Beyond SABOR: A Border Embedded Health Promotion

描述（由申请人提供）：位于德克萨斯州南部的下格兰德河山谷，沿着美墨边境，是研究少数民族人口健康差异的独特环境，拟议社区干预的首要长期目标是：1）预防（2）在城市和农村成年墨西哥裔美国人群体中预防糖尿病、延迟糖尿病发作或改善糖尿病管理。 在这些长期目标的框架内，本研究提出了三个具体目标：目标1）评估一种文化定制的、社区嵌入式的12周健康教育干预措施的有效性，该措施在第一阶段进行了实地测试，称为Sabor（西班牙语风味）在LRGV中总共202个研究中心的32个随机研究中心和至少782名参与者的随机分组设计中进行;目标#2）通过24周的努力，支持参与者改变和维持健康的生活方式，旨在最大限度地减少自然减员，同时加强参与者的社会支持;目标#3）通过合作和公平的共同学习研究机会，加强和推进基于社区的参与性研究;并应用研究成果解决社区健康问题。 在实现上述目标时，将采用混合方法，以便利对目标1-3的审查和评估。对于目标1，将采用既定的可量化程序评估Sabor与传统健康教育计划（称为健康生活，Buena维达）相比的疗效。对于目标2，定性战略将主要用于评估旨在减少自然减员的努力，同时加强参与者的社会支持。目标2将在完成12周测试后观察后和36周测试前一周结束后，对所有研究中心的受试者进行（治疗和注意力控制）。 对于目标#3，由Israel等人（63，64）和Minkler和Wallerstein（82）提出的CBPR既定程序策略将仍然是加强和推进健康咨询联盟短期和长期目标的基础，同时继续在生态导向的理论方法内制定研究目标和程序。

DESCRIPTION (provided by applicant): Set in the Lower Rio Grande Valley of South Texas, along the US Mexico border, a unique environment for examining health disparities in an ethnic minority population, the overarching long term goals of the proposed community intervention are: 1) the prevention (weight control) or reduction of overweight and obesity; and (2) the prevention, delay of the onset, or improved management of diabetes in a population of urban and rural adult Mexican Americans. Framed within these long-term goals, three specific aims are proposed for this study: Aim #1) to assess the efficacy of a culturally tailored, community embedded 12-week health education intervention, field tested during Phase I, known as Sabor (flavor in Spanish) in a random cluster design of 32 randomized sites from a total of 202 sites throughout the LRGV and a minimum of 782 participants; Aim #2) to support participants' agency in changing and sustaining a healthy lifestyle through a 24-week effort directed at minimizing attrition, while reinforcing participants' social support; Aim #3) to strengthen and advance community based participatory research through collaborative and equitable co-learning research opportunities; and the application of research findings to address community health conditions. In conducting the above stated aims, a mixed methods approach will be employed that facilitates the examination and assessment of aims 1-3. For aim #1, established quantifiable procedures will be employed in assessing the efficacy of Sabor when compared to an advice oriented traditional health education program, known as Healthy Living, Buena Vida. For aim #2, qualitative strategies will be used mostly to evaluate an effort designed to reduce attrition, while reinforcing participants' social support. Aim #2 will be conducted with participants from all sites (treatment and attention control), following the completion of the 12-week posttest observation and ending the week prior to the 36 week posttest. For aim #3, established procedural strategies for CBPR, as proposed by Israel et al (63, 64) and Minkler and Wallerstein (82) will remain the basis for strengthening and advancing the short and long term goals of the Advisory Health Coalition, while continuing to frame the study's objectives and procedures within an ecological oriented theoretical approach.