Developing a Community-Informed, Peer-to-Peer Intervention to Improve Health-Related Quality of Life among African American Men

制定社区知情的同伴干预措施，以改善非裔美国男性与健康相关的生活质量

• 批准号: 10188697
• 负责人: Guillermo Manuel Wippold
• 金额: $ 15.52万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-05-25 至 2026-02-28
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10188697
• 关键词: Address; African American; Behavior Therapy; Behavioral; Characteristics; Clinical Trials; Color; Communities; Control Groups; Data; Development; Diet; Dissemination and Implementation; Educational workshop; Enhancement Technology; Enrollment; Ensure; Ethnic Origin; Focus Groups; Funding; Gender; Goals; Grant; Health; Health Care Costs; Health Promotion; Individual; Intervention; K-Series Research Career Programs; Knowledge; Life Expectancy; Measures; Mediator of activation protein; Mental Depression; Mentors; Mentorship; Modeling; Morbidity - disease rate; Participant; Physical Function; Physical activity; Race; Randomized; Randomized Controlled Trials; Reporting; Research; Research Methodology; Research Personnel; Research Training; Risk; Science; Scientist; Social Functioning; South Carolina; Stress; Structure; Testing; Time; Training; Unhealthy Diet; United States; Waiting Lists; Writing; acceptability and feasibility; base; community based participatory research; control trial; design; effective intervention; efficacy evaluation; experience; health disparity; health related quality of life; high risk; improved; innovation; insight; intervention mapping; mHealth; male health; men; minority communities; minority health; mortality; participant retention; peer; population health; programs; psychologic; racial and ethnic; recruit; response; scale up; sex; skills; social; social cognitive theory; success; therapy development

Health promotion efforts among African American men have produced limited results. African American men have lower health-related quality of life (HRQoL; i.e., a comprehensive indicator of health consisting of physical, psychological, and social functioning) than any other ethnic-sex group in the United States. HRQoL is a measure of population health that is associated with mortality and morbidity. HRQoL is exacerbated by stress, depression, low levels of physical activity, and poor diet – contributors to adverse health often experienced by African American men. There is an urgent need to develop a health promotion program to improve HRQoL among these men. The success of such a program hinges on its ability to recruit and retain these men – African American men constitute fewer than 10% of participants enrolled in clinical trials and are underrepresented in health research. A health promotion program that is culturally relevant to the lived experiences of these men and implemented through a peer-to-peer model can improve engagement, minimize attrition, and promote HRQoL. Thus, a community-informed, peer-to-peer intervention to improve the HRQoL among African American men will be developed. The development of this intervention will be informed by the Social Ecological Model of Health, Social Cognitive Theory, Community-Based Participatory Research, and a community advisory board consisting of African American men. It is hypothesized that the theoretically-based intervention will be effective in recruiting and retaining these men, in addition to improving their HRQoL. The specific aims of the study are (1) to determine the individual, social, and environmental characteristics that impact stress, depression, physical activity, and diet among African American men; (2) to assess the feasibility and acceptability of a community-informed, peer-to- peer intervention to improve the HRQoL among African American men; and (3) to evaluate the efficacy of a pilot randomized wait-list control trial to determine the preliminary impacts of the community-informed intervention on HRQoL among African American men. This research will inform recruitment and retention efforts of African American men in health promotion programs, in addition to strategies to improve HRQoL. The candidate’s mentorship team consists of renowned experts in the development of tailored health promotion interventions, the health of men of color, qualitative and quantitative research, Community-Based Participatory Research, and technology-enhanced interventions for African American men. The training plan involves coursework, seminars, and mentored research experiences to develop expertise in (1) qualitative, quantitative, and mixed-methods research, (2) implementation and dissemination science, (3) behavioral randomized controlled trials, (4) grant- writing, (5) health promotion and disparities among minority communities, and (6) mHealth. The research and training proposed in this K23 Career Development Award will support the candidate’s long-term goal of becoming an independent scientist and leading investigator in developing and testing innovative interventions to improve the HRQoL among underserved and at-risk communities.

非裔美国男性的健康促进工作取得了有限的成果。非洲裔美国男性 与健康相关的生活质量较低（HRQoL；即一项综合健康指标，包括身体、 心理和社会功能）高于美国任何其他种族性别群体。 HRQoL 是一种衡量标准 与死亡率和发病率相关的人口健康状况。 HRQoL 因压力、抑郁、 体力活动水平低和饮食不良——导致非洲人经常经历的不良健康状况 美国男人。迫切需要制定健康促进计划来改善这些人的 HRQoL 男人。这一计划的成功取决于其招募和留住这些人的能力——非裔美国人 男性在临床试验参与者中所占比例不到 10%，并且在健康领域的代表性不足 研究。与这些人的生活经历在文化上相关的健康促进计划 通过点对点模型实施可以提高参与度、最大限度地减少人员流失并提高 HRQoL。 因此，旨在改善非裔美国男性 HRQoL 的社区知情、同伴干预将 得到开发。这种干预措施的发展将受到健康社会生态模型的影响， 社会认知理论、基于社区的参与性研究以及由以下人员组成的社区咨询委员会 的非裔美国男性。假设基于理论的干预措施将有效地招募 除了提高他们的 HRQoL 之外，还留住了这些人。研究的具体目的是 (1) 确定 影响压力、抑郁、体力活动和饮食的个人、社会和环境特征 非裔美国男性； (2) 评估社区知情、同行之间的可行性和可接受性 同伴干预以改善非裔美国男性的 HRQoL； (3) 评估试点的有效性 随机等待名单对照试验，以确定社区知情干预的初步影响 非裔美国男性的 HRQoL。这项研究将为非洲人的招聘和保留工作提供信息 除了改善 HRQoL 的策略外，美国男性还参与健康促进计划。候选人的 导师团队由知名专家组成，致力于制定量身定制的健康促进干预措施， 有色人种男性的健康、定性和定量研究、基于社区的参与性研究以及 针对非裔美国男性的技术增强干预措施。培训计划包括课程作业、研讨会、 并指导研究经验以发展（1）定性、定量和混合方法方面的专业知识 研究，(2) 实施和传播科学，(3) 行为随机对照试验，(4) 资助 写作，(5) 健康促进和少数群体社区之间的差异，以及 (6) 移动医疗。该研究和 K23 职业发展奖中提出的培训将支持候选人成为 一位独立科学家和首席研究员，致力于开发和测试创新干预措施以改善 服务不足和高危社区的 HRQoL。