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Comadres Saludables: A Web-Based Promotora Training Program for Obesity Prevention in Hispanic Women

Comadres Saludables：基于网络的 Promotora 西班牙裔女性肥胖预防培训计划

基本信息

批准号：
10482551
负责人：
DEBRA RIOS
金额：
$ 69.72万
依托单位：
ISA ASSOCIATES, INC.
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-05-31 至 2024-09-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10482551
关键词：
Address Adopted Age-Years Attitude Behavior Behavioral Belief Benchmarking Body mass index Cardiovascular Diseases Cessation of life Chronic Communities Community Health Aides Data Development Diet Disease E-learning Economic Factors Educational Curriculum Educational Intervention Effectiveness Effectiveness of Interventions Ensure Ethnic Origin Evidence based practice Exercise Family Female Goals Health Heart Hispanic Hispanic Populations Intervention Knowledge Latina Learning Marketing Measures Medical Care Costs Modeling Monitor Morbidity - disease rate Motivation National Heart, Lung, and Blood Institute Neighborhood Health Center Non-Insulin-Dependent Diabetes Mellitus Not Hispanic or Latino Obesity Online Systems Overweight Participant Patient Self-Report Persons Phase Physical activity Public Health Race Randomized Randomized Controlled Trials Recipe Reduce health disparities Research Risk Behaviors Risk Factors Role playing therapy Self Efficacy Services Social Interaction Social support Tablets Target Populations Technology Test Result Text Messaging Time Trainers Training Training Training Programs Underserved Population Unhealthy Diet Weight Woman base behavior change bilingualism cancer type community organizations cost demographics design diet and exercise eHealth effectiveness testing field study health disparity implementation intervention improved outcome indexing intervention delivery lifestyle intervention mHealth men metropolitan mortality obesity prevention obesity treatment overweight adults physical inactivity post intervention premature programs prototype satisfaction skills social successful intervention theories tool waist circumference

项目摘要

ABSTRACT Hispanics are 23% more likely to be obese than their White counterparts4, and obesity rates are higher in Hispanic women than Hispanic men(45% vs. 39.7, respectively). It is estimated that 77% (or 15.5 million) Hispanic women are overweight or obese. Obesity is driven by a variety of social, physical, and economic factors, but is mainly due to poor diet and physical inactivity. Given this, most successful interventions that reduce adiposity indices (e.g. BMI, weight, waist circumference) incorporate both diet and exercise. Successful obesity interventions for Hispanics utilize cultural tailoring and have relied on promotores de salud (also known as community health workers) as key facilitators in delivering these interventions. Promotores are effective in delivering obesity interventions and promoting behavior change through enhanced motivation, social support, social interaction and connectedness, and self-efficacy. However, adequate in-person promotora training is necessary for effective implementation of these interventions. An in-person train-the-trainer (TTT) model is a laudable means of investing in promotores and communities, yet, there remains barriers to access including family commitments and associated costs. Our goal is to develop an effective, accessible, and scalable eHealth obesity intervention TTT for promotores. Comadres Saludables will combine both theory and evidence-based practices to provide promotores with the self-efficacy, knowledge, and skills required to effectively implement an obesity intervention for Hispanic women. Promotores will build their skillset through interactive quizzes, exercises, and video role-playing scenarios. Additionally, Comadres Saludables will be the first web-based TTT to provide promotores with interactive mHealth tools to enhance implementation with Hispanic women. Specifically, promotores will have the option of texting or emailing program materials directly to the participant and will have access to fidelity monitoring tools to ensure optimal implementation. In Phase I, a prototype of Comadres Saludables was developed, which was informed by formative research conducted with 35 Latina promotores (bilingual) 18-64 years of age. The results of Phase I strongly support the feasibility and potential effectiveness of the intervention, far exceeding the benchmarks established in the Phase I proposal. During Phase II we will complete development of the web-based Comadres Saludables training for promotores. In partnership with San Antonio Community Health Workers Association, we will examine the effectiveness of the Comadres Saludables training to increase self-efficacy in implementing effective core lifestyle intervention learning components for obesity interventions in Hispanics. Participants will be randomly assigned to either the intervention condition or to a control condition. Secondary measures will assess demographics, knowledge, attitudes, self-reported skill mastery, satisfaction, and utilization.

摘要