Integrating Family Resilience and Cultural Assets to Inform the LEADS Health Promotion Trial with African American Families

整合家庭复原力和文化资产，为非裔美国家庭的 LEADS 健康促进试验提供信息

• 批准号: 10463908
• 负责人: Mary Quattlebaum
• 金额: $ 4.04万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-16 至 2025-08-15
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10463908
• 关键词: Address; Adolescent; African American; African American population; Attenuated; Body Weight decreased; Body mass index; Buffers; Chronic; Chronic Disease; Chronic stress; Comprehension; Conflict (Psychology); Coping Skills; Data; Data Analyses; Development; Dietary intake; Educational Curriculum; Effectiveness; Elements; Exercise; Exposure to; Family; Feedback; Fellowship; Fostering; Future; Grant; Health; Health Promotion; Health behavior; Health behavior change; Healthy Eating; High Prevalence; Individual; Informal Social Control; Institution; Intervention; Intervention Studies; Interview; Link; Measures; Mental Health; Mentorship; Methods; Minority Health Research; Modeling; Obesity; Overweight; Parents; Participant; Performance; Personal Satisfaction; Physical activity; Pilot Projects; Play; Poverty; Process; Program Evaluation; Psychological Impact; Race; Recommendation; Research; Resources; Risk; Role; Social support; Socialization; Source; South Carolina; Spirituality; Stress; Suggestion; Surveys; Testing; Training; Universities; Video Recording; Work; Writing; Youth; acceptability and feasibility; base; coping; cultural values; effective intervention; efficacy trial; emotional eating; evidence base; experience; falls; feasibility testing; follow-up; improved; minority children; mortality; novel; parental influence; peer; physical inactivity; pilot trial; process evaluation; programs; psychosocial; racial discrimination; racial identity; racism; resilience; response; self esteem; skills; stress management; stress resilience; stressor; weight loss intervention

PROJECT SUMMARY/ABSTRACT African American adolescents have higher rates of overweight and obesity, as well as greater physical inactivity and poor dietary intake, compared to their White peers. Thus, African American adolescents are at greater risk for long-term health consequences, including chronic disease and early mortality. However, few health promotion programs and weight loss interventions have been successful among African American adolescents. Given the elevated rates of chronic stress (poverty, family conflict, racial discrimination) among African American adolescents, this may be a prominent obstacle for engagement and effectiveness of health promotion initiatives. Limited health promotion programs with African American families have incorporated a family-based resilience framework to address stress, and even fewer have utilized a cultural assets approach. Family resilience (family routines, social support, connectedness), as well as cultural assets (racial identity, proactive coping strategies, spirituality), which are primarily cultivated by parents, have been effective for improving mental health and academic performance but have not been implemented in health promotion programs. Preliminary work by the fellowship candidate, Sponsor, and Co-Sponsors showed that an online family-based cultural resilience health promotion pilot study integrating core content on family routines, proactive coping strategies, racial identity, and racial discrimination demonstrated high feasibility and acceptability among overweight African American adolescents and their families. To further expand this study, the Sponsor (Wilson) submitted the ‘Linking Exercise for Advancing Daily Stress Management’ (LEADS) R01 efficacy trial that will be reviewed in Fall 2021. The proposed study will extend this work to 1) develop core intervention curriculum components that build family resilience and cultural assets for the LEADS efficacy R01 trial focused on racial identity, developing coping skills for racism, and fostering cultural pride and spirituality and 2) test and evaluate the core intervention curriculum components developed in Aim 1 with African American families with a 3-week online pilot exposure study, with a specific focus on developing advanced program and process evaluation methods to capture parent socialization practices that promote resilience and health promotion (e.g., recorded sessions, surveys, qualitative follow-up interviews). Program and process evaluation data will allow further dissemination of comprehensive recommendations for future programs. This research will be conducted at the University of South Carolina, a Carnegie Mellon #1 research institution, with the support of a mentorship team with varying expertise. The proposed training plan will focus on 1) developing a comprehensive theoretical understanding of risk and resilience development in the context of health promotion programs and expand skills in culturally relevant research for minority youth, 2) demonstrating mastery of advanced qualitative and quantitative data analysis, 3) obtaining training and experience in process evaluation, and 4) further developing skills in scientific writing and grant writing, as well as developing skills in presenting research.

项目总结/摘要 非裔美国青少年超重和肥胖的比例更高，身体活动也更少 和饮食摄入量不足的情况下，相比他们的白色同龄人。因此，非洲裔美国青少年面临更大的风险， 长期健康后果，包括慢性病和早期死亡。然而，很少有健康促进 在非裔美国青少年中，减肥计划和减肥干预措施取得了成功。鉴于 非裔美国人中慢性压力（贫困，家庭冲突，种族歧视）的比例升高 对于青少年来说，这可能是参与和有效实施健康促进举措的一个突出障碍。 与非裔美国人家庭的有限健康促进计划已经纳入了以家庭为基础的复原力 目前，只有少数国家制定了应对压力的框架，利用文化资产方法的国家就更少了。家庭复原力（家庭 惯例，社会支持，连通性），以及文化资产（种族认同，积极应对策略， 灵性），主要由父母培养，有效地改善了心理健康， 学术成绩，但尚未在健康促进方案中实施。秘书处的初步工作 奖学金候选人，赞助商和共同赞助商表明，一个在线的家庭为基础的文化弹性健康 推广试点研究，将家庭常规、积极应对策略、种族认同和 种族歧视在超重的非裔美国人中表现出高度的可行性和可接受性 青少年及其家庭。为了进一步扩展本研究，申办者（Wilson）提交了“链接练习 推进日常压力管理（LEADS）R 01疗效试验，将于2021年秋季进行审查。的 拟议的研究将把这项工作扩展到：1）制定核心干预课程， LEADS疗效R 01试验的弹性和文化资产，重点是种族认同，发展应对技能 消除种族主义，培养文化自豪感和精神信仰，2）测试和评估核心干预课程 在目标1中与非裔美国家庭一起开发的组件，进行了为期3周的在线试点暴露研究， 特别注重开发先进的计划和过程评估方法，以捕获父母 促进复原力和健康促进的社会化做法（例如，录音会议、调查、定性 后续采访）。方案和进程评估数据将有助于进一步传播全面的 对未来方案的建议。这项研究将在南卡罗来纳州大学进行， 卡内基梅隆大学#1研究机构，与具有不同专业知识的导师团队的支持。的 拟议的培训计划将侧重于1）发展对风险的全面理论理解， 在健康促进方案的背景下发展复原力，并扩大与文化有关的技能， 少数民族青年研究，2）展示掌握先进的定性和定量数据分析，3） 获得过程评价方面的培训和经验，以及4）进一步发展科学写作技能， 补助金写作，以及发展展示研究的技能。