Social and cultural processes that impact physical activity among South Asian Americans managing hypertension: A mixed methods study

项目摘要（摘要） 南亚裔美国人不成比例地受到高血压和心血管疾病的影响。减少 这种健康差距，干预措施应针对可改变的健康行为，例如，体力活动。的 拟议的F31申请将论文研究项目与更广泛的文化影响培训相结合 南亚裔美国人的预防性健康行为。该研究项目将采用一个连续的 探索性混合方法设计，以调查社会和文化的预测身体活动， 患有不受控制的高血压的南亚裔美国人参加了一个文化定制的社区， 卫生工作者干预。第一个目标将考察文化、社会关系和动机的维度 作为中度至剧烈体力活动以及随后的高血压状态变化的决定因素。 为此，将对从158个南半球国家收集的数据进行二次定量分析。 亚洲参与者随机分配到干预组。第二个目标将提供一个深入的 定性分析社会（家庭）环境对体育活动的文化影响 南亚裔美国人。数据将通过家庭访谈收集，编码和分析 结合定量结果。更广泛的研究金培训计划旨在包括 这些内容将为研究提供信息并提高研究技能：（1）增加对南亚的了解 （B）加强定量统计方法和解释定性数据的技能; 以及（c）通过编写手稿和召开会议， 介绍。这项研究和培训将在纽约城市大学研究生中心进行。 研究团队包括由Tracey Revenson博士领导的具有相关和多样化专业知识的导师， 赞助人，著名的健康心理学家，他运用社会生态学的观点研究适应， 钝男Nadia Islam博士是一位医学社会学家，她发展了文化相关的社区- 作为心血管疾病和糖尿病研究的主任， 纽约大学亚裔美国人健康研究中心是一个由NIMHD资助的国家研究中心 的卓越。Tyrel Starks博士，另一位共同赞助者，是一位临床心理学家， 对健康行为干预数据的纵向分析;以及，合作者谢丽尔卡迈克尔博士是一位 擅长人际关系科学的社会心理学家项目、培训计划和指导一起 团队将提供必要的技能，以推动申请人朝着成为一个健康的长期目标 心理学/行为医学研究科学家，专注于转化研究，可以减少 健康差距。

Project Summary (Abstract) South Asian Americans are disproportionately affected by hypertension and cardiovascular disease. To reduce this health disparity, interventions should target modifiable health behaviors, e.g., physical activity. The proposed F31 application combines a dissertation research project with broader training in cultural influences on preventive health behaviors of South Asian Americans. The research project will employ a sequential exploratory mixed methods design to investigate the social and cultural predictors of physical activity among South Asian Americans with uncontrolled hypertension who participated in a culturally-tailored, community health worker intervention. The first aim will examine dimensions of culture, social relationships, and motivation as determinants of change in moderate-to-vigorous physical activity and, subsequently, hypertension status. This will be accomplished by conducting a secondary quantitative analysis of data collected from 158 South Asians participants randomly-assigned to the intervention arm. The second aim will provide an in-depth qualitative analysis of cultural influences, experienced within the social (family) context, on physical activity among South Asian Americans. Data will be collected by through family interviews, coded and analyzed in conjunction with the quantitative findings. The broader fellowship training plan is designed to include components that will inform the studies and increase research skills: (1) increasing knowledge of South Asian American health; (b) strengthening skills in quantitative statistical methods and interpreting qualitative data; and (c) continuing practice in research dissemination, facilitated by producing manuscripts and conference presentations. This research and training will take place at the Graduate Center, City University of New York. The study team includes mentors with relevant and diverse expertise led by Dr. Tracey Revenson, primary sponsor, a renowned health psychologist who applies a socio-ecological perspective studying adjustment to chronic. Dr. Nadia Islam, a co-sponsor, is a medical sociologist who develops culturally relevant community- linkage models to South Asian communities as director of the cardiovascular disease and diabetes research track for the NYU Center for the Study of Asian American Health, an NIMHD-funded National Research Center of Excellence. Dr. Tyrel Starks, another co-sponsor, is a clinical psychologist with experience conducting longitudinal analyses on health behavior intervention data; and, Dr. Cheryl Carmichael, a collaborator, is a social psycholgist with expertise in relationship science. Together, the project, training plan, and mentorship team will provide skills necessary to advance the applicant toward the long-term goal of becoming a health psychology/behavioral medicine research scientist with a focus on translational research that can reduce health disparities.