Understanding Social Networks and Obesity-risk Behaviors Among Black Women

描述（由申请人提供）：候选人，Dr. Soohyun Nam，是一名助理教授和国家认证的成人执业护士，在患者自我管理，健康差异和基于社区的不同种族/民族慢性疾病成人研究方面有着良好的基础。这项应用的长期目标包括：(a)通过开发、实施、测试和评估不同种族/民族的成年人的自我管理和行为改变干预措施，改善肥胖相关疾病（如2型糖尿病）患者的预后；(b)针对肥胖和2型糖尿病制定有效的社会网络干预措施；(c)向不同种族/民族的高风险成年人传播可持续的社会网络干预措施，并在社区中转化。

DESCRIPTION (provided by applicant): The candidate, Dr. Soohyun Nam, is an assistant professor and nationally certified adult nurse practitioner who has an excellent foundation in patient self-management, health disparities, and community-based research for adults of diverse race/ethnicity with chronic diseases. The long-term goals of this application include the following: (a) to improve outcomes for people with an obesity-related condition, such as type 2 diabetes by developing, implementing, testing, and evaluating self-management and behavioral change interventions for adults of diverse race/ethnicity; (b) to develop effective social network interventions targeting obesity and type 2 diabetes; and, (c) to disseminate sustainable social network interventions to high-risk adults of diverse race/ethnicity and translate in the community. Given the high prevalence of obesity among Black women and the many challenges in improving obesity-risk behaviors in the current social environment, developing effective obesity interventions should be a top public health priority and needs to be informed by the social networks which influence the individuals' daily lifestyle. The training goals of this proposal are to: (1) develop expertise in social network theory, measurement and social network study design and recruitment of hard-to-reach at risk population (Dr. Carl Latkin); (2) develop skills in social network analysis (Dr. Trace Kershaw); (3) increase understanding of physical activity, diet and sleep as obesity-risk behaviors among Black women (Drs. Robin Whittemore and Nancy Redeker); and (4) gain knowledge and experience in advanced qualitative analysis and mixed methods (Drs. Holly Kennedy and Robin Whittemore). The research proposal includes three specific aims relating directly to the training goals: (1) to examine the relationships among characteristics of social networks, obesity-risk behaviors (physical inactivity, unhealthy eating, sleep deprivation), and obesity (BMI, body fat, waist/hip circumferences) among young or middle-aged Black women (BMI:15-42 kg/m2); (2) to examine the relationships between obesity-risk behaviors of Black women and their network members' obesity- risk behaviors, accounting for sociodemographic, clinical, psychosocial, and environmental factors; and (3) to explore Black women's perceptions of how social networks influence their obesity-risk behaviors, the communication channels of their social networks, and how social networks could be utilized to improve obesity- risk behaviors. This proposal builds on the candidate's previous work on self-management and lifestyle change research for adults of diverse race/ethnicity with type 2 diabetes, but adds more advanced statistical skills and knowledge of social network research methodologies in the context of obesity-risk behaviors, and an introduction to advanced qualitative and mixed methods research. The research and training plan, the team of mentors who have expertise in social network research, health behavior change interventions, and working with the Black population as well as the opportunity to work with community leaders will provide Dr. Soohyun Nam with focused, interdisciplinary expertise and maximize her capacity as an independent investigator.