TU SALUD SI CUENTA: A COMMUNITY BASED MEDIA INTERVENTION FOR MEXICAN AMERICAN

TU SALUD SI CUENTA：针对墨西哥裔美国人的社区媒体干预

• 批准号: 8078118
• 负责人: Belinda Reininger
• 金额: $ 29.35万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/8078118
• 关键词: AIDS prevention; Accounting; Address; Affect; Area; Awareness; Behavior; Behavior assessment; Behavioral; C-reactive protein; Cardiovascular Diseases; Centers of Research Excellence; Clinical; Clinical Sciences; Clinical and Translational Science Awards; Communities; Community Outreach; County; Development Plans; Diabetes Mellitus; Diabetes prevention; Disadvantaged; Disease; Disease Marker; Effectiveness; Environment; Exercise; Exposure to; Follow-Up Studies; Food; Foundations; Funding; Goals; Grant; Health; Health behavior; Hispanics; Influentials; Insulin Resistance; Intervention; Journalism; Language; Life; Life Style; Mass Media; Measures; Media Intervention; Mediation; Metabolic; Methods; Mexican Americans; Mexico; Minority; National Center on Minority Health and Health Disparities; Neighborhoods; Newsletter; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Parents; Participant; Physical activity; Physiological; Pilot Projects; Population; Prevention strategy; Program Effectiveness; Psychosocial Factor; Radio; Reporting; Research; Research Design; Research Project Grants; Risk Factors; Sampling; Screening for cancer; Surveys; Testing; Time; Tobacco use; Training; Translational Research; Trust; United States National Institutes of Health; Vision; base; cohort; community intervention; design; effective intervention; environmental change; follow-up; improved; inflammatory marker; innovation; intervention effect; member; novel; population based; psychosocial; role model; social

The proposed Center of Excellence on Diabetes in Americans of Mexican Descent aims to conduct research on the physiologic progression to diabetes and its complications among Mexican Americans, and to develop diabetes prevention strategies and test innovative approaches to effective interventions in a minority population severely affected by type 2 diabetes. This Center proposes an administrative core, a research core including three research projects and two pilot studies, a training core and a community engagement core. As part of the Research Core, the Tu Salud, jSi Cuenta!: A Community-Based Media Intervention for Mexican Americans research project will test its effectiveness for modifying physical activity and healthy food choices, two underlying modifiable behaviors associated with obesity and type 2 diabetes. Population-based strategies to modify behaviors are needed in order to address the overwhelming numbers of people becoming obese, particularly Mexican Americans. The use of mass media depicting attractive and influential role models (Behavioral Journalism) is a promising intervention method that has demonstrated positive effects. We propose a novel adaptation of a community-based media intervention for disadvantaged Mexican Americans living along the US / Mexico border. The Tu Salud jSi Cuenta! (Your Health Matters!) intervention will provide behavioral journalism-formatted Spanish language information in mass media venues (TV and radio) and small media formats (newsletters) focusing on increasing physical activity and healthful food choices. The media segments will be supported by community outreach and environmental changes. A quasi experimental matched community design will be implemented to assess outcomes among one intervention community and one comparison community. Additionally, a longitudinal follow-up study will examine outcomes among a cohort of Mexican Americans living in the intervention community. The intervention is innovative in its use of behavioral journalism to create Spanish language messages and in its assessment of behavioral and physiological outcomes. Specific Aim #1: Using a quasi-experimental matched community design, assess whether a communitybased media intervention positively changes psychosocial, environmental, and behavioral risk factors for type 2 diabetes among Mexican Americans. Specific Aim #2: Using a longitudinal follow-up study of participants in the Cameron County Hispanic Cohort, assess whether those who are most aware of the materials, messages and strategies of the intervention have improved physiological profiles from baseline to follow-up, as well as positive changes in psychosocial, environmental, and behavioral risk factors for type 2 diabetes

拟议的墨西哥裔美国人糖尿病卓越中心旨在开展 对墨西哥裔美国人糖尿病及其并发症的生理进展的研究， 制定糖尿病预防策略并测试有效干预措施的创新方法 受 2 型糖尿病严重影响的少数群体。该中心提出了一个行政核心、一个 研究核心包括三个研究项目和两项试点研究、一个培训核心和一个社区 参与核心。 作为研究核心的一部分，Tu Salud, jSi Cuenta!：基于社区的媒体干预 墨西哥裔美国人研究项目将测试其改变身体活动和健康食品的有效性 选择，与肥胖和 2 型糖尿病相关的两种潜在的可改变行为。基于人口 为了解决绝大多数人的问题，需要采取改变行为的策略 变得肥胖，尤其是墨西哥裔美国人。使用大众媒体描绘有吸引力和影响力 角色模型（行为新闻学）是一种有前途的干预方法，已被证明具有积极的作用 影响。我们提出了一种针对墨西哥弱势群体的基于社区的媒体干预的新颖改编方案 居住在美国/墨西哥边境的美国人。祝你健康！ （您的健康很重要！） 干预措施将在大众媒体上提供行为新闻格式的西班牙语信息 场所（电视和广播）和小型媒体（时事通讯），重点关注增加身体活动和 健康的食物选择。媒体部分将得到社区外展和环境方面的支持 变化。将实施准实验性匹配社区设计来评估结果 一个干预社区和一个比较社区。此外，一项纵向随访研究将 研究居住在干预社区的一群墨西哥裔美国人的结果。这 干预的创新之处在于它利用行为新闻来创造西班牙语信息，并在其 行为和生理结果的评估。 具体目标#1：使用准实验匹配社区设计，评估是否基于社区 媒体干预积极改变社会心理、环境和行为风险因素 墨西哥裔美国人中的 2 型糖尿病。 具体目标#2：对卡梅伦县西班牙裔群体的参与者进行纵向随访研究， 评估那些最了解干预措施的材料、信息和策略的人是否 从基线到随访，生理特征得到改善，心理社会也发生积极变化， 2 型糖尿病的环境和行为危险因素