TU SALUD SI CUENTA: A COMMUNITY BASED MEDIA INTERVENTION FOR MEXICAN AMERICAN

拟议的墨西哥裔美国人糖尿病英才中心旨在开展 墨西哥裔美国人糖尿病及其并发症的生理学进展研究， 并制定糖尿病预防策略和测试有效干预的创新方法 受2型糖尿病严重影响的少数民族人群。该中心提出了一个行政核心，一个 研究核心，包括三个研究项目和两个试点研究、一个培训核心和一个社区 接洽核心。 作为研究核心的一部分，Tu Salud，JSi Cuenta！：基于社区的媒体干预 墨西哥裔美国人研究项目将测试其在改善身体活动和健康食品方面的有效性 选择，与肥胖和2型糖尿病相关的两种潜在的可改变的行为。基于人口 需要改变行为的策略，以解决压倒性的人口数量 变得肥胖，特别是墨西哥裔美国人。利用大众媒体描绘有吸引力和影响力的 榜样(行为新闻学)是一种很有前途的干预方法，已经显示出积极的一面 效果。我们提出了一种基于社区的媒体干预墨西哥弱势群体的新改编方案 居住在美国和墨西哥边境的美国人。Tu Salud Jsi Cuenta！(你的健康很重要！) 干预将在大众媒体上提供行为新闻格式的西班牙语信息 场馆(电视和广播)和小型媒体形式(时事通讯)，侧重于增加身体活动和 健康的食物选择。媒体部分将得到社区外联和环境保护的支持 改变。将实施准试验性匹配社区设计，以评估 一个干预社区和一个对照社区。此外，一项纵向后续研究将 检查生活在干预社区的一群墨西哥裔美国人的结果。这个 干预是创新的，它使用行为新闻来创建西班牙语信息，并在其 对行为和生理结果的评估。 具体目标#1：使用准试验性匹配社区设计，评估基于社区的 媒体干预积极改变了心理社会、环境和行为风险因素 墨西哥裔美国人中的2型糖尿病。 具体目标2：对卡梅伦县西班牙裔队列中的参与者进行纵向跟踪研究， 评估那些最了解干预材料、信息和策略的人 从基线到随访改善了生理状况，以及在心理社会方面的积极变化， 2型糖尿病的环境和行为危险因素

The proposed Center of Excellence on Diabetes in Americans of Mexican Descent aims to conduct research on the physiologic progression to diabetes and its complications among Mexican Americans, and to develop diabetes prevention strategies and test innovative approaches to effective interventions in a minority population severely affected by type 2 diabetes. This Center proposes an administrative core, a research core including three research projects and two pilot studies, a training core and a community engagement core. As part of the Research Core, the Tu Salud, jSi Cuenta!: A Community-Based Media Intervention for Mexican Americans research project will test its effectiveness for modifying physical activity and healthy food choices, two underlying modifiable behaviors associated with obesity and type 2 diabetes. Population-based strategies to modify behaviors are needed in order to address the overwhelming numbers of people becoming obese, particularly Mexican Americans. The use of mass media depicting attractive and influential role models (Behavioral Journalism) is a promising intervention method that has demonstrated positive effects. We propose a novel adaptation of a community-based media intervention for disadvantaged Mexican Americans living along the US / Mexico border. The Tu Salud jSi Cuenta! (Your Health Matters!) intervention will provide behavioral journalism-formatted Spanish language information in mass media venues (TV and radio) and small media formats (newsletters) focusing on increasing physical activity and healthful food choices. The media segments will be supported by community outreach and environmental changes. A quasi experimental matched community design will be implemented to assess outcomes among one intervention community and one comparison community. Additionally, a longitudinal follow-up study will examine outcomes among a cohort of Mexican Americans living in the intervention community. The intervention is innovative in its use of behavioral journalism to create Spanish language messages and in its assessment of behavioral and physiological outcomes. Specific Aim #1: Using a quasi-experimental matched community design, assess whether a communitybased media intervention positively changes psychosocial, environmental, and behavioral risk factors for type 2 diabetes among Mexican Americans. Specific Aim #2: Using a longitudinal follow-up study of participants in the Cameron County Hispanic Cohort, assess whether those who are most aware of the materials, messages and strategies of the intervention have improved physiological profiles from baseline to follow-up, as well as positive changes in psychosocial, environmental, and behavioral risk factors for type 2 diabetes