Beyond SABOR: A Border Embedded Health Promotion

超越 SABOR：边境嵌入式健康促进

• 批准号: 7808889
• 负责人: Elena M Bastida
• 金额: $ 53.33万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7808889
• 关键词: Address; Adult; Attention; Chronic; Communities; Community Health; Economically Deprived Population; Educational Intervention; Environment; Flavoring; Geographic Locations; Goals; Health; Health Promotion; Health education; High Prevalence; Homicide; Hot Spot; Injury; Israel; Learning; Life; Life Style; Methods; Mexican Americans; Mexico; Minority Groups; Obesity; Outcome; Overweight; Participant; Phase; Prevention; Procedures; Randomized; Research; Resources; Rural; Site; Social support; South Texas; Testing; Texas; Tuberculosis; Urban Population; Weight maintenance regimen; base; community based participatory research; community intervention; design; diabetes management; ethnic minority population; health disparity; improved; programs; treatment site

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.

描述（由申请人提供）：在美国墨西哥边境沿线的南部里奥格兰德山谷中设置，这是一个独特的环境，用于检查少数民族人口中的健康差异，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； （2）在城市和农村成年墨西哥裔美国人中，预防，发病延迟或改善了糖尿病的治疗。 在这些长期目标中，提出了三个针对这项研究的特定目的：目标＃1）评估一个量身定制的，社区嵌入的社区嵌入12周的健康教育干预措施，在第一阶段进行的现场测试，被称为Sabor（西班牙风味），在整个LRGGV和782个中的202个地点的32个随机群集设计中，由32个随机群体设计，共有202个地点。目标＃2）支持参与者的代理机构通过24周的努力来改变和维持健康的生活方式，以最大程度地减少损耗，同时加强参与者的社会支持；目标＃3）通过协作和公平的共学习研究机会来增强和进步基于社区的参与研究；以及研究发现以解决社区健康状况的应用。 在进行上述目的时，将采用一种混合方法，以促进目标1-3的检查和评估。对于AIM＃1，与面向建议的传统健康教育计划（称为健康生活）Buena Vida相比，将采用既定的可量化程序来评估SABOR的功效。对于AIM＃2，定性策略将主要用于评估旨在减少损耗的努力，同时加强参与者的社会支持。 AIM＃2将与来自所有站点的参与者（治疗和注意力控制）进行，在完成后测试后的观察和结束前36周之前的一周结束后。 对于AIM＃3，正如以色列等人（63，64）提出的，对CBPR的既定程序策略和Minkler和Wallerstein（82）将仍然是加强和促进咨询健康联盟的短期和长期目标的基础，同时继续将研究的目标和程序框架在生态方向的是面向面向的研究中。