Healthy Immigrant Families: Working Together To Move More and To Eat Well

健康的移民家庭：共同努力多动、吃得好

• 批准号: 8399712
• 负责人: Julie Ann Nigon
• 金额: $ 33.12万
• 依托单位: MAYO CLINIC ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-12-15 至 2016-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8399712
• 关键词: Address; Adolescent; Adoption; Adult; Affect; Behavior; Blood Pressure; Body Composition; Body mass index; Child; Cognitive; Communities; Community Participation; Complex; Country; Data; Diet; Diet Habits; Dietary Intervention; Eating; Education; Expectancy; Family; Family health status; Focus Groups; Future; General Population; Goals; Habits; Health; Health Services; Health Status; Health behavior; Hispanics; Home environment; Hour; Immigrant; Immigration; Individual; Institution; Intervention; Learning; Life Style; Linguistics; Measurable; Measures; Mediating; Mediator of activation protein; Mentors; Mentorship; Minnesota; Modeling; North America; Obesity; Outcome; Outcome Assessment; Patient Self-Report; Physical activity; Population; Public Health; Randomized; Refugees; Research; Research Infrastructure; Resources; Roentgen Rays; Self Efficacy; Series; Social support; Testing; Training; United States National Institutes of Health; Waist-Hip Ratio; Woman; Work; base; behavior influence; cardiovascular risk factor; community based participatory research; demographics; design; experience; health related quality of life; high risk; improved; innovation; nutrition; population based; prevent; primary outcome; programs; promoter; secondary outcome; sedentary; social; theories; treatment effect

DESCRIPTION (provided by applicant): Across many measures, immigrant and refugee populations arrive to the US healthier than the general population, but the longer they reside in the US, the more they approximate the cardiovascular risk profiles of the general population. These declines are mediated, in part, by less physical activity and lower dietary quality upon immigration among both adults and their children. Given the complex socio-cultural forces that influence these behaviors, a community-based participatory research (CBPR) approach is called for to address them. The Rochester Healthy Community Partnership is a robust CBPR partnership in Rochester, Minnesota consisting of community-based organizations, health service organizations, and academics who are experienced at collectively deploying programming and outcomes assessment among immigrant and refugee populations. Community and academic partners have shared the responsibility of preparing this project. The specific aims are: 1) To develop a sustainable, socio-culturally appropriate physical activity and nutrition intervention with and for immigrant and refugee families, and 2) to evaluate the efficacy of the physical activity and nutrition intervention. The intervention framework is a series of home-based, individualized family mentoring and education session for physical activity and nutrition led by trained Family Health Promoters from each of the participating immigrant and refugee communities (Hispanic, Somali, Sudanese, Cambodian) with opportunities for group activities. Using a two-group randomized design, 160 individuals (including both adults and adolescents) will be randomly assigned to receive the intervention either immediately or after a delay of one year. Primary outcomes assessed in both adults and adolescents, measured up to two years after implementation, will include physical activity as measured by accelerometry and dietary change as measured by 24 hour dietary recalls. Secondary outcomes will include changes in body mass index, body composition, blood pressure, waist-hip ratio, and health-related quality of life. Innovative approaches that arise organically from the affected communities are needed to create and sustain interventions that promote healthy behaviors. The use of CBPR will enhance the relevance of this program by targeting socio-cultural determinants of physical activity and nutrition.

描述（由申请人提供）：通过许多措施，移民和难民人口抵达美国比一般人群更健康，但他们在美国居住的时间越长，他们的心血管风险概况就越接近一般人群。在某种程度上，这些下降是由于成年人及其子女移民后身体活动减少和饮食质量下降造成的。鉴于影响这些行为的复杂社会文化力量，需要以社区为基础的参与性研究（CBPR）方法来解决这些问题。罗彻斯特健康社区伙伴关系是明尼苏达州罗彻斯特的一个强有力的CBPR伙伴关系，由社区组织、保健服务组织和在移民和难民人口中集体部署方案和成果评估方面经验丰富的学者组成。社区和学术合作伙伴共同承担了准备这个项目的责任。具体目标是：1)为移民和难民家庭制定可持续的、社会文化上合适的体育活动和营养干预措施；2)评估体育活动和营养干预措施的效果。干预框架是由来自每个参与移民和难民社区（西班牙裔、索马里裔、苏丹裔、柬埔寨裔）的训练有素的家庭健康促进者领导的一系列以家庭为基础的、个性化的家庭指导和体育活动和营养教育会议，并提供小组活动的机会。采用两组随机设计，160人（包括成年人和青少年）将被随机分配立即或延迟一年后接受干预。评估成人和青少年的主要结局，在实施两年后测量，将包括通过加速度计测量的身体活动和通过24小时饮食回顾测量的饮食变化。次要结局包括身体质量指数、身体组成、血压、腰臀比和健康相关生活质量的变化。需要从受影响社区中有机产生的创新方法来创造和维持促进健康行为的干预措施。CBPR的使用将通过针对身体活动和营养的社会文化决定因素来增强该方案的相关性。