Joining Forces with a Key Community to Reduce Obesity D*

与主要社区联手减少肥胖 D*

• 批准号: 7126766
• 负责人: ANTRONETTE K YANCEY
• 金额: $ 48.66万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7126766
• 关键词: African American; Hispanic Americans; behavioral /social science research tag; clinical research; clinical trials; community; computer assisted medical decision making; exercise; governmental health /scientific organization; health care service planning; health disparity; health education; health services research tag; human subject; human therapy evaluation; interdisciplinary collaboration; lifestyle; obesity; socioenvironment; therapy design /development; weight control; work site

DESCRIPTION (provided by applicant): Obesity is a significant risk factor for the development of many common chronic diseases including diabetes, cardiovascular diseases, and some cancers. Evidence is accumulating that diet and physical activity are important for preventing obesity and protecting health. African-Americans, Latinos, and Pacific Islanders are more likely to experience high rates of obesity, lower levels of physical activity, and poor dietary habits than white communities. Thus, obesity has emerged as a dominant and growing contributor to chronic disease disparities. Investigators from the UCLA School of Public Health have teamed up with the Los Angeles County Department of Health Services (DHS) to use a community-based participatory research (CBPR) framework to select and pilot test an obesity control intervention among the staffs of health and social service agencies (including units within the health department and private community-based organizations [CBOs]. The DHS has long served in a convener role in addressing obesity in the community and has a staff of nearly 100,000, mostly African-American women and Latinos. It also has relationships with and leverage to drive change in the many CBOs with which it collaborates to deliver health services; the demographic composition of these CBOs is also predominantly female and Latino or African-American. Thus, the DHS is a perfect community partner in a CBPR effort to identify and test obesity prevention and control interventions. The UCLA investigators have a long-standing commitment to conducting community based health disparities research. This planning grant will provide crucial financial and institutional support to further develop and maintain the structures and communication channels necessary for an effective partnership between the academic research team, the health department, and other community agencies. A Community Investigator Team, comprised of representatives from health and social services agencies and convened by DHS, will work closely with the research team to ensure that community input shapes each phase of the research process. During the 3-year project period, a collaborative decision-making process will be utilized to identify, prioritize, and select obesity control intervention strategies. The project is innovative in its selection of these staff as the targeted "community," and in its incorporation of evidence based decision-making algorithm into the intervention selection process. A pilot study that is both scientifically rigorous and acceptable to the community will test the intervention strategies. Finally, the data from the pilot study will be analyzed and used to develop an R01 application. Results will also be disseminated among participating organizations. This innovative community-based participatory research project will team UCLA researchers with local health department investigators to engage the staff of health and social services agencies in selecting and preliminarily testing obesity control interventions for their work settings.

描述（由申请人提供）：肥胖是许多常见慢性疾病（包括糖尿病、心血管疾病和某些癌症）发生的重要风险因素。越来越多的证据表明，饮食和体育活动对预防肥胖和保护健康很重要。非洲裔美国人、拉丁美洲人和太平洋岛民比白色社区更有可能经历高肥胖率、低水平的体育活动和不良的饮食习惯。 因此，肥胖已成为慢性病差异的主要和日益增长的贡献者。加州大学洛杉矶分校公共卫生学院的研究人员与洛杉矶县卫生服务部（DHS）合作，使用基于社区的参与性研究（CBPR）框架，在卫生和社会服务机构（包括卫生部门和私人社区组织[CBO]内的单位）的工作人员中选择和试点测试肥胖控制干预措施。 国土安全部长期以来一直担任解决社区肥胖问题的召集人，拥有近10万名工作人员，其中大部分是非洲裔美国妇女和拉丁美洲人。 它还与许多社区组织建立了关系，并利用这些组织推动其提供保健服务;这些社区组织的人口构成也主要是女性和拉丁美洲人或非洲裔美国人。 因此，DHS是CBPR努力确定和测试肥胖预防和控制干预措施的完美社区合作伙伴。 加州大学洛杉矶分校的研究人员长期致力于开展基于社区的健康差异研究。 该规划补助金将提供关键的财政和机构支持，以进一步发展和维护学术研究团队，卫生部门和其他社区机构之间有效合作所需的结构和沟通渠道。 一个由卫生和社会服务机构代表组成的社区调查小组将与研究小组密切合作，以确保社区投入塑造研究过程的每个阶段。 在为期3年的项目期间，将利用协作决策过程来确定，优先考虑和选择肥胖控制干预策略。该项目在选择这些工作人员作为目标“社区”以及将基于证据的决策算法纳入干预措施选择过程方面具有创新性。一项既科学严谨又为社会所接受的试验性研究将测试干预战略。 最后，将对试点研究的数据进行分析，并用于开发R 01应用程序。结果也将在各参与组织中传播。 这个创新的以社区为基础的参与性研究项目将使加州大学洛杉矶分校的研究人员与当地卫生部门的调查人员合作，让卫生和社会服务机构的工作人员参与选择和初步测试他们工作环境中的肥胖控制干预措施。