Developing a Text Message Enhanced Physical Activity Intervention for Latino Men

为拉丁裔男性开发短信增强体育活动干预措施

• 批准号: 8823462
• 负责人: BESS Hya MARCUS
• 金额: $ 23.25万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-01-16 至 2016-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8823462
• 关键词: Accountability; Address; Adopted; Adoption; Area; Cellular Phone; Communication; Complement; Data; Diabetes Mellitus; Diet; Disease; Educational Background; Ethnic group; Family; Feedback; Focus Groups; Frequencies; Future; Gender Role; Guidelines; Health; Health Promotion; Health education; Home environment; Intervention; Intervention Studies; Interview; Language; Latina; Latino; Left; Methods; Mexican Americans; Minority Groups; Modeling; Modification; Motivation; Not Hispanic or Latino; Obesity; Overweight; Participant; Phase; Physical activity; Plant Roots; Population; Prevalence; Printing; Public Health; Randomized; Randomized Controlled Trials; Reporting; Research; Resources; Risk; Sampling; Series; Socioeconomic Factors; Suggestion; Target Populations; Technology; Test Result; Testing; Text; Update; Woman; base; built environment; clinically significant; cost; effective intervention; experience; follow-up; health disparity; innovative technologies; interest; intervention program; male; meetings; men; post intervention; programs; psychosocial; public health intervention; public health relevance; racial and ethnic; sedentary; sedentary lifestyle; social cognitive theory; stress management; theories

DESCRIPTION (provided by applicant): Mexican American (MA) men report particularly low rates of physical activity (PA) and are disproportionately burdened by conditions related to sedentary lifestyle (e.g., diabetes, obesity). Due to cultural, SES, educational, and language differences, MA men may have limited access to public health interventions promoting PA. To address these rising health disparities, effective interventions that leverage state-of-the-art technology, theory, and methods are needed for MA men. Our research team has 25 years of experience developing and implementing individually tailored PA interventions. We culturally and linguistically tailored our print intervention for Latina women and then demonstrated its efficacy in two RCTs. This research experience leaves us well poised to address the PA-related health disparities in MA men. Due to the dearth of studies in this area, we conducted qualitative interviews with Spanish speaking MA men (N=10). Their feedback informed the modifications of our PA intervention as well as the creation of new materials, which were then tested in a demonstration trial with MA men (N=10). After 12 weeks, participants reported significant increases in weekly PA (Mean increase=124 minutes, sd=154.86, p =.03) with 100% retention. However, only 40% met the PA guidelines of 150 minutes/week and 30% did not adopt any activity, suggesting a more intensive intervention may be necessary. Follow-up interviews revealed that the men liked the print materials but also wanted greater accountability, more contact with staff and each other, shorter and more frequent tips, and more updates on activity opportunities. The men recommended adding a text message component to address these issues. Thus, the aim of this study is to build upon our tailored print intervention by developing new text-delivered intervention materials to complement our print-based intervention, which will now include printed tailored environmental reports. In Phase 1 we will conduct 6 focus groups with MA men to determine content, frequency, and types of text messages desired, and to identify cultural themes to incorporate into existing and new materials. Themes from the focus groups and sample text messages will be presented to a confirmatory panel. Phase 2 will be a 6-month pilot RCT with MA men (N=60) to test the text- enhanced, Spanish language, individually tailored PA intervention vs. publicly available, Spanish language health education materials, including information on PA, diet, and stress management. This will be followed by post-intervention qualitative interviews to solicit suggestions for improvements to help further refine the program. The proposed pilot will support a future R01 to establish the efficacy of this multi-media, multi-level PA intervention for MA men.

描述（由申请人提供）：墨西哥裔美国人（MA）男性报告的体育锻炼率特别低，并且因与久坐的生活方式相关的条件（例如糖尿病，肥胖症）所造成的体重负担不成比例。由于文化，SES，教育和语言差异，MA男性可能有限地获得促进PA的公共卫生干预措施。为了解决这些不断上升的健康差异，有效的干预措施需要利用最先进的技术，理论和方法。我们的研究团队拥有25年的经验，可以开发和实施单独量身定制的PA干预措施。我们在文化和语言上为拉丁女性定制了印刷干预措施，然后在两个RCT中证明了其功效。这项研究经验使我们有很好的准备解决与PA相关的MA男性的健康差异。由于这一领域的研究不足，我们对西班牙语的MA男子进行了定性采访（n = 10）。他们的反馈意见了我们的PA干预的修改以及新材料的创建，然后在与MA男子的示范试验中对其进行了测试（n = 10）。 12周后，参与者报告了每周PA的显着增加（平均增加= 124分钟，SD = 154.86，p = .03），保留100％。但是，只有40％的人符合150分钟/周的PA指南，而30％的PA指南没有采取任何活动，这表明可能需要进行更深入的干预措施。后续采访表明，这些人喜欢印刷材料，但也希望更大的责任感，与员工和彼此的联系更多，较短，更频繁的技巧，以及更多有关活动机会的更新。这些人建议添加一个短信组件来解决这些问题。因此，这项研究的目的是通过开发新的文本干预材料来建立我们量身定制的印刷干预措施，以补充我们的基于印刷的干预措施，现在将包括印刷量身定制的环境报告。在第1阶段，我们将与MA男子进行6个焦点小组，以确定所需的文本消息的内容，频率和类型，并确定文化主题以纳入现有材料和新材料。焦点小组和示例短信的主题将呈现给确认面板。第2阶段将是一个为期6个月的飞行员RCT，其中包括MA男性（n = 60），以测试文本增强的西班牙语，单独量身定制的PA干预与公开可用的文本，西班牙语健康教育材料，包括有关PA，Diet和压力管理的信息。随后将进行干预后定性访谈，以征求改进的建议，以帮助进一步完善该计划。拟议的飞行员将支持未来的R01，以确立对MA男士多层PA干预的这种多层PA干预的功效。