Beyond SABOR: A Border Embedded Health Promotion

超越 SABOR：边境嵌入式健康促进

• 批准号: 8249337
• 负责人: Elena M Bastida
• 金额: $ 41.82万
• 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 2016-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8249337
• 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; 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）： 位于德克萨斯州南部里奥格兰德河谷下游，沿美国墨西哥边境，这里是研究少数民族人口健康差异的独特环境，拟议社区干预的总体长期目标是： 1) 预防（体重控制）或减少超重和肥胖； (2) 预防、延迟发病或改善城乡成年墨西哥裔美国人的糖尿病管理。 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) 评估根据文化量身定制、嵌入社区的 12 周健康教育干预措施的效果，该干预措施在第一阶段进行了现场测试，称为 Sabor（西班牙语风味），采用随机聚类设计，从整个 LRGV 的 202 个站点中选择 32 个随机站点，参与者至少为 782 名；目标#2) 通过为期 24 周的努力，支持参与者改变和维持健康的生活方式，以尽量减少人员流失，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，加强和推进基于社区的参与性研究；以及应用研究成果来解决社区健康问题。 在实现上述目标时，将采用混合方法，以促进目标 1-3 的检查和评估。对于目标#1，将采用既定的量化程序来评估 Sabor 的功效，与以建议为导向的传统健康教育计划（称为健康生活、Buena Vida）进行比较。对于目标#2，定性策略将主要用于评估旨在减少人员流失的努力，同时加强参与者的社会支持。目标 #2 将在完成 12 周后测试观察后并在 36 周后测试前一周结束，对来自所有地点的参与者进行（治疗和注意力控制）。 对于目标#3，由 Israel 等人 (63, 64) 以及 Minkler 和 Wallerstein (82) 提出的既定 CBPR 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中框架研究的目标和程序。