Developing a Community Empowered Intervention to Promote Latino Family Health

制定社区授权干预措施以促进拉丁裔家庭健康

• 批准号: 8657478
• 负责人: CHARLES R MARTINEZ
• 金额: $ 29.36万
• 依托单位: UNIVERSITY OF OREGON
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-05-01 至 2015-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8657478
• 关键词: Adult; Alcohol abuse; Alcohol or Other Drugs use; Area; Arthritis; Behavior; Behavior Therapy; Buffers; Child; Child health care; Chronic; Chronic Disease; Collaborations; Communities; Community Developments; Community Practice; Development; Discrimination; Disease; Disease Management; Disease Progression; Employee Strikes; Epidemiology; Ethnic group; Evidence based intervention; Family; Family health status; Growth; Health; Health Priorities; Health Status; Health behavior; Heart; Hispanics; Housing; Immigrant; Instruction; Intervention; Language; Latino; Learning; Life; Life Style; Link; Literature; Longitudinal Studies; Manuals; Mental Depression; Mental Health; Methods; Monoclonal Antibody R24; Needs Assessment; Obesity; Oregon; Outcome; Overweight; Parenting behavior; Parents; Personal Satisfaction; Phase; Physical activity; Population; Population Growth; Principal Investigator; Problem behavior; Race; Reporting; Research; Research Methodology; Research Personnel; Research Project Grants; Risk; Series; Site; Social Health Services; Social support; Stress; Structure; System; Treatment Efficacy; Universities; Woman; Youth; adolescent drug use; base; behavioral health; chronic pain; cohesion; community based participatory research; demographics; design; efficacy testing; efficacy trial; empowered; experience; farm worker; health disparity; improved; interest; low socioeconomic status; men; nutrition; physical conditioning; pressure; prevent; prospective; research study; resilience; respiratory; response; sedentary; skills; social; stress management; stressor; therapy design; therapy development

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.

描述（由申请人提供）：在过去的二十年中，拉丁裔人口的增长已经超过了美国所有其他种族和族裔群体，这种增长在本研究的地点俄勒冈州和21个类似的新兴移民社区的州尤其引人注目。快速的人口增长，当与无准备的卫生和社会服务系统相结合时，可以大大有助于拉丁美洲人的健康差距。长期以来，父母的做法一直被认为是对家庭和儿童健康的关键影响。拟议的研究涉及俄勒冈州大学公平促进中心（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：（1）合作推进和社区需求评估（n = 95）;（2）干预开发;（3）干预可行性和初步疗效试验（n= 120个家庭; 210名家长，120名青年）。干预将与居住在FHDC住房开发区的讲西班牙语的拉丁裔父母一起进行，并将重点放在那些可塑性行为上（例如，父母的做法，压力管理，健康营养和体育活动），可以促进拉丁美洲家庭健康和青年福祉。该研究的具体目标是：（1）通过建立我们现有的合作社区伙伴关系，为正在进行的社区授权研究创建一个可持续的结构;（2）确定关键的以家庭为基础的健康行为，这些行为会带来负面的身体和行为健康结果的风险和保护（例如，超重和肥胖，呼吸系统疾病，物质使用，抑郁症，和青年问题行为）在FHDC家庭，通过合作设计和实施的混合方法的需求评估;（3）制定，完善和手动化干预措施，以适应社区和循证干预措施的有希望的做法，这些干预措施对移民拉丁美洲家庭的行为和身体健康结果产生影响，并强调家庭弹性，强有力的父母的做法，和家庭健康促进行为;和（4）检查的可行性和初步疗效的干预措施，促进健康的家庭行为，降低风险的负面身体和行为健康的结果。 相关性（参见说明）：这一以社区为基础的参与性研究旨在确定优先领域和可塑性因素，如果通过针对家庭健康的干预措施产生积极影响，可能对减少拉丁美洲人的疾病，包括慢性病产生广泛的涟漪反应。