SisterTalk at Home: Home-based Weight Loss for Arican American Women

SisterTalk at Home：非洲裔美国女性的家庭减肥

• 批准号: 7802921
• 负责人: THOMAS Mills LASATER
• 金额: $ 63.87万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2012-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7802921
• 关键词: African American; American; Attention; Behavior; Body Weight decreased; Church; Data; Diet; Effectiveness; Epidemic; Evaluation; Family; Fatty acid glycerol esters; Feedback; Health; Home environment; Hour; Institute of Medicine (U.S.); Intake; Intervention; Mails; Measures; Mediator of activation protein; Monitor; Neighborhoods; Obesity; Participant; Physical activity; Placebos; Preparation; Preventive; Process; Randomized; Reaction; Reporting; Self Efficacy; Self Management; Series; Social support; Solutions; Techniques; Testing; Therapeutic Intervention; Time; United States; Vegetables; Walking; Weight; Weight maintenance regimen; Woman; Working Women; base; comparison group; design; experience; food preparation; fruits and vegetables; nutrition; programs; skills; social; theories

DESCRIPTION (provided by applicant): Obesity is now considered epidemic in the United States and is a high priority for preventive and therapeutic interventions.1-2 Obesity and the resulting negative health effects are a particularly important problem for African American women. As called for by a recent Institute of Medicine report, more eco-social interventions at the neighborhood level are needed.3 This requires partnerships between traditional neighborhood organizations and experienced intervention developers with culturally appropriate programs.3 Local churches are the most important neighborhood organizations for African American (AA) women in terms of reach and family orientation.4-7 The current proposal builds upon an existing and demonstrably effective 12-hour video-based weight management program for Black women. Existing video footage will be adapted and new content added to develop a series of 36 half hour sessions and 6 boosters targeting nutrition, physical activity and self management techniques. The program will be designed as a church-based program with intervention materials delivered by mail directly to women at home. Churches will be randomly assigned to treatment or to attention placebo comparison groups. We will then conduct a field trial to compare participants receiving the church-based, home delivered program versus an attention placebo program in terms of changes in weight, dietary behavior, and physical activity. The study will test the following Specific Aims. SA. To determine if African American women who participate in a church-based (and home delivered) video weight control program versus an Attention Placebo Comparison will demonstrate more positive changes in weight of at least 5 pounds at 12 months and at least 2.5 pounds at 24 months. Secondarily, we expect to see positive changes in major mediators of weight including intake of fat (FHQ), servings of fruit and vegetables, portion size, increased time spent in physical activities [7 Day Recall (PAR), and increased walking (pedometers) (increasing monthly at least 400 steps per day per month). A secondary aim is to gather and analyze process evaluation data concerned with: 1) implementation process variables between and across churches; 2) the women's reaction to various components of the intervention; 3) the specific barriers and facilitators to dietary and physical activity changes encountered by these women; 4) solutions to barriers that work for these women; 5) motivational themes that are effective in both the short and long term; and 6) Sustainability of the intervention. We will also measure several key mediators from Social Action Theory (SAT). In addition to the diet and PA measures listed above. These will include self efficacy, use of self management skills, changes in food preparation skills, use of self monitoring feedback aids and social support.

描述（由申请人提供）：肥胖现在在美国被认为是流行病，并且是预防和治疗干预的高度优先事项。1 -2肥胖和由此产生的负面健康影响是非裔美国妇女的一个特别重要的问题。正如医学研究所最近的一份报告所呼吁的那样，需要在社区层面进行更多的生态社会干预。3这需要传统社区组织与经验丰富的干预开发人员之间建立伙伴关系，制定文化上适当的方案。3就覆盖范围和家庭取向而言，地方教会是非裔美国人（AA）妇女最重要的社区组织。4 -7 目前的提案建立在现有的和证明有效的12小时视频为基础的黑人妇女体重管理计划。现有的视频片段将被改编，并增加新的内容，以开发一系列36个半小时的会议和6个助推器，针对营养，体育活动和自我管理技术。该方案将被设计为一个以教会为基础的方案，干预材料将通过邮件直接发送给家中的妇女。教会将被随机分配到治疗或注意安慰剂对照组。然后，我们将进行一项现场试验，比较接受教会为基础的家庭交付计划与注意力安慰剂计划的参与者在体重，饮食行为和体力活动方面的变化。本研究将测试以下具体目标。 SA.确定参加基于教会（和家庭交付）的视频体重控制计划与注意力安慰剂比较的非裔美国妇女是否会在12个月时至少5磅和24个月时至少2.5磅的体重方面表现出更积极的变化。其次，我们希望看到体重的主要介质发生积极变化，包括脂肪摄入量（FHQ），水果和蔬菜的份量，部分大小，增加体力活动时间[7天回忆（PAR）]，增加步行（计步器）（每月增加至少400步/天）。 第二个目的是收集和分析与以下方面有关的过程评估数据：1）教会之间和教会之间的执行过程变量; 2）妇女对干预措施各个组成部分的反应; 3）这些妇女在改变饮食和身体活动方面遇到的具体障碍和促进因素; 4）对这些妇女有效的障碍解决方案; 5）短期和长期有效的激励主题; 6）干预的可持续性。我们还将测量社会行动理论（SAT）的几个关键中介。除了上面列出的饮食和PA措施。这些将包括自我效能，自我管理技能的使用，食物准备技能的变化，自我监测反馈辅助工具的使用和社会支持。