Developing a Community Empowered Intervention to Promote Latino Family Health

描述（由申请人提供）：在过去的二十年里，拉丁裔人口的增长超过了美国所有其他种族和民族的人口增长。这种增长在本研究的所在地俄勒冈州以及21个类似的新兴移民社区中尤为显著。人口快速增长，再加上卫生和社会服务系统缺乏准备，可大大加剧拉丁裔人的健康差距。长期以来，父母的做法一直被认为是对家庭和儿童健康产生关键影响的因素。拟议的研究涉及俄勒冈大学公平促进中心（CEQP）和农场工人住房开发公司（FHDC）之间的合作，并分为三个阶段设计：(1)合作推进和社区需求评估（n = 95）；(2)干预发展；(3)干预可行性及初步疗效试验（n= 120个家庭）；210名父母，120名青年)。干预措施将在居住在FHDC住房开发项目中的讲西班牙语的拉丁裔父母中实施，并将侧重于那些可促进拉丁裔家庭健康和青年福祉的可塑造行为（例如，养育做法、压力管理、健康营养和体育活动）。该研究的具体目标是：(1)通过建立我们现有的协作社区伙伴关系，为正在进行的、社区授权的研究创造一个可持续的结构；(2)通过协同设计和实施的混合方法需求评估，确定FHDC家庭中导致和防止负面身体和行为健康结果（如超重和肥胖、呼吸系统疾病、药物使用、抑郁和青少年问题行为）的关键家庭健康行为；(3)开发、完善和手工编制一项干预措施，该干预措施采用了社区和循证干预措施中有前途的做法，这些措施已显示出对拉丁裔移民家庭的行为和身体健康结果的影响，并强调家庭弹性、强养育实践和家庭健康促进行为；(4)从促进健康家庭行为、降低不良身体和行为健康结局风险的角度，考察干预的可行性和初步效果。

DESCRIPTION (provided by applicant): In the last two decades, Latino population growth has exceeded that of all other racial and ethnic groups in the U.S. This growth has been particularly striking in Oregon, the site of this study, and in 21 similar states with emerging immigrant communities. Rapid population growth, when combined with unprepared health and social service systems, can significantly contribute to Latino health disparities. Parenting practices have long been implicated as a key influence on family and child health. The proposed study involves collaboration between the University of Oregon's Center for Equity Promotion (CEQP) and Farmworker Housing Development Corporation (FHDC) and is designed in three phases: (1) collaboration advancement and community needs assessment (n = 95); (2) intervention development; and (3) intervention feasibility and initial efficacy trial {n= 120 families; 210 parents, 120 youth). The intervention would be delivered with Spanish-speaking Latino parents who live in FHDC housing developments and would focus on those malleable behaviors (e.g., parenting practices, stress management, healthy nutrition, and physical activity) that can promote Latino family health and youth well-being. The study's specific aims are: (1) to create a sustainable structure for ongoing, community-empowered research by building on our existing collaborative community partnership; (2) to identify key family-based health behaviors that confer risk for and protection against negative physical and behavioral health outcomes (e.g., overweight and obesity, respiratory illness, substance use, depression, and youth problem behaviors) among FHDC families, through a collaboratively designed and implemented mixed methods needs assessment; (3) to develop, refine, and manual-ize an intervention that adapts promising practices from community and evidence-based interventions shown to impact behavioral and physical health outcomes for immigrant Latino families, and emphasizes family resilience, strong parenting practices, and family health-promoting behaviors; and (4) to examine the feasibility and initial efficacy of the intervention in terms of promoting healthy famiy behaviors that reduce risk for negative physical and behavioral health outcomes. RELEVANCE (See instructions): This community-based participatory research study aims to identify priority areas and malleable factors that, if positively influenced through an interventio targeting family health, could have broad ripple effects for reducing disease, including chronic conditions, among Latinos.