Improving Health Habits: Self-Care Priorities

改善健康习惯：自我保健优先

• 批准号: 7286865
• 负责人: Lillian Gelberg
• 金额: $ 11.58万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-15 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7286865
• 关键词: Address; Adherence; Allopurinol Sodium; Behavior; Behavioral; Biological Markers; Blinded; C-reactive protein; Carotenoids; Chronic Disease; Clinic; Communities; Community Health Centers; Condition; Control Groups; Counseling; County; Daily; Development; Diet; Diet Habits; Eating; Exercise; Exposure to; Family; Habits; Health; Health Educators; Health Promotion; Health behavior; Health education; Healthcare Systems; Heart Rate; Hypotension; Individual; Inflammation; Inflammatory Response; Intake; Intervention; Latino; Life Style; Link; Los Angeles; Low Income Population; Low income; Malignant Neoplasms; Measures; Mediating; Minority; Obesity; Outcome; Outcome Measure; Overweight; Oxidative Stress; Oxygen; Participant; Patient Preferences; Patient Self-Report; Patients; Physical Fitness; Physical activity; Physician Assistants; Physicians; Plasma; Population; Process; Program Development; Protocols documentation; Provider; Public Sector; Randomized; Reading; Recovery; Research Personnel; Resources; Risk; Self Care; Self Efficacy; Series; Serum; Services; Smoking Behavior; Social support; Standards of Weights and Measures; Step Tests; System; Telephone; Testing; Time; Uninsured; Visit; base; behavior change; cancer prevention; clinical application; design; diet and exercise; disorder risk; follow-up; fruits and vegetables; improved; intervention program; motivational enhancement therapy; nutrition; prescription document; prescription procedure; programs; psychosocial; safety net; sedentary; self help; social; theories; tool; trend; uptake; urban area

DESCRIPTION (provided by applicant): Poor diet and physical inactivity among low-income, minority populations have been linked to greater risk of chronic disease conditions such as overweight/obesity and cancer. Safety net clinics that serve these low- income populations represent an untapped opportunity to involve impoverished individuals in health promotion. Few studies have examined the feasibility of using brief physician advice and multi-level, clinic- based interventions to improve poor dietary habits, increase physical activity, or reduce sedentary lifestyles among culturally diverse, low-income populations that typically comprise the patient population of these community health centers in Los Angeles urban areas. This exploratory project proposes to address this scientific gap by introducing and piloting a Multi-level, Patient-directed, Lifestyle Change, Health Promotion Program (MPLC-HPP) to address poor dietary habits and physical inactivity among low income, uninsured patient populations (primarily Latinos) served by the public sector clinics of the Venice Family Clinic (VFC) health center system in Los Angeles County. The program will include the development of 1) a simple-to- use Patient Health Behavior Priority Assessment (PHBPA) tool designed to assess patient priorities for behavior change; 2) a standard protocol for physicians to provide brief health advice using motivational interviewing (< 2 minutes per visit); 3) a protocol for distributing self-help aids for patient use (e.g., pedometer, exercise videos); and 4) a series of eight follow-up telephone counseling sessions by health educators to help patients address their lifestyle change priorities over time. We will conduct a single- blinded, sham-controlled pilot of the MPLC-HPP in 100 patient cases at two VFC clinics (n=50 in MPLC- HPP; n=50 in sham control). We will use quantitative outcome measures, including common biomarkers of oxidative stress and systemic inflammation (i.e., plasma carotenoids and high-sensitivity C-reactive protein levels) and psychometrically-tested self-report measures of nutrition and physical fitness, to accurately assess the magnitude of changes in diet and physical activity among study participants over a 12-month observation period. The feasibility of integrating the MPLC-HPP into the public sector health clinic setting will be evaluated, and is the primary aim of this project. The results will inform efforts to plan a larger, more ambitious successor study involving multiple clinics.

描述（由申请人提供）：低收入、少数民族人群的不良饮食和缺乏体育活动与超重/肥胖和癌症等慢性疾病的高风险有关。为这些低收入人群服务的安全网诊所代表了一个未开发的机会，使贫困个人参与健康促进。很少有研究检验了在洛杉矶城市地区社区卫生中心的患者群体中，使用简短的医生建议和多层次的、基于诊所的干预措施来改善不良饮食习惯、增加体育活动或减少久坐不动的生活方式的可行性。这个探索性项目提出通过引入和试点多层次、患者导向、生活方式改变、健康促进计划（MPLC-HPP）来解决洛杉矶县威尼斯家庭诊所（VFC）健康中心系统公共部门诊所服务的低收入、无保险患者群体（主要是拉美裔）的不良饮食习惯和缺乏运动问题，从而解决这一科学差距。该计划将包括开发1)一个简单易用的患者健康行为优先评估（PHBPA）工具，旨在评估患者行为改变的优先级；2)医生使用动机性访谈提供简短健康建议的标准方案（每次访问< 2分钟）；3)分发病人使用的自助辅助工具的方案（例如，计步器、运动视频）；4)由健康教育者进行的一系列8次后续电话咨询会议，以帮助患者确定他们随时间改变生活方式的优先事项。我们将在两个VFC诊所的100例患者中进行单盲、假对照的hplc -HPP试验（MPLC-HPP组n=50，假对照n=50）。我们将使用定量结果测量，包括氧化应激和全身性炎症的常见生物标志物（即血浆类胡萝卜素和高敏c反应蛋白水平）以及营养和身体健康的心理测量学测试自我报告测量，以准确评估研究参与者在12个月观察期内饮食和身体活动变化的幅度。将评估将hplc - hpp纳入公共部门卫生诊所环境的可行性，这是该项目的主要目标。研究结果将为计划一项涉及多个诊所的更大、更雄心勃勃的后续研究提供信息。

项目成果

Support for benefit of physical activity on satiety, weight control, and diabetes risk.

支持体力活动对饱腹感、体重控制和糖尿病风险的益处。

• DOI: 10.1001/archinternmed.2009.19
• 发表时间: 2009
• 期刊: Archives of internal medicine
• 作者: McCarthy,WilliamJ;Kuo,Tony
• 通讯作者: Kuo,Tony

Motivational interviewing to enhance nicotine patch treatment for smoking cessation among homeless smokers: a randomized controlled trial.

• DOI: 10.1111/add.12140
• 发表时间: 2013-06
• 期刊: Addiction (Abingdon, England)
• 作者: Okuyemi KS;Goldade K;Whembolua GL;Thomas JL;Eischen S;Sewali B;Guo H;Connett JE;Grant J;Ahluwalia JS;Resnicow K;Owen G;Gelberg L;Des Jarlais D
• 通讯作者: Des Jarlais D