Health Promotion for Positives: A Randomized Trial with HIV Positive Black Men

积极健康促进：艾滋病毒阳性黑人男性的随机试验

• 批准号: 8985689
• 负责人: JOHN BARTON JEMMOTT
• 金额: $ 39.91万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-03-21 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8985689
• 关键词: AIDS prevention; AIDS-Related Opportunistic Infections; Adherence; Affect; African American; Age; Aging; Anti-Retroviral Agents; Applications Grants; Attention; Behavior; Behavioral; Blood Pressure; Body mass index; Budgets; Cardiovascular Diseases; Centers for Disease Control and Prevention (U.S.); Chronic; Chronic Disease; Colon Carcinoma; Comorbidity; Complement; Computer Assisted; Control Groups; Couples; Data; Diabetes Mellitus; Diet; Evidence based intervention; Expectancy; Future; General Population; Guidelines; HIV; HIV Infections; HIV Seropositivity; Health; Health Promotion; Health behavior; Highly Active Antiretroviral Therapy; Hour; Hypertension; Individual; Intervention; Interview; Kidney Diseases; Life; Link; Long-Term Effects; Malignant Neoplasms; Malignant neoplasm of prostate; Measures; Mediating; Mediator of activation protein; Medical Records; Morbidity - disease rate; Outcome; Participant; Patient Self-Report; Persons; Physical Fitness; Physical activity; Physiological; Prevention; Prostate; Randomized; Randomized Controlled Trials; Research; Risk; Screening for Prostate Cancer; Self Efficacy; Testing; Time; Treatment Efficacy; United States; Vulnerable Populations; Waist-Hip Ratio; Walking; base; behavior change; comparative efficacy; design; effective therapy; efficacy testing; empowered; experience; fitness; fruits and vegetables; health disparity; high risk; innovation; interest; man; men; mortality; post intervention; primary outcome; racial health disparity; randomized trial; response; screening; sex; social cognitive theory; successful intervention; theories; waist circumference

PROJECT SUMMARY: This application is in response to RFA-MD-12-001, "NIMHD Health Disparities Research (R01)." African American men who are infected with HIV are living longer and are being impacted by the same chronic diseases that affect the general population of African American men over 40. To be sure, African American men, in general, have disproportionately high rates of cardiovascular disease, hypertension, diabetes, kidney disease, and cancer, particularly prostate and colon cancer. However, HIV infection is associated with an increased risk for co-morbidity from chronic diseases. This increased risk is heightened by HIV infection, but also its treatment with certain agents used in highly active antiretroviral therapy (HAART) combinations. Many of these chronic illnesses have behavioral components-risk is influenced by what people do and don't do, their diet, and the amount of physical activity they get. Although the high risk for multiple behavior-linked chronic diseases among HIV-positive individuals has been recognized, there is a lack of evidence-based intervention specifically tailored to their needs. Hence, the broad objective is to reduce the risk of chronic diseases among HIV positive African American men. The Specific Aims are to test the efficacy of a theory- based, contextually appropriate health promotion intervention in inducing positive changes in behaviors linked to risk of chronic diseases among HIV positive African American men age 40 years or older and to identify the theoretical variables that mediate its efficacy. The study will utilize a randomized controlled trial. The participants will be 384 African American HIV positive men age 40 or older who are receiving HAART for HIV. The men will be randomized to a theory-based contextually appropriate health promotion intervention that involves three, 3-hour weekly intervention sessions or an attention-control group. The health promotion intervention will be an adaptation of an intervention based on social cognitive theory integrated with formative research and found to be efficacious in increasing adherence to 5-a-Day diet and physical activity guidelines and prostate cancer screening guidelines in the applicants' preliminary studies. Data will be collected at baseline, immediately post, 3, 6 and 12 months post intervention, which will permit assessment of the short- term and long-term effects of the intervention and whether the intervention's efficacy varies over time. Audio computer-assisted self-interviewing will be used to assess self-reported adherence to physical activity guidelines, 5-a-Day fruit and vegetable guidelines, prostate screening guidelines, and colon cancer screening guidelines and theoretical mediators of behavior change. Objective outcomes will include health-related fitness (6-minute walk test, 1-minute push-up test, 1-minute sit-up test, sit-and-reach test), physiological variables (blood pressure, body mass index, waist circumference, and waist-hip ratio), and prostate and colon cancer screening based on medical record review.

项目总结:

项目成果

Reasoned Action Approach Correlates of Physical Activity Among African American Men Living With HIV: A Cross-Sectional Study.

合理的行动方法与感染艾滋病毒的非洲裔美国男性的身体活动相关：一项横断面研究。

• DOI: 10.1097/jnc.0000000000000196
• 发表时间: 2021
• 期刊: The Journal of the Association of Nurses in AIDS Care : JANAC
• 作者: Kelly,Terri-Ann;Woko,Chioma;Jemmott,LorettaS;Icard,Larry;Chittamuru,Deepti;Jemmott3rd,JohnB
• 通讯作者: Jemmott3rd,JohnB