A Community Partnership to Reduce Blood Pressure among African American Adults

降低非裔美国成年人血压的社区合作伙伴关系

• 批准号: 7673021
• 负责人: Kathleen Yadrick
• 金额: $ 18.16万
• 依托单位: UNIVERSITY OF SOUTHERN MISSISSIPPI
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-22 至 2013-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7673021
• 关键词: Address; Adult; African American; Blood Pressure; Cardiovascular Diseases; Communities; Counseling; Data; Dietary Intervention; Dimensions; Education; Educational Intervention; Effectiveness of Interventions; Evaluation; Feedback; Food; Health; High Blood Pressure; Hypertension; Individual; Intervention; Knowledge; Leadership; Life; Maintenance; Methods; Mississippi; Modeling; Monitor; Morbidity - disease rate; Obesity; Outcome; Outcome Measure; Participant; Phase; Physical activity; Population; Populations at Risk; Prevalence; Process; Process Measure; Protocols documentation; Public Health; Randomized; Range; Rate; Research; Research Design; Research Infrastructure; Resources; Social support; Structure; Telephone; Testing; Translational Research; Upper arm; Volunteer Group; Walking; base; community based participatory research; design; desire; diaries; evidence based guidelines; health disparity; improved; mortality; motivational enhancement therapy; programs; skills; staff intervention; treatment effect; volunteer

DESCRIPTION (provided by applicant): Long term objectives are to utilize a community-based participatory research (C6PR) approach to achieve enhanced community capacity to promote physical activity and healthy food choices and to develop a community-based process and model protocol that achieves a sustained reduction in systolic blood pressure (SBP) among African American adults in Hattiesburg, Mississippi. This intervention is motivated by rates of hypertension, obesity, lack of physical activity, and cardiovascular disease among Mississippi African Americans that are among the highest in the nation, and by the community's desire to address this problem through collaborative community approaches. Specific aims are: 1) to develop and assess community capacity to promote physical activity and healthy food choices, 2) to test treatment effects of a 6-month CBPR walking intervention on systolic blood pressure among all walking participants, and 3) to test the treatment effects of a sustained motivational enhancement via telephone on SBP. Capacity building is addressed through multiple strategies to enhance, over the life of the intervention, specific dimensions of capacity including participation, leadership, skills, resources, networks, critical reflection, and community power. A comprehensive process evaluation will capture evidence of enhanced community capacity through multiple tracking methods as well as qualitative feedback from all participant levels. The Intervention Phase consists of a 6-month CBPR walking intervention to lower systolic blood pressure, using a single group pre-post design and including the following components: social support provided by volunteer walking group leaders, motivational interviewing (Ml) by trained intervention staff, pedometer diary self-monitoring, and monthly education sessions. Participants will be randomized at six months into a 12-month Mi enhanced or non-enhanced maintenance group, with Mi-enhanced receiving four Ml telephone counseling sessions to encourage continued physical activity. Outcome measures will be evaluated at three- to 12-month intervals throughout intervention and maintenance phases. Individual, group and intervention level process measures will be evaluated at weekly to quarterly intervals. A successful intervention will have a sustainable infrastructure to continue addressing health disparities and demonstrate a reduction in blood pressure with public health implications for reducing cardiovascular disease morbidity and mortality.

描述（由申请人提供）：长期目标是利用以社区为基础的参与性研究（C6PR）方法，以增强社区促进体育活动和健康食品选择的能力，并制定以社区为基础的流程和模型方案，以实现密西西比哈蒂斯堡非裔美国成年人收缩压（SBP）的持续降低。这项干预措施的动机是高血压，肥胖，缺乏体育活动，心血管疾病的发病率在密西西比非洲裔美国人中是全国最高的，并通过社区的愿望，以解决这个问题，通过协作社区的方法。具体目标是：1）发展和评估社区促进体力活动和健康食物选择的能力，2）测试6个月CBPR步行干预对所有步行参与者收缩压的治疗效果，3）测试通过电话持续增强动机对SBP的治疗效果。能力建设是通过多种战略来解决的，在干预措施的整个生命周期中，加强能力的具体方面，包括参与、领导、技能、资源、网络、批判性反思和社区权力。一项全面的进程评价将通过多种跟踪方法以及来自所有参与者级别的质量反馈，收集社区能力增强的证据。干预阶段包括6个月的CBPR步行干预以降低收缩压，使用单组前后设计并包括以下组成部分：由志愿者步行小组领导人提供的社会支持，由训练有素的干预人员进行的动机访谈（MI），计步器日记自我监测和每月教育课程。参与者将在六个月时随机分为12个月的MI增强或非增强维持组，MI增强组接受四次MI电话咨询会议，以鼓励持续的身体活动。在整个干预和维持阶段，将每隔3至12个月对结局指标进行评价。将每周至每季度对个人、小组和干预水平的过程措施进行评价。成功的干预措施将具有可持续的基础设施，以继续解决健康差距问题，并证明血压下降对降低心血管疾病发病率和死亡率具有公共卫生意义。