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

制定生活方式干预措施，为生活在南方农村的肥胖非洲裔美国男性减轻体重

• 批准号: 10551910
• 负责人: Demetrius Abshire
• 金额: $ 14.75万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-05-13 至 2025-01-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10551910
• 关键词: Address; Adult; Affect; African American; Award; Behavior; Behavior Therapy; Behavior assessment; Behavioral; Behavioral trial; Biostatistical Methods; Black race; Body Weight; Body Weight decreased; Cause of Death; Chronic; Chronic Disease; Clinical; Collaborations; Control Groups; Dietary Assessment; Disparity; Ecosystem; Educational workshop; Effectiveness; Elements; Epidemic; Evaluation; Feedback; Focus Groups; Goals; Group Interviews; Health; Health behavior; International; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Knowledge; Mentors; Minority Men; Motivation; Nurses; Obesity; Outcome; Participant; Physical activity; Population; Positioning Attribute; Pre-Post Tests; Prevalence; Productivity; Public Health; Randomized; Randomized, Controlled Trials; Research; Research Activity; Rural; Rural Health; Scientist; Self Determination; South Carolina; Systems Theory; Target Populations; Testing; Training; Training Activity; United States; Waiting Lists; Weight; Woman; adult obesity; behavior change; behavior test; career; community based research; comparison control; comparison intervention; control trial; design; experience; follow-up; healthy weight; insight; intervention refinement; lifestyle intervention; men; minority health; minority health disparity; mortality; novel; obesity treatment; obesogenic; programs; recruit; rural African American; rural area; rural dwellers; rural health disparities; rural setting; skills; social cognitive theory; symposium; theories; urban area; weight loss intervention

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.

描述：肥胖和许多致肥行为的患病率在生活在美国的成年人中较高

项目成果

Physical Activity From Transportation: New Insights and Lingering Questions.

交通带来的身体活动：新见解和挥之不去的问题。

• DOI: 10.1016/j.jadohealth.2021.04.034
• 发表时间: 2021
• 期刊: The Journal of adolescent health : official publication of the Society for Adolescent Medicine
• 作者: Abshire,DemetriusA;Pinto,BernardineM;Wilson,DawnK
• 通讯作者: Wilson,DawnK

Acculturation, Physical Activity, and Metabolic Syndrome in Asian American Adults.

• DOI: 10.1177/10436596221114150
• 发表时间: 2022-11
• 期刊: JOURNAL OF TRANSCULTURAL NURSING
• 影响因子: 2.1
• 作者: Sheng, Jingxi;Abshire, Demetrius A.;Heiney, Sue P.;Wirth, Michael D.
• 通讯作者: Wirth, Michael D.

Differences in Loneliness Across the Rural-Urban Continuum Among Adults Living in Washington State.

• DOI: 10.1111/jrh.12535
• 发表时间: 2022-01
• 期刊: The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association
• 作者: Abshire DA;Graves JM;Amiri S;Williams-Gilbert W
• 通讯作者: Williams-Gilbert W

A National Survey of RN-to-BSN Programs: Are They Reaching Rural Students?

• DOI: 10.3928/01484834-20200921-04
• 发表时间: 2020-10-01
• 期刊: The Journal of nursing education
• 作者: Merrell MA;Probst JC;Crouch E;Abshire DA;McKinney SH;Haynes EE
• 通讯作者: Haynes EE

Rural-urban differences in educational attainment among registered nurses: Implications for achieving an 80% BSN workforce.

• DOI: 10.1016/j.profnurs.2020.04.008
• 发表时间: 2021-03
• 期刊: Journal of professional nursing : official journal of the American Association of Colleges of Nursing
• 作者: Odahowski CL;Crouch EL;Zahnd WE;Probst JC;McKinney SH;Abshire DA
• 通讯作者: Abshire DA