Co-production of 'Health Connections' - a community-based diet, physical activity, and healthy weight intervention for UK Black and Asian adults

联合制作“健康连接”——针对英国黑人和亚洲成年人的基于社区的饮食、体育活动和健康体重干预

• 批准号: MR/X503022/1
• 负责人: Maria Maynard
• 金额: $ 15.37万
• 依托单位: Leeds Beckett University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FX503022%2F1
• 关键词: Co; production; Health; Connections; community

What is the problem? Current health communication and behaviour change programmes do not support UK Black and Asian populations in making healthier dietary and physical activity (PA) choices, and maintaining a healthier weight. We talked to Black Caribbean, Black African and South Asian women and men and to health practitioners to develop this project. In these conversations people shared that they are very motivated to improve their diet and PA behaviours to prevent serious health conditions such as type 2 diabetes. However, some also told us that worrying about or experiencing racism, and other barriers such as time and expense, stopped them from taking part in healthy lifestyle programmes. It was felt that existing services lacked relevance for Black and Asian people and were poorly communicated. When asked what ideal help with health behaviour change would look like to them, services with mental health support delivered by staff of the same ethnic group and similar lived experience were common opinions. The importance of being able to keep eating their traditional foods, and that dancing or walking were popular activities, was also emphasised. Weight loss, if needed, was seen as something that happened naturally, if healthy habits could be maintained. In terms of programme delivery, the need for low cost and flexible sessions, and a preference for community rather than medical settings, was stated. We also looked at existing published research and while there are some studies on what helps and hinders healthy behaviours among Black and South Asian ethnic groups, there has been very little research developing and testing interventions suitable for these groups. How will the problem be addressed? We have formed a group made up of researchers, members of the public, charities, health professionals, and policy makers. Together we aim to co-design 'Health Connections'- a new intervention tailored to the needs of Black Caribbean, Black African and South Asian men and women, based in communities and delivered by community educators supported by health professionals. We will look at how a culturally sensitive communication campaign and mental health support can be included in an intervention programme to improve diet and PA choices, and promote healthy weight. We will also examine how health professionals can be trained in cultural competency (being able to see things from the point of view of people from other cultures), so that partnerships between health professionals and community educators are improved. Throughout the project there will be meetings every two months and other activities such as questionnaires and a workshop, and support meetings for group members from the public, to make sure all views are represented. We will conduct interviews with men and women from diverse ethnic groups to understand their experiences, opinions and intervention needs, adding to our existing data. Findings will be summarised in a plain English report. We will also gather examples of existing intervention resources (such as culturally adapted recipes) and local practice. Based on the information gathered, we will make a list of potential programme sessions, their content, and how they will be delivered. The project group will complete questionnaires regarding the list, and discuss the results in a workshop to come to an agreement on the best ideas. Examples of session content (e.g. recipe cards and exercise videos) will be made and we will hold a community event in Leeds, UK, to see what the public think of the ideas and materials. The final stage will be to write a manual documenting the intervention and to share the project findings in publications, presentations, and an infographic. The findings will then be the basis of planning the next phase of research, which will be to carry out a trial to test whether the newly designed intervention can be carried out and is acceptable among Black and South Asian adults.

问题是什么？当前的健康沟通和行为改变计划不支持英国黑人和亚洲人群做出更健康的饮食和身体活动 (PA) 选择，以及保持更健康的体重。我们与加勒比黑人、非洲黑人和南亚女性和男性以及健康从业者进行了交谈，以制定该项目。在这些对话中，人们表示他们非常有动力改善饮食和 PA 行为，以预防 2 型糖尿病等严重的健康状况。然而，一些人还告诉我们，担心或经历种族主义，以及时间和费用等其他障碍，阻碍了他们参加健康生活方式计划。人们认为现有服务与黑人和亚洲人缺乏相关性，而且沟通不畅。当被问及对健康行为改变的理想帮助是什么样的时，普遍的看法是由同一种族群体和相似生活经历的工作人员提供心理健康支持服务。还强调了能够继续吃传统食物的重要性，以及跳舞或散步是受欢迎的活动。如果需要的话，如果能够保持健康的习惯，减肥被认为是自然发生的事情。在计划交付方面，有人指出需要低成本和灵活的会议，并且优先考虑社区而不是医疗环境。我们还研究了现有已发表的研究，虽然有一些关于什么有助于和阻碍黑人和南亚族群健康行为的研究，但很少有研究开发和测试适合这些群体的干预措施。问题将如何解决？我们成立了一个由研究人员、公众、慈善机构、卫生专业人员和政策制定者组成的小组。我们的目标是共同设计“健康联系”——一种针对加勒比黑人、非洲黑人和南亚男性和女性需求的新干预措施，以社区为基础，由社区教育工作者在卫生专业人员的支持下实施。我们将研究如何将文化敏感的沟通活动和心理健康支持纳入干预计划中，以改善饮食和 PA 选择，并促进健康体重。我们还将研究如何对卫生专业人员进行文化能力培训（能够从其他文化背景的人的角度看待事物），从而改善卫生专业人员和社区教育者之间的伙伴关系。在整个项目中，每两个月将举行一次会议，以及其他活动，例如问卷调查和研讨会，以及为公众小组成员提供的支持会议，以确保所有意见都得到体现。我们将对来自不同种族群体的男性和女性进行访谈，以了解他们的经历、意见和干预需求，并补充到我们现有的数据中。调查结果将总结在一份简单的英文报告中。我们还将收集现有干预资源（例如适应文化的食谱）和当地实践的示例。根据收集到的信息，我们将列出潜在的计划会议、会议内容以及会议方式。项目组将完成有关该列表的调查问卷，并在研讨会上讨论结果，以就最佳想法达成一致。我们将制作会议内容的示例（例如食谱卡和练习视频），并且我们将在英国利兹举办社区活动，以了解公众对这些想法和材料的看法。最后阶段将编写一份手册，记录干预措施，并以出版物、演示文稿和信息图表的形式分享项目结果。研究结果将成为规划下一阶段研究的基础，下一阶段的研究将进行一项试验，以测试新设计的干预措施是否可以实施，并为黑人和南亚成年人所接受。