University of Iowa Prevention Research Center for Rural Health

爱荷华大学农村健康预防研究中心

• 批准号: 8739535
• 负责人: Barbara I Baquero
• 金额: $ 102.5万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-30 至 2019-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8739535
• 关键词: University; Iowa; Prevention; Research; Center

DESCRIPTION (provided by applicant): Reducing obesity, through improved nutrition and increased physical activity is one of the goals of the CDC's Winnable Battles initiative. Reducing obesity in rural residents is especially important since they are more likely to be obese than urban residents. Indeed, Iowa residents rank 33rd of 50 states in the percent of residents who are obese and half of Iowa's adults do not meet PA recommendations. Effective interventions to increase PA in rural micropolitan (<50,000 residents) communities are scant since most evidence-based interventions have been tested in urban or suburban areas. In the Midwest, these micropolitan communities are also "new destination" locations for an influx of Latino populations. The Prevention Research Center for Rural Health (PRC-RH), with a focus on obesity, addresses the health challenges of residents of micropolitan and other rural communities in Iowa through a variety of Center activities and resources as well as the implementation of an intervention research project, ActiveOttumwa. PRC-RH Center activities include maintenance of an infrastructure with cores focusing on community engagement, communication and dissemination of PRC-RH research and best practices, training of public health professionals, students and community members, and evaluation of PRC-RH activities. The PRC-RH has vibrant partnerships with the Iowa Department of Public Health, an active Community Advisory Board, with local health department and community organization representation, in Ottumwa, Iowa, a micropolitan new destination community. The PRC-RH intervention research project, Active Ottumwa focuses on increasing physical activity in Ottumwa by determining the effectiveness of a community-based PA intervention that uses a lay health advisor (LHA) approach - to implement evidence-based PA strategies. Based on the available evidence and strategies from the Community Guide, the Active Ottumwa will implement activities at three levels of influence: 1) community-wide campaigns (e.g. newspaper, TV, and radio announcements, website exposure and public health education programs; 2) behavioral and social support interventions (e.g. behavioral contracts, buddy systems, goal-setting to promote and support PA activities; and 3) land-use policies and access to places for PA, (.e.g. working with local governmental officials and agencies and community leaders to advocate, improve and create opportunities for access and use of facilities for PA). To evaluate Active Ottumwa, mixed methods will be used including a community-wide survey; longitudinal follow up of a cohort of residents that will complete accelerometry, physical and anthropometric measures and survey data; observational measures; key informant in-depth interviews; and project documentation. The research project and PRC-RH will address a major evidence gap in our PA knowledge by adapting intervention strategies tested in urban and suburban areas to a micropolitan new destination community in a rural state.

描述（由申请人提供）：通过改善营养和增加体力活动来减少肥胖是CDC的打赢战役倡议的目标之一。减少农村居民的肥胖尤为重要，因为他们比城市居民更容易肥胖。事实上，爱荷华州居民的肥胖率在50个州中排名第33位，爱荷华州一半的成年人不符合PA的建议。在农村小城市（居民少于50，000人）社区增加PA的有效干预措施很少，因为大多数基于证据的干预措施已经在城市或郊区进行了测试。在中西部，这些小都市社区也是拉丁裔人口涌入的“新目的地”。农村健康预防研究中心（PRC-RH），重点是肥胖症，通过各种中心活动和资源以及实施干预研究项目，积极应对爱荷华州小都市和其他农村社区居民的健康挑战。PRC-RH中心的活动包括维护核心基础设施，重点关注社区参与、PRC-RH研究和最佳实践的沟通和传播、公共卫生专业人员、学生和社区成员的培训以及PRC-RH活动的评估。中国生殖保健中心与爱荷华州公共卫生部建立了充满活力的伙伴关系，这是一个活跃的社区咨询委员会，在爱荷华州的奥图姆瓦有当地卫生部门和社区组织的代表，这是一个小都市的新目的地社区。PRC-RH干预研究项目“积极的奥图姆瓦”侧重于通过确定基于社区的PA干预措施的有效性来增加奥图姆瓦的体育活动，该干预措施使用非专业健康顾问（LHA）方法，以实施基于证据的PA战略。根据《社区指南》中的现有证据和战略，“积极奥图姆瓦”将在三个影响层面开展活动：1）全社区运动（如报纸、电视和广播公告，网站曝光和公共卫生教育计划; 2）行为和社会支持干预（例如，行为契约、伙伴制度、目标设定，以促进和支持PA活动;以及3）PA的土地使用政策和场所准入，（例如，与地方政府官员和机构以及社区领导人合作，倡导、改善和创造机会，使巴勒斯坦权力机构能够获得和使用设施）。为了评价Active奥图姆瓦，将采用混合方法，包括全社区调查;对一组居民进行纵向跟踪，以完成加速度测量、身体和人体测量以及调查数据;观察措施;深入访谈主要知情人;以及项目文件。该研究项目和PRC-RH将通过调整在城市和郊区测试的干预策略来解决我们PA知识中的主要证据差距，以适应农村州的小都市新目的地社区。