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）：通过改善营养和增强体育锻炼来减少肥胖症是疾病预防控制中心（CDC）可赢得的战斗计划的目标之一。减少农村居民的肥胖症特别重要，因为它们比城市居民更有可能肥胖。确实，爱荷华州居民在肥胖的居民中，在50个州中排名第33个州，爱荷华州一半的成年人不符合PA建议。由于大多数基于循证的干预措施已经在城市或郊区测试过，因此有效增加农村微区（<50,000个居民）社区的PA的干预措施很少。在中西部，这些微任社区也是涌入拉丁裔人口的“新目的地”地点。侧重于肥胖症的预防农村健康研究中心（PRC-RH）通过各种中心活动和资源以及实施干预研究项目ActiveOttumwa，解决了爱荷华州微型和其他农村社区居民的健康挑战。 PRC-RH中心活动包括维护基础设施，核心关注社区参与，沟通和传播PRC-RH研究和最佳实践，对公共卫生专业人员，学生和社区成员的培训，以及对PRC-RH活动的评估。 PRC-RH与爱荷华州的活跃社区顾问委员会与当地卫生部门和社区组织代表建立了充满活力的合作伙伴关系，位于爱荷华州奥特姆瓦，一个微区的新目的地社区。 PRC-RH干预研究项目活跃的Ottumwa专注于通过确定采用外行健康顾问（LHA）方法的基于社区的PA干预的有效性来增加Ottumwa的体育活动，以实施基于证据的PA策略。基于社区指南的可用证据和策略，活跃的Ottumwa将在三个层次的影响力上实施活动：1）范围内的活动（例如报纸，电视，电视和广播公告，网站接触和公共卫生教育计划； 2）行为和社会支持干预措施；政府官员，机构以及社区领导人倡导，改善和创造宾夕法尼亚州访问和使用设施的机会）。为了评估活跃的Ottumwa，将使用混合方法，包括一项社区范围的调查；一系列居民的纵向随访，这些居民将完成加速度计，物理和人体测量和调查数据；观察措施；主要线人深入访谈；和项目文档。该研究项目和PRC-RH将通过将在城市和郊区地区测试的干预策略调整到农村国家的微型大都市的新目的地社区，以解决我们PA知识中的主要证据差距。