American Heart Association’s Life’s Simple 7 composite cardiovascular health score, will be evaluated among CC members, their friends and family members, and other community residents and compared to comparable samples in control communities. We will also evaluate changes at the social/collective level (e.g., social cohesion, social trust) and examine costs as well as barriers and facilitators to implementation. Our central hypothesis is the CC intervention will improve health behaviors and outcomes among engaged citizens and their family and friends within 24 months. Furthermore, we hypothesize that positive changes will catalyze critical steps in the pathway to improving longer-term health among community residents through improved healthy eating and physical activity opportunities. This study also represents a unique opportunity to evaluate process and cost-related data, which will provide key insights into the viability of this approach for widespread dissemination. ClinicalTrials.gov: NCT05002660, Registered 12 August 2021. The online version contains supplementary material available at 10.1186/s12889-022-13653-4.
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DOI：
10.1111/j.1748-0361.2012.00411.x
发表时间：
2012
期刊：
The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
影响因子：
--
作者：
Befort CA;Nazir N;Perri MG
通讯作者：
Perri MG
影响因子：
4
作者：
Bonevski B;Randell M;Paul C;Chapman K;Twyman L;Bryant J;Brozek I;Hughes C
通讯作者：
Hughes C
使用公民参与来改善黑人/非裔美国妇女的心脏健康：一项试点研究。
影响因子：
4.5
作者：
Brown AG;Hudson LB;Chui K;Metayer N;Lebron-Torres N;Seguin RA;Folta SC
通讯作者：
Folta SC
影响因子：
5.8
作者：
Booth FW;Roberts CK;Laye MJ
通讯作者：
Laye MJ
影响因子：
37.8
作者：
Benjamin EJ;Blaha MJ;Chiuve SE;Cushman M;Das SR;Deo R;de Ferranti SD;Floyd J;Fornage M;Gillespie C;Isasi CR;Jiménez MC;Jordan LC;Judd SE;Lackland D;Lichtman JH;Lisabeth L;Liu S;Longenecker CT;Mackey RH;Matsushita K;Mozaffarian D;Mussolino ME;Nasir K;Neumar RW;Palaniappan L;Pandey DK;Thiagarajan RR;Reeves MJ;Ritchey M;Rodriguez CJ;Roth GA;Rosamond WD;Sasson C;Towfighi A;Tsao CW;Turner MB;Virani SS;Voeks JH;Willey JZ;Wilkins JT;Wu JH;Alger HM;Wong SS;Muntner P;American Heart Association Statistics Committee and Stroke Statistics Subcommittee
通讯作者：
American Heart Association Statistics Committee and Stroke Statistics Subcommittee