MOCHA Moving Forward: a CBPR investigation of chronic disease prevention in older, low-income African-American men

MOCHA 前进：CBPR 对老年低收入非裔美国男性慢性病预防的调查

• 批准号: 9902698
• 负责人: DAVID R. BUCHANAN
• 金额: $ 10.11万
• 依托单位: UNIVERSITY OF MASSACHUSETTS AMHERST
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-06-10 至 2021-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9902698
• 关键词: Address; Aerobic Exercise; Affect; African American; Age; Age-Years; Area; Awareness; Blood Pressure; Body fat; Chronic Disease; Collaborations; Collection; Color; Communication; Communities; Data; Data Analyses; Data Collection; Development; Diabetes Mellitus; Diet; Diet Habits; Discrimination; Economic Conditions; Educational workshop; Effectiveness; Enzyme-Linked Immunosorbent Assay; Ethnography; Exercise; Gender; Gender Role; Hair; Health; Health Sciences; Health behavior; Heart Diseases; Hormones; Hydrocortisone; Hypertension; Individual; Intervention; Interview; Investigation; Logic; Low income; Malignant Neoplasms; Massachusetts; Measures; Mediating; Mental Depression; Minority; Mission; Modeling; Morbidity - disease rate; Obesity; Outcome; Participant; Pathway interactions; Patient Self-Report; Personal Satisfaction; Phase; Physical activity; Physiological; Population; Prevention program; Preventive Intervention; Privatization; Program Effectiveness; Psyche structure; Public Health; Public Health Schools; Quality of life; Questionnaires; Randomized Controlled Trials; Research; Research Design; Research Methodology; Research Personnel; Risk; Running; Sampling; Series; Stress; Stroke; Structure; Substance abuse problem; Surveys; Testing; Theoretical model; Universities; Ursidae Family; Violence; Waiting Lists; Weight; arm; base; cohort; community based participatory research; comparison group; design; digital; disorder control; disorder prevention; effective intervention; evidence base; experience; fitness; follow-up; health disparity; improved; innovation; instrument; interest; male health; men; mortality; nutrition; perceived stress; programs; public health relevance; public-private partnership; recruit; resilience; secondary outcome; social; social health determinants; stem

 DESCRIPTION (provided by applicant): The research is designed to use a Community-Based Participatory Research (CBPR) approach to achieve three research objectives: (1) to identify factors that can be incorporated into expanded Minority Stress Model developed by the PI; (2) to evaluate the effectiveness of the Men of Color Health Awareness (MOCHA) program, and an enhanced MOCHA+ program that uses narrative communication strategies, in lowering stress and risk of chronic diseases in a randomized controlled trial; and (3) to determine those individual, interpersonal and social structural factors that have an impact on stress and the health of low income African- American men. The MOCHA program is the result of a grassroots, community-driven initiative to address the heavy burden of health disparities experienced by low-income African-American men living in Springfield MA. The MOCHA program is sustained by a public - private collaboration between the local chapter of the YMCA and the state Department of Public Health. The MOCHA program is designed to address the physical, mental, social, and spiritual needs of men of color simultaneously in an integrated fashion. It consists of a 12-week program comprised of: (1) 60-minutes of moderately intensive aerobic exercise twice a week; (2) small group discussions of issues facing men of color, in particular, the potentially harmful effects of socially constructed definitions of black masculinity and associated issues of stress, violence, depression and substance abuse; (3) classes on health topics pertinent to chronic disease control, such as nutrition, obesity, high blood pressure, fitness and the social determinants of health. In utilizing a CBPR methodology, university researchers will partner with the MOCHA Steering Committee in all phases of the research, from identifying the main research questions, to identifying mediating factors implicit in the MOCHA model to utilizing appropriate research instruments to answer the primary research question, to data collection and analysis, to disseminating the results of the research, in appropriate fashion, to different audiences. The proposed research methods include: individual interviews of MOCHA participants, ethnographic field observations of digital storytelling (DST) workshops, survey questionnaires and the collection of physiological measures such as cortisol, blood pressure, and BMI. The results of this research will contribute to the identification of effective interventins to address health disparities in low-income African-American men and the dissemination of effective chronic disease prevention programming.

 描述（由申请人提供）：该研究旨在使用基于社区的参与性研究（CBPR）方法来实现三个研究目标：（1）确定可纳入 PI 开发的扩展少数族裔压力模型的因素； (2) 在一项随机对照试验中评估有色人种男性健康意识 (MOCHA) 计划以及使用叙事沟通策略的增强型 MOCHA+ 计划在降低压力和慢性病风险方面的有效性； (3) 确定对低收入非洲裔美国男性的压力和健康有影响的个人、人际和社会结构因素。 MOCHA 计划是一项由社区推动的草根倡议的成果，旨在解决马萨诸塞州斯普林菲尔德的低收入非裔美国男性所经历的健康差距的沉重负担。 MOCHA 计划是通过 YMCA 地方分会和州公共卫生部之间的公私合作来维持的。 MOCHA 计划旨在以综合方式同时满足有色人种男性的身体、心理、社会和精神需求。它包括 为期 12 周的计划包括： (1) 每周两次、每次 60 分钟的中等强度有氧运动； (2) 就有色人种男性面临的问题进行小组讨论，特别是社会建构的黑人男性气质定义的潜在有害影响以及压力、暴力、抑郁和药物滥用等相关问题； （3）与慢性病控制相关的健康主题课程，如营养、肥胖、高血压、健身和健康的社会决定因素。在使用 CBPR 方法时，大学研究人员将在研究的所有阶段与 MOCHA 指导委员会合作，从确定主要研究问题，到确定 MOCHA 模型中隐含的中介因素，到利用适当的研究工具回答主要研究问题，到数据收集和分析，到以适当的方式向不同受众传播研究结果。提出的研究方法包括：对 MOCHA 参与者的个人访谈、数字讲故事（DST）研讨会的民族志实地观察、调查问卷以及收集皮质醇、血压和体重指数等生理指标。这项研究的结果将有助于确定有效的干预措施，以解决低收入非裔美国男性的健康差异，并有助于传播有效的慢性病预防规划。