Promoting physical activity among Latino youth: A community-based approach

申请人的长期职业目标是开展一项以社区为基础的临床参与性研究计划，旨在通过促进服务不足和被剥夺公民权的人群的体育活动来预防慢性病。从历史上看，这些人群在临床研究中被忽略，患有慢性病的风险很高。近期目标是扩展当前的研究技能，纳入基于社区的参与性研究方法，并与拉丁裔社区合作。为实现这些目标，提议制定一项有重点的职业发展计划，以便1)在开展旨在促进拉美裔青年体育活动的社区参与性研究方面获得先进的理论知识和实践经验，2)获得拉丁裔文化、西班牙语和拉美裔健康问题知识，以及3)在设计和实施旨在促进体育活动的干预措施方面获得高级技能和指导经验。即将进行的研究将使用基于社区的参与式方法来解决拉丁裔青少年缺乏体育活动的问题，这是导致冠心病(CHO)的主要风险因素，冠心病是美国的主要死亡原因。拉美裔占美国人口的13%，是增长最快的少数族裔群体。与非西班牙裔白人青年相比，拉美裔青年承担着更大的冠心病风险因素负担。为了改善拉美裔青年的长期心血管结果，我们必须在青春期早期解决危险因素。增加体力活动是降低拉美裔青年患冠心病风险的一种方式。针对在拉美裔青年中促进体育活动的研究很少，这项研究解决了这一关键差距。因此，这项研究的具体目标是：1)评估和评估社区体育活动资源；2)开发和评估为拉美裔中学青少年进行文化上适当的体育活动干预的可行性。将收集定性和定量数据，用于社区评估。根据对社区评估数据的分析，将与社区合作完成体力活动干预。为进行可行性评估，将收集定性和定量数据。可行性评估将包括过程评估、确定青少年参与干预的障碍和结果评估。

DESCRIPTION (provided by applicant): The applicant's long-term career goal is to conduct a program of clinical community-based participatory research aimed at prevention of chronic disease through the promotion of physical activity with underserved and disenfranchised populations. Historically, these populations have been omitted from clinical research and are at high risk for chronic illness. Immediate goals are to expand current research skills, incorporate a community-based participatory research approach, and work with a Latino community. To achieve these goals, a focused career development plan is proposed to1) acquire advanced theoretical knowledge and practical experience with conducting community-based participatory research aimed at physical activity promotion in Latino youth, 2) gain literacy in Latino culture, Spanish language, and knowledge of Latino health issues, and 3) gain advanced skills and mentored experience in designing and implementing interventions aimed at physical activity promotion. Research to be conducted will use a community-based participatory approach to address the lack of physical activity in Latino adolescents, which is a major risk factor for coronary heart disease (CHO), the leading cause of death in the US. Latinos comprise 13% of the population of the US and are the fastest growing minority group. Latino youth bear a greater burden of CHD risk factors, compared with white non-Hispanic youth. In order to improve long-term cardiovascular outcomes for Latino youth, we must address risk factors early in adolescence. Increasing physical activity is one way to reduce CHD risk in Latino youth. There is a paucity of research directed toward promoting physical activity among Latino youth and this study addresses this critical gap. Thus, the specific aims of the proposed study are to 1) assess and evaluate community resources for physical activity, and 2) develop and assess the feasibility of a culturally appropriate physical activity intervention for middle school Latino adolescents. Qualitative and quantitative data will be collected for the community assessment. Based on the analysis of the community assessment data, the physical activity intervention will be finalized in partnership with the community. Both qualitative and quantitative data will be collected for the feasibility assessment. The feasibility assessment will include a process evaluation, identification of barriers to participation by the adolescents in the intervention, and an outcomes evaluation.