H.U.B city steps: methods and early findings from a community-based participatory research trial to reduce blood pressure among African Americans.
H.U.B city steps: methods and early findings from a community-based participatory research trial to reduce blood pressure among African Americans.
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DOI：
10.1186/1479-5868-8-59
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发表时间：
2011-06-10
期刊：
影响因子：
--
通讯作者：
Yadrick K
中科院分区：
文献类型：
--
作者：
Zoellner JM;Connell CC;Madson MB;Wang B;Reed VB;Molaison EF;Yadrick K
基于社区的参与性研究（CBPR）已被认为是在边缘化人群中制定和执行卫生干预措施的重要方法，也是将研究成果转化为实践以帮助缩小健康差距的关键战略。尽管人们对CBPR方法越来越感兴趣，但CBPR倡议很少使用实验或其他严格的研究设计来评估健康结果。本行为研究描述了概念框架、方法和早期发现，涉及初级血压结果的范围、采用、实施和有效性。采用CBPR、社会支持和动机性访谈框架对两阶段CBPR步行干预的治疗效果进行测试，包括6个月的主动干预准实验阶段和12个月的维持随机对照试验阶段，以测试动机性访谈的剂量效应。一个社区咨询委员会帮助制定和执行符合文化的干预措施，其中包括由同伴教练领导的社会支持步行小组、计步器日记自我监控、每月饮食和体育活动教育会议以及个性化的动机访谈会议。虽然研究仍在进行中，但三个月的数据是可用的和报告的。分析包括描述性统计和配对t检验。269名参与者中，大多数是非裔美国人（94%），女性（85%），平均年龄为43.8岁（SD = 12.1）。在3个月的时间里，90%的计步器日志被提交。每月教育课程的出勤率约为33%。在3个月的随访中，227名（84%）参与者被保留。从基线到3个月，收缩压[126.0 （SD = 19.1）至120.3 (SD = 17.9) mmHg；p < 0.001]和舒张压[83]。2 (SD = 12.3) ~ 80.2 (SD = 11.6) mmHg；P < 0.001]显著降低。本CBPR研究突出了实施因素，表明社区积极参与了本研究的开发和执行。讨论了入选参与者的覆盖面和代表性。坚持计步器日记自我监测优于参加教育课程。原发性血压结果的显著降低表明了早期的有效性。重要的是，未来的分析将评估这种CBPR行为干预对健康结果的长期有效性，并帮助了解CBPR工作的转化能力。
Community-based participatory research (CBPR) has been recognized as an important approach to develop and execute health interventions among marginalized populations, and a key strategy to translate research into practice to help reduce health disparities. Despite growing interest in the CBPR approach, CBPR initiatives rarely use experimental or other rigorous research designs to evaluate health outcomes. This behavioral study describes the conceptual frameworks, methods, and early findings related to the reach, adoption, implementation, and effectiveness on primary blood pressure outcomes. The CBPR, social support, and motivational interviewing frameworks are applied to test treatment effects of a two-phased CBPR walking intervention, including a 6-month active intervention quasi experimental phase and 12-month maintenance randomized controlled trial phase to test dose effects of motivational interviewing. A community advisory board helped develop and execute the culturally-appropriate intervention components which included social support walking groups led by peer coaches, pedometer diary self-monitoring, monthly diet and physical activity education sessions, and individualized motivational interviewing sessions. Although the study is on-going, three month data is available and reported. Analyses include descriptive statistics and paired t tests. Of 269 enrolled participants, most were African American (94%) females (85%) with a mean age of 43.8 (SD = 12.1) years. Across the 3 months, 90% of all possible pedometer diaries were submitted. Attendance at the monthly education sessions was approximately 33%. At the 3-month follow-up 227 (84%) participants were retained. From baseline to 3-months, systolic BP [126.0 (SD = 19.1) to 120.3 (SD = 17.9) mmHg; p < 0.001] and diastolic BP [83. 2 (SD = 12.3) to 80.2 (SD = 11.6) mmHg; p < 0.001] were significantly reduced. This CBPR study highlights implementation factors and signifies the community's active participation in the development and execution of this study. Reach and representativeness of enrolled participants are discussed. Adherence to pedometer diary self-monitoring was better than education session participation. Significant decreases in the primary blood pressure outcomes demonstrate early effectiveness. Importantly, future analyses will evaluate long-term effectiveness of this CBPR behavioral intervention on health outcomes, and help inform the translational capabilities of CBPR efforts.
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影响因子：
3.8
作者：
Glasgow, RE;Klesges, LM;Estabrooks, P
通讯作者：
Estabrooks, P
影响因子：
2.4
作者：
Glasgow, Russell E.;Klesges, Lisa M.;Vogt, Thomas M.
通讯作者：
Vogt, Thomas M.
影响因子：
4.2
作者：
Anderson, Eileen S.;Wojcik, Janet R.;Williams, David M.
通讯作者：
Williams, David M.
DOI：
10.1111/j.1532-5415.2006.00700.x
发表时间：
2006-05-01
影响因子：
6.3
作者：
Curb, J. David;Ceria-Ulep, Clementina D.;Chen, Randi
通讯作者：
Chen, Randi
影响因子：
--
作者：
Clarke, Kristine K.;Freeland-Graves, Jeanine;Bohman, Thomas M.
通讯作者：
Bohman, Thomas M.