Developing a Lifestyle Intervention to Reduce Body Weight for Obese African American Men Living in the Rural South

描述：在居住在中国的成年人中，肥胖和许多肥胖行为的患病率更高 在美国的农村地区与城市地区相比，这可能会造成多个农村地区的健康差距。 需要干预措施来解决这些差距，特别是对农村的非裔美国人男性来说，他们是 在行为减肥试验中很大程度上被低估了。在南方农村，拟议的研究将在那里 在这项调查中，有证据表明，男性减肥的动力低于女性。动机较低 减肥或许可以解释为什么男性参加农村减肥试验的比例较低。因此，我们将开发一种 对农村非裔美国男性的行为减肥干预，纳入了来自 自主论--兼论生态系统论和社会认知论 理论上。我们假设，我们基于理论的行为减肥干预将在 吸引、留住和激励农村非裔美国男性从事健康的减肥行为。 研究的具体目的是(1)进行焦点小组访谈，以了解障碍和促进者 用于开发一种减肥干预措施，以吸引、保留、激励和满足南部农村的需求 从事健康减肥行为的非裔美国男性；2)发展、评估和完善 对南部农村非洲裔美国男性的行为减肥干预；以及3)进行试点 随机等待名单对照试验确定综合行为疗法的初步减肥效果 针对南部农村非洲裔美国男性的减肥干预。其中提出的研究和培训 K23职业发展奖将支持候选人成为独立人士的长期职业目标 护士科学家，具有开发和测试行为干预措施以减少肥胖的专业知识 生活在农村地区的弱势成年人。与他的国际知名专家指导团队合作 在行为改变、基于社区的研究和农村健康方面，候选人已经制定了培训计划 包括课程作业、研讨会和指导研究经验，旨在解决 以下职业目标：1)扩大对影响农村和少数民族健康差距的因素的理解； 2)扩展在评估饮食行为和体力活动方面的知识和技能；3)在 设计、实施和评估行为减肥试验；4)增强以下方面的知识和技能 用于行为试验的生物统计学方法；以及5)提高与农村肥胖有关的学术生产力 区域。在完成本奖项中建议的研究和培训活动后，候选人将表现良好 定位于进一步开发和测试解决农村成年人肥胖问题的新干预措施。

DESCRIPTION: The prevalence of obesity and many obesogenic behaviors is higher among adults living in rural compared to urban areas of the United States and likely contribute to multiple rural health disparities. Interventions are needed to address these disparities, particularly for rural African American men who are largely underrepresented in behavioral weight loss trials. In the rural South, where the proposed research will be conducted, there is evidence that that men are less motivated than women to lose weight. Lower motivation to lose weight may explain men’s lower participation rates in rural weight loss trials. Thus, we will develop a behavioral weight loss intervention for rural African American men that incorporates motivational elements from Self-Determination Theory, in addition to elements from Ecological Systems Theory and Social Cognitive Theory. We hypothesize that our theoretically-based behavioral weight loss intervention will be effective in attracting, retaining, and motivating rural African American men to engage in healthy weight loss behaviors. The specific aims of the study are to (1) Conduct focus group interviews to understand barriers and facilitators for developing a weight loss intervention that will attract, retain, motivate, and meet the needs of Southern rural African American men for engaging in healthy weight loss behaviors; 2) Develop, evaluate, and refine a behavioral weight loss intervention for Southern rural African American men; and 3) Conduct a pilot randomized wait-list control trial to determine preliminary weight loss effects of the comprehensive behavioral weight loss intervention for Southern rural African American men. The research and training proposed in this K23 career development award will support the candidate’s long-term career goal of becoming an independent nurse scientist with expertise in developing and testing behavioral interventions to reduce obesity for vulnerable adults living in rural areas. In collaboration with his mentoring team of internationally-known experts in behavior change, community-based research, and rural health, the candidate has developed a training plan involving coursework, seminars, and mentored research experiences that are designed to address the following career goals: 1) broaden his understanding of factors influencing rural and minority health disparities; 2) expand knowledge and skills in assessing dietary behaviors and physical activity; 3) develop expertise in the design, conduct, and evaluation of behavioral weight loss trials; 4) enhance knowledge and skills in biostatistical methods used in behavioral trials; and 5) increase scholarly productivity related to obesity in rural areas. Upon completing the research and training activities proposed in this award, the candidate will be well positioned to further develop and test novel interventions that address obesity for rural adults.