Community Translation of the South Asian Healthy Lifestyle Intervention (SAHELI)
南亚健康生活方式干预(SAHELI)的社区翻译
基本信息
- 批准号:9309493
- 负责人:
- 金额:$ 77.61万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2017
- 资助国家:美国
- 起止时间:2017-06-01 至 2022-05-31
- 项目状态:已结题
- 来源:
- 关键词:AddressAdoptionAgeAsiansAtherosclerosisBangladeshBehavior TherapyBehavioralBeliefBhutanBlood PressureCardiovascular DiseasesCardiovascular ModelsCholesterolClinicalClinical effectivenessCommunitiesControl GroupsCounselingDiastolic blood pressureDietDisease modelEducationEffectivenessEffectiveness of InterventionsEthnic groupEvaluationFamilyFoundationsGlycosylated HemoglobinGlycosylated hemoglobin AGoalsGuidelinesHeart DiseasesHeterogeneityHispanicsHourHybridsIndiaIndividualInformal Social ControlInterventionLife StyleMaldivesMediatingMediator of activation proteinMethodsModelingMonitorMotivationMyocardial IschemiaNepalNot Hispanic or LatinoOutcomePakistanParticipantPatientsPatternPersonsPhysical activityPilot ProjectsPopulationPositioning AttributePreventive InterventionProcessPublic HealthRandomized Controlled TrialsRecording of previous eventsResearchRiskRisk FactorsSelf EfficacySex EducationSocial supportSouth AsianSri LankaStressSubgroupTechniquesTestingTranslationsTrustUnited StatesUse EffectivenessWeightWorkbasebehavior changecardiovascular disorder riskcardiovascular healthclinical riskcommunity based participatory researchcomparison groupcostdesigndiet and exercisedisorder riskefficacy testingethnic minority populationevidence basefamily supporthealthy lifestylehigh riskillness perceptionsinformation gatheringintervention effectlifestyle interventionmortalitymortality statisticsmotivational enhancement therapyphysical inactivitypreventprimary outcomepsychosocialracial and ethnicresponseretention rateskillssocialstress managementtreatment effect
项目摘要
Project Summary
South Asians, the second fastest growing ethnic group in the Unites States (U.S.), have an elevated risk of
early and aggressive cardiovascular disease (CVD) compared to non-Hispanic Whites and other Asian
subgroups. Recent mortality statistics show that South Asians have a higher heart disease mortality rate than
these other racial/ethnic groups, suggesting an urgent need for targeted public health efforts. Although
intensive diet and physical activity counseling interventions are recommended for individuals with CVD risk
factors, our prior research identified that existing lifestyle interventions are not reaching South Asians because
these interventions did not address the social and cultural determinants of cardiovascular health. Using
community-based participatory research, we developed and pilot-tested the South Asian Healthy Lifestyle
Intervention (SAHELI), a theoretically-driven lifestyle intervention that integrates evidence-based behavior
change techniques with the community's sociocultural context, needs, and beliefs. The intervention includes
weekly group classes, experiential activities, and motivational interviewing to increase the components of self-
regulation that have been shown to be most effective for eliciting diet and physical activity changes. The pilot
study (n=63) established feasibility and acceptability of the SAHELI intervention, had a 100% retention rate at
6 months, and showed significant improvements in weight and hemoglobin A1c among intervention
participants compared to a control group. The goal of the proposed study is to conduct a randomized
controlled trial to test the efficacy of the SAHELI intervention in a larger, more generalizable at-risk South Asian
population and to collect information on the intervention's potential for implementation in real-world settings.
Our Primary Aims are to: 1) Determine whether participation in the SAHELI intervention is associated with
significantly greater improvements in clinical risk factors associated with CVD (primary outcomes of systolic
and diastolic blood pressure, cholesterol, glycated hemoglobin, and weight) relative to a comparison group that
receives print education materials on healthy lifestyle; and 2) Conduct a multi-stakeholder implementation
evaluation to evaluate the SAHELI intervention and community-based participatory research process. We
hypothesize that the SAHELI intervention will result in significantly greater improvements in clinical risk factors
than print education materials at 12 months. In Secondary Aims, we will determine SAHELI's effect on
behavioral and psychosocial outcomes, and examine mediators of intervention effect. The proposed study
expands on our prior research by using an effectiveness and preliminary implementation (type 1 hybrid)
design, which tests the effects of a clinical intervention on relevant outcomes while observing and gathering
information on initial implementation. Given the lack of evidence on effective lifestyle interventions for South
Asians at-risk for CVD, the proposed research is of scientific and public health import.
项目总结
项目成果
期刊论文数量(0)
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NAMRATHA R KANDULA其他文献
NAMRATHA R KANDULA的其他文献
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{{ truncateString('NAMRATHA R KANDULA', 18)}}的其他基金
Supplement for Community Translation of the South Asian Healthy Lifestyle Intervention (SAHELI)
南亚健康生活方式干预 (SAHELI) 社区翻译补充材料
- 批准号:
10588670 - 财政年份:2022
- 资助金额:
$ 77.61万 - 项目类别:
Mentoring in community engaged implementation research to reduce cardiovascular disparities
指导社区参与实施研究以减少心血管差异
- 批准号:
10877251 - 财政年份:2021
- 资助金额:
$ 77.61万 - 项目类别:
Mentoring in community engaged implementation research to reduce cardiovascular disparities
指导社区参与实施研究以减少心血管差异
- 批准号:
10671467 - 财政年份:2021
- 资助金额:
$ 77.61万 - 项目类别:
Mentoring in community engaged implementation research to reduce cardiovascular disparities
指导社区参与实施研究以减少心血管差异
- 批准号:
10455407 - 财政年份:2021
- 资助金额:
$ 77.61万 - 项目类别:
A Multilevel Physical Activity Intervention for South Asian Women and Girls
针对南亚妇女和女孩的多层次体育活动干预
- 批准号:
10241911 - 财政年份:2019
- 资助金额:
$ 77.61万 - 项目类别:
A Multilevel Physical Activity Intervention for South Asian Women and Girls
针对南亚妇女和女孩的多层次体育活动干预
- 批准号:
10458696 - 财政年份:2019
- 资助金额:
$ 77.61万 - 项目类别:
A Multilevel Physical Activity Intervention for South Asian Women and Girls
针对南亚妇女和女孩的多层次体育活动干预
- 批准号:
10675709 - 财政年份:2019
- 资助金额:
$ 77.61万 - 项目类别:
Administrative Supplement for A Multilevel Physical Activity Intervention for South Asian Women and Girls
南亚妇女和女童多层次体育活动干预行政补充
- 批准号:
10771843 - 财政年份:2019
- 资助金额:
$ 77.61万 - 项目类别:
Community Translation of the South Asian Healthy Lifestyle Intervention (SAHELI)
南亚健康生活方式干预(SAHELI)的社区翻译
- 批准号:
10221765 - 财政年份:2017
- 资助金额:
$ 77.61万 - 项目类别:
Social and Cultural Influences on Cardiovascular Risk in South Asians
社会和文化对南亚人心血管风险的影响
- 批准号:
8605408 - 财政年份:2014
- 资助金额:
$ 77.61万 - 项目类别:
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