Beyond SABOR: A Border Embedded Health Promotion

描述(申请人提供)：背景设在南得克萨斯州格兰德河谷，沿着美国墨西哥边境，一个独特的环境，用于检查少数族裔人口的健康差距，拟议的社区干预的总体长期目标是：1)预防(体重控制)或减少超重和肥胖；以及(2)在城市和农村成年墨西哥裔美国人中预防、推迟发病或改善糖尿病的管理。 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、嵌入12周健康教育干预的社区的有效性，在第一阶段进行现场测试，被称为Sabor(西班牙语中的风味)，在整个LRGV总共202个地点的32个随机地点的随机群设计中进行随机群设计，至少782名参与者；目标2)支持参与者的机构通过24周的努力改变和维持健康的生活方式，旨在最大限度地减少消耗，同时加强参与者的社会支持；目标3)通过协作和公平的共同学习研究机会，以及应用研究成果解决社区健康状况，加强和推进以社区为基础的参与性研究。 在实施上述目标时，将采用混合方法，以便于对目标1-3进行审查和评估。对于目标1，将使用建立的可量化程序来评估Sabor的有效性，与以建议为导向的传统健康教育计划Buena Vida相比。对于目标2，定性策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周后测观察并在36周后测前一周结束后，与来自所有地点的参与者一起进行(治疗和注意力控制)。 对于目标3，由以色列等人(63岁，)和明克勒和沃勒斯坦(82岁)提出的既定的CBPR程序性战略将仍然是加强和推进咨询健康联盟的短期和长期目标的基础，同时继续在面向生态的理论方法中框架研究的目标和程序。

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.