Evaluating clinic and community-based lifestyle interventions for obesity reduction in a low-income Latino neighborhood: Vivamos Activos Fair Oaks Program.
Evaluating clinic and community-based lifestyle interventions for obesity reduction in a low-income Latino neighborhood: Vivamos Activos Fair Oaks Program.
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评估低收入拉丁裔社区肥胖症的诊所和社区生活方式干预措施：Vivamos Activos Fair Oaks计划。
DOI：
10.1186/1471-2458-11-98
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发表时间：
2011-02-14
影响因子：
4.5
通讯作者：
Stafford RS
中科院分区：
文献类型：
--
作者：
Drieling RL;Ma J;Stafford RS
肥胖通过其对冠心病及其危险因素的影响对健康产生巨大影响。以初级保健为基础和以社区为基础的强化生活方式咨询可以有效地促进减肥。这些战略的实施和评价有限，特别是在低收入拉丁美洲人口中，基于社区的干预措施的额外好处。Vivamos Activos Fair Oaks项目是一项随机临床试验，旨在评估两种减少肥胖的生活方式干预措施的临床和成本效益：基于诊所的强化生活方式咨询，单独（n = 80）或与社区卫生工作者支持（n = 80）相结合，与常规初级保健（n = 40）相比。基于诊所的咨询包括15个小组和4个个人的生活方式咨询会议，由健康教育工作者提供，针对身体活动和饮食习惯的行为改变。社区卫生工作者的支持包括七次家访，目的是在该人的家中和社区内切实执行减肥战略。这些干预措施使用了一个基于社会认知理论的框架，行为改变的跨理论模型，以及以前测试过的生活方式干预技术。根据过去在同一社区和其他地方采取的干预措施以及对社区需求和资产的评估，对框架的适用进行了文化上的调整。干预措施包括12个月的强化阶段，随后是12个月的维持阶段。参与者是肥胖的讲西班牙语的成年人，至少有一个心血管危险因素，从加州圣马特奥县低收入社区的社区健康中心招募。在6、12和24个月时进行随访评估，主要结局为24个月时体重指数的百分比变化。次要结局包括特定的心血管危险因素，特别是血压和空腹血糖水平。如果成功的话，这项研究将为在少数民族人群中广泛实施肥胖干预提供证据，并指导选择涉及基于诊所的病例管理和基于社区的社区卫生工作者支持的策略。ClinicalTrials.gov：NCT01242683
Obesity exerts an enormous health impact through its effect on coronary heart disease and its risk factors. Primary care-based and community-based intensive lifestyle counseling may effectively promote weight loss. There has been limited implementation and evaluation of these strategies, particularly the added benefit of community-based intervention, in low-income Latino populations. The Vivamos Activos Fair Oaks project is a randomized clinical trial designed to evaluate the clinical and cost-effectiveness of two obesity reduction lifestyle interventions: clinic-based intensive lifestyle counseling, either alone (n = 80) or combined with community health worker support (n = 80), in comparison to usual primary care (n = 40). Clinic-based counseling consists of 15 group and four individual lifestyle counseling sessions provided by health educators targeting behavior change in physical activity and dietary practices. Community health worker support includes seven home visits aimed at practical implementation of weight loss strategies within the person's home and neighborhood. The interventions use a framework based on Social Cognitive Theory, the Transtheoretical Model of behavior change, and techniques from previously tested lifestyle interventions. Application of the framework was culturally tailored based on past interventions in the same community and elsewhere, as well as a community needs and assets assessment. The interventions include a 12-month intensive phase followed by a 12-month maintenance phase. Participants are obese Spanish-speaking adults with at least one cardiovascular risk factor recruited from a community health center in a low-income neighborhood of San Mateo County, California. Follow-up assessments occur at 6, 12, and 24 months for the primary outcome of percent change in body mass index at 24 months. Secondary outcomes include specific cardiovascular risk factors, particularly blood pressure and fasting glucose levels. If successful, this study will provide evidence for broad implementation of obesity interventions in minority populations and guidance about the selection of strategies involving clinic-based case management and community-based community health worker support. ClinicalTrials.gov: NCT01242683
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影响因子：
--
作者：
Christian, James G.;Bessesen, Daniel H.;Bock, Beth C.
通讯作者：
Bock, Beth C.
影响因子：
5.5
作者：
Ackermann, Ronald T.;Finch, Emily A.;Marrero, David G.
通讯作者：
Marrero, David G.
DOI：
10.1016/s0889-8529(03)00067-7
发表时间：
2003-12-01
影响因子：
4.5
作者：
Bray, GA
通讯作者：
Bray, GA
影响因子：
11.3
作者：
BUYSSE, DJ;REYNOLDS, CF;KUPFER, DJ
通讯作者：
KUPFER, DJ
影响因子：
12.7
作者：
Blumberg, SJ;Bialostosky, K;Briefel, RR
通讯作者：
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