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

Care2bWell：工地体力活动

基本信息

批准号：
9394187
负责人：
LAURA A LINNAN
金额：
$ 5.99万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
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：
2017-01-13 至 2017-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9394187
关键词：
Accelerometer Address Adopted African American American Arthritis Behavior Behavioral Behavioral Mechanisms 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 Healthy Eating Heart Diseases Hispanics Hour Hypertension Individual Insurance Benefits Intervention Life Expectancy Location Low income Lung diseases Maintenance Malignant Neoplasms Measures Mediating Meditation Minority Monitor North Carolina Obesity Occupations Outcome Overweight Participant Physical activity Policies Prize Process Productivity Psychosocial Factor Public Health Quality of life Randomized Controlled Trials Recommendation Research Risk Risk Factors Role Sampling Self Efficacy Sleep Smoking Social support Stress Stroke Structure Wages Weight Wellness Center Wellness Program Work Workplace arm attentional control base behavior change behavioral health collaborative environment cost effectiveness efficacy testing empowerment experimental study fitness follow-up fruits and vegetables health care availability health disparity healthy lifestyle high risk population improved incremental cost-effectiveness innovation member moderate-to-vigorous physical activity obesity in children physical inactivity post intervention premature pressure primary outcome promoter public health relevance role model secondary outcome sedentary lifestyle smoking cessation social theories webinar

项目摘要

DESCRIPTION (provided by applicant): 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.

描述（由申请人提供）：大约有130万的美国育儿工作者，大多数是小时员工，并被归类为低薪者。在北卡罗来纳州，其中一半的工人是非裔美国人或西班牙裔。许多人没有健康保险，使它们患有许多严重和慢性健康状况（例如肥胖，糖尿病和高血压）的风险增加。已知常规身体活动（PA）会降低许多慢性疾病的风险；不幸的是，大多数美国人，尤其是低收入个人和少数民族，都无法满足PA的建议。在儿童保育中提供的基于多层工作的PA干预是一种创新的策略，旨在达到这些低工资工人并解决这种高风险人群中的健康差异。虽然我们干预的主要目标是 Worker PA，我们预计，更健康，更有活跃的工人将成为更好的榜样和健康生活方式的促进者。与财务授权（FE）控制部门相比，这个两臂群集RCT（n = 104个中心，有4个工人/中心）将测试6个月Care2Bwell（CARE）干预措施增加工人PA的功效。护理干预措施将包括一个开球研讨会，参与者会在其中获得有关其健康风险和设定行为目标的量身定制的反馈，然后进行三个2个月长的健康运动，在此期间，工人监视PA，接收量身定制的反馈，并参加团队竞争奖品。中心董事将参加每月的网络研讨会，致力于改善工作环境以支持PA和健康。在社会生态框架内，感知控制，社会支持以及创新理论的扩散指导人际，人际关系和中心级别的干预组成部分。 FE部门的参与者将获得平行的干预措施，以提高个人和中心水平的财务状况。主要结果将是加速度计的中度至剧烈PA的分钟。将在基线，随访（6 mo）和维护（18 mo）时评估原发性和次要结果（饮食，拟人化，心理社会变量和中心健康环境）。详细的过程评估，成本效益和冥想分析将用于评估个人和中心水平的行为改变机制。