Linking Churches with Parks to Increase Physical Activity Among Latinos

项目摘要 从事定期的体力活动（PA）有助于积极的健康结果，包括长寿，更好地 生活质量，降低心血管疾病、糖尿病、抑郁症、某些癌症的发病率， 肥胖;然而，只有少数美国成年人符合中度至剧烈PA的最低指南 （MVPA），拉丁美洲人比白人更不可能报告符合指南。公园包括当地的 基础设施，可用于社区PA，但往往未得到充分利用，特别是在低收入地区 社区.低收入和少数民族社区的公园往往有较少的PA编程，特别是 针对成年人，更高的犯罪率和其他影响公园使用的因素。有必要采取干预措施， 解决社区关注的问题，针对建筑环境，并“激活”公园的使用。教会是可信的， 稳定的实体，在拉丁美洲社区和社会服务提供的历史中具有重要影响力 以及与健康和福祉相关的宣传。我们的研究发现，基于教会的干预可以 在广泛的健康问题和各种类型的教堂有效。我们建议将联合收割机方法 从我们团队之前对教堂和公园的广泛研究中， 一个多层次的干预，连接拉丁美洲天主教堂（n=12）与当地公园，以增加PA 拉丁裔教区居民（n=1500）在洛杉矶。具体目标是：（1）审查一个 以教会为基础的多层次干预，将天主教教区与拉丁裔教区居民的PA上的当地公园联系起来 和健康相关的结果（对教区居民的MVPA和自我报告的PA，心率/健身，腰围 围度、腰臀比、体脂肪、心理健康和感知社会支持）;（2）探索 干预措施的有效性在性别上的差异;（3）评估与下列因素相关的因素： 干预实施（促进者，障碍，保真度和复制成本），以供未来传播。我们 方法针对多个层次，通过公园为基础的健身课程，促进健康促进PA，由 运动学学生，同行领导领导的步行小组，公园为基础的教会活动，和教会为基础的PA支持 活动它将教堂庞大的社交网络、道德权威和影响力与公园的结构和功能相结合， 组织能力和运动机能学学生实习生的专业知识。干预利用了 部门内部和跨部门的创新伙伴关系-基于信仰的伙伴关系、地方公园/市政府伙伴关系和 高校我们的跨部门协作方法使我们的干预措施在真实的中可扩展和可持续- 世界设置，并在多个层面（个人，教堂和社区）纳入行动。对我们 知识，这将是第一个研究，以审查综合教堂和公园为基础的有效性 干预拉丁美洲人的PA，它将提供一个可持续的模式PA规划在低收入 社区.如果干预措施证明有效，通过这种伙伴关系提高社区能力 将为在美国最大的教区，甚至是全国范围内扩大规模奠定基础。

Project Summary Engaging in regular physical activity (PA) contributes to positive health outcomes, including longevity, better quality of life, and reduced incidence of cardiovascular diseases, diabetes, depression, certain cancers, and obesity; however, only a minority of U.S. adults meet the minimum guidelines for moderate to vigorous PA (MVPA), and Latinos are less likely than whites to report meeting the guidelines. Public parks comprise local infrastructure that can be leveraged for community PA, but tend to be underutilized, particularly in low-income communities. Parks in low-income and minority communities tend to have less PA programming, especially targeting adults, and higher crime and other factors that affect park use. There is a need for interventions that address community concerns, target the built environment, and “activate” park use. Churches are credible, stable entities that have significant reach within Latino communities and a history of social service provision and advocacy related to health and well-being. Our research has found that church-based interventions can be effective across a wide range of health issues and types of churches. We propose to combine approaches from our team's extensive prior work with churches and parks to conduct a cluster randomized controlled trial of a multi-level intervention that links Latino Catholic churches (n=12) with their local parks to increase PA among Latino parishioners (n=1500) in Los Angeles. The specific aims are to: (1) Examine the impact of a multi-level church-based intervention that links Catholic parishes to their local parks on Latino parishioners' PA and health-related outcomes (effects on parishioners' MVPA and self-reported PA, heart rate/fitness, waist circumference, waist to hip ratio, body fat, mental health, and perceived social support for PA); (2) Explore differences in the effectiveness of the intervention by gender; and (3) Evaluate factors associated with intervention implementation (facilitators, barriers, fidelity, and replication costs) for future dissemination. Our approach targets multiple levels to promote health-enhancing PA through park-based fitness classes led by kinesiology students, peer leader-led walking groups, park-based church events, and church-based PA support activities. It integrates churches' vast social networks, moral authority, and influence with parks' structural and organizational capacity and kinesiology student interns' professional expertise. The intervention makes use of innovative partnerships within and across sectors – faith-based, local parks/city government, and local universities. Our inter-sectoral, collaborative approach makes our intervention scalable and sustainable in real- world settings and incorporates action at multiple levels (individuals, churches, and neighborhoods). To our knowledge, this will be the first study to examine the effectiveness of an integrated church and park-based intervention on Latinos' PA, and it will provide a sustainable model of PA programming in low-income communities. If the intervention proves effective, the increased community capacity through this partnership will lay the groundwork for scale-up across the largest diocese in the U.S. and, potentially, the nation.