Reducing Cardiovascular Disease Risk in Mid-life and Older African Americans

降低中年和老年非洲裔美国人的心血管疾病风险

• 批准号: 8020155
• 负责人: Penny Ann Ralston
• 金额: $ 31.56万
• 依托单位: FLORIDA STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-06-03 至 2013-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8020155
• 关键词: Achievement; Advisory Committees; Affect; African American; Awareness; Behavior; Blood Pressure; Body Weight; Calcium; Cardiovascular Diseases; Cardiovascular system; Characteristics; Church; Clinical; Communities; Consumption; Data; Development; Diet Records; Disease; Effectiveness; Elements; Environment; Fatty acid glycerol esters; Florida; Food; Frequencies; Goals; Habits; Health; Health Promotion; Health Status; Hypertension; Intervention; Lead; Learning; Life Style; Literature; Mediating; Modeling; Morbidity - disease rate; Outcome; Physical activity; Population; Process; Questionnaires; Research; Risk Factors; Sodium; Staging; Stroke; Testing; Time; base; behavior change; blood lipid; cardiovascular disorder risk; faith-based intervention; fruits and vegetables; improved; instrument; middle age; mortality; programs; sugar

DESCRIPTION (provided by applicant): Mid-life and older African Americans (AAs), a population that is increasing in number, have higher rates of cardiovascular-related morbidity and mortality than Whites, particularly in relation to dietary and physical activity behaviors. Few tested health promotion interventions tailored for mid-life and older AAs are available yet churches have been shown to be an effective environment for AA health programs. Thus, the overall goal of this project is to reduce cardiovascular disease (CVD) risk factors in mid-life and older AAs through implementing and evaluating a church-based health intervention. Using the Transtheoretical Model of Behavior Change (TTM), this project seeks to: 1) determine the effectiveness of a church-based intervention in relation to dietary behaviors (food choice, dietary quality) and habitual physical activity (PA) toward subsequent improvement in CVD risk factors of mid-life and older AAs. Specifically, the intervention will focus on increasing consumption of fruits, vegetables and calcium-rich foods; decreasing consumption of fat, sugar and sodium; increasing habitual PA, all geared to improving selected clinical outcomes (blood lipids, blood pressure, body weight, among others); 2) identify the differentia) influence of program components of the intervention; 3) examine variables that might mediate the process of goal achievement; and 4) determine variables that are related to stage of change progression in goal achievement Midlife and older AAs (n=300) from four churches, two treatment and two comparison, in North Florida will be .selected for the study. The intervention, to be developed using a community-based participatory approach, will include literature-based conceptual elements of awareness building, clinical learning and efficacy development. Instruments will include a food and lifestyle habits questionnaire (food frequency, NCI fruit and vegetable screener, NCI fat screener, physical activity items, TTM items, background characteristics). Cinical data and 3-day dietary records, will be collected from subsample (n=100). Data will be collected at four points: before, 2-times during and after the intervention. The project will be guided by an Advisory Committee (research and community advisors). Diseases such as hypertension and stroke affect mid-life and older African Americans at higher rates than Whites, negatively affecting health status of this group. This project will determine effectiveness of a faith-based intervention to improve health in mid-life and older African Americans.

描述(由申请人提供)：中年和老年非裔美国人(AA)是一个人数不断增加的群体，与白人相比，他们有更高的心血管相关发病率和死亡率，特别是在饮食和体力活动行为方面。很少有针对中年和老年AA量身定做的健康促进干预措施可用，但教会已被证明是AA健康计划的有效环境。因此，本项目的总体目标是通过实施和评估以教会为基础的健康干预措施，减少中年和老年AA的心血管疾病(CVD)危险因素。利用行为改变的跨理论模型(TTM)，本项目试图：1)确定基于教会的干预对饮食行为(食物选择、饮食质量)和习惯性体力活动(PA)的有效性，以促进中年和老年AA的心血管疾病危险因素的后续改善。具体地说，干预将集中在增加水果、蔬菜和富含钙的食物的消费；减少脂肪、糖和钠的消耗；增加习惯性PA，所有这些都是为了改善选定的临床结果(血脂、血压、体重等)；2)确定干预计划组成部分的差异影响；3)检查可能调节目标实现过程的变量；以及4)确定与目标实现中年和老年AA(n=300)变化进展阶段相关的变量。将选择来自北佛罗里达州的四个教堂、两个治疗和两个对照。这项干预措施将采用以社区为基础的参与式方法，将包括以文献为基础的概念元素，包括意识建设、临床学习和疗效发展。工具将包括食物和生活习惯问卷(食物频率、NCI水果和蔬菜筛选器、NCI脂肪筛选器、体力活动项目、TTM项目、背景特征)。临床数据和3天饮食记录将从亚样本(n=100)中收集。数据将在干预前、干预中2次和干预后4个时间点收集。该项目将由一个咨询委员会(研究和社区顾问)指导。高血压和中风等疾病对中年和老年非裔美国人的影响比白人更高，对这一群体的健康状况产生了负面影响。该项目将确定以信仰为基础的干预措施的有效性，以改善中年和老年非裔美国人的健康。