Care2bWell: A Worksite Physical Activity & Wellness Program for Child Care Staff

Care2bWell：工地体力活动

• 批准号: 8629866
• 负责人: LAURA A LINNAN
• 金额: $ 73.8万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-01-01 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8629866
• 关键词: Address; Adopted; African American; American; Arthritis; Attention; Behavior; Behavioral; Blood Pressure; Body Weight; Cardiovascular Diseases; Caring; Cessation of life; Child; Child Care; Child health care; Chronic; Chronic Disease; Data; Diabetes Mellitus; Diet; Dietary intake; Diffusion of Innovation; Eating; Eating Behavior; Educational workshop; Employee; Enrollment; Environment; Epidemic; Evaluation; Feedback; Fostering; Goals; Health; Health Insurance; Health Services Accessibility; Heart Diseases; Hispanics; Hour; Hypertension; Individual; Insurance Benefits; Intervention; Life; Life Style; Location; Low income; Lung diseases; Maintenance; Malignant Neoplasms; Measures; Mediating; Minority; Monitor; North Carolina; Obesity; Occupations; Outcome; Overweight; Participant; Personal Satisfaction; Physical activity; Policies; Population; Prize; Process; Productivity; Psychosocial Factor; Public Health; Quality of life; Randomized Controlled Trials; Recommendation; Research; Risk; Risk Factors; Sampling; Self Efficacy; Sleep; Smoking; Social support; Stress; Stroke; Structure; Wages; Weight; Wellness Center; Wellness Program; Work; Workplace; arm; base; behavior change; behavioral health; cost effectiveness; efficacy testing; empowerment; fitness; follow-up; fruits and vegetables; health disparity; high risk; improved; innovation; meetings; member; obesity in children; post intervention; premature; pressure; primary outcome; promoter; public health relevance; research study; role model; secondary outcome; sedentary; smoking cessation; social; theories

There are approximately 1.3 million US child care workers, most of who are hourly employees and classified as low-wage earners. In North Carolina, half of these workers are African American or Hispanic. Many have no health insurance, putting them at increased risk for many serious and chronic health conditions such as obesity, diabetes, and hypertension. Regular physical activity (PA) is known to decrease risk of many chronic diseases; unfortunately, most Americans, especially low-income individuals and minorities, fail to meet PA recommendations. A multi-level worksite-based PA intervention offered in child care is an innovative strategy to reach these low wage workers and address health disparities among this high-risk population. While the primary target of our intervention is worker PA, we expect that healthier and more physically active workers will be better role models and promoters of healthy lifestyles for children in their care. This two-arm, cluster RCT (n=104 centers, with 4 workers/center) will test the efficacy of a 6-month Care2bWell (CARE) intervention in increasing workers' PA compared to a Financial Empowerment (FE) control arm. The CARE intervention will include a kick-off workshop, where participants get tailored feedback about their health risks and set behavioral goals, followed by three 2-month long wellness campaigns, during which workers monitor PA, receive tailored feedback, and compete in teams for prizes. Center directors will take part in monthly webinars focused on improving the work environment to support PA and wellness. Within a social ecological framework, Perceptual Control, Social Support, and Diffusion of Innovation theories guide intrapersonal, interpersonal, and center- level intervention components. Participants in the FE arm will receive a parallel intervention to enhance financial health at the individual and center levels. The primary outcome will be accelerometer-measured minutes of moderate to vigorous PA. Primary and secondary outcomes (diet, anthropometrics, psychosocial variables, & center wellness environments) will be assessed at baseline, follow-up (6 mo), and maintenance (18 mo). Detailed process evaluation, cost-effectiveness, and meditational analysis will be used to assess mechanisms of behavior change at the individual and center levels.

美国大约有130万名儿童保育工作者，其中大部分是小时工， 低收入者。在北卡罗来纳州，这些工人中有一半是非洲裔美国人或西班牙裔。许多人没有 健康保险，使他们面临许多严重和慢性健康状况的风险增加， 肥胖、糖尿病和高血压。定期的体力活动（PA）可以降低许多慢性疾病的风险。 疾病;不幸的是，大多数美国人，特别是低收入个人和少数民族，未能满足PA 建议.在儿童保育中提供多层次的基于工作场所的PA干预是一种创新战略 帮助这些低工资工人，并解决这一高危人群的健康差距。而 我们干预的主要目标是工人PA，我们希望更健康，更积极的工人将 更好地为他们所照顾的儿童树立健康生活方式的榜样和促进者。这个双臂、集束RCT （n=104个中心，4名工作人员/中心）将测试为期6个月的Care 2bWell（CARE）干预措施的有效性 与金融授权（FE）控制臂相比，增加工人的PA。CARE干预措施将 包括一个启动研讨会，参与者可以获得有关其健康风险定制反馈， 目标，随后是三个2个月的健康活动，在此期间，工人监测PA， 反馈，并在团队中竞争奖品。中心主任将参加每月的网络研讨会，重点是 改善工作环境，以支持PA和健康。在社会生态框架内， 控制、社会支持和创新扩散理论指导着个人、人际和中心的发展。 水平干预组件。FE组的参与者将接受平行干预， 个人和中心层面的财务健康。主要结果将是加速度计测量 5分钟的中度至剧烈PA。主要和次要结局（饮食、人体测量、心理社会 变量和中心健康环境）将在基线、随访（6个月）和维护时进行评估 (18 mo）。详细的过程评估，成本效益和冥想分析将用于评估 在个人和中心层面的行为改变机制。