Evaluation of a Civic Engagement Approach to Catalyze Built Environment Changeand Promote Healthy Eating and Physical Activity Among Rural Residents

对促进建成环境变化并促进农村居民健康饮食和身体活动的公民参与方法的评价

• 批准号: 10654697
• 负责人: Rebecca Anne Seguin-Fowler
• 金额: $ 64.1万
• 依托单位: TEXAS A&M AGRILIFE RESEARCH
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-07-03 至 2025-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10654697
• 关键词: Accelerometer; Address; Affect; Area; Attitude; Behavior; Belief; Biochemical; Blood Pressure; Body mass index; Cardiovascular Diseases; Carotenoids; Cholesterol; Chronic Disease; Communities; Community Health; Cost Analysis; Data; Dermal; Development; Diabetes Mellitus; Diet; Diffusion; Disease; Eating; Educational workshop; Ensure; Environment; Environmental Risk Factor; Evaluation; Event; Exercise; Exposure to; Face; Focus Groups; Future; Geography; Glucose; Glycosylated hemoglobin A; Goals; Health Food; Health Insurance; Health Status; Health behavior; Health behavior and outcomes; Healthcare; Healthy Eating; Individual; Intake; Intervention; Knowledge; Location; Malignant Neoplasms; Measures; Medically Underserved Area; Methods; Modeling; Obesity; Outcome; Outcome Measure; Participant; Pathway interactions; Persons; Physical activity; Pilot Projects; Policies; Population; Poverty; Process; Public Health; Resources; Risk; Risk Factors; Rural; Rural Community; Rural health equity; Sampling; Science; Self Efficacy; Site; Smoking; Social Network; Source; Speed; Surveys; Time; Training; Unhealthy Diet; Work; active lifestyle; behavior change; behavioral outcome; built environment; cancer risk; cancer type; cardiovascular risk factor; cohesion; community intervention; cost; cost comparison; cost effective intervention; cost effectiveness; design; effective intervention; empowerment; environmental change; fruits and vegetables; health care availability; health data; health equity; health inequalities; implementation barriers; implementation facilitators; improved; innovation; insight; medically underserved; member; nutrition; overweight adults; physical inactivity; population health; primary outcome; process evaluation; public health priorities; randomized trial; recruit; rural area; rural dwellers; rural health disparities; rural setting; secondary outcome; social; social capital; social cohesion; social factors; social norm; socioeconomic disadvantage; success; symposium; tool; underserved rural area; webinar

PROJECT SUMMARY Nearly 70% of US adults are overweight or obese, and the consequences can include increased risk for several types of cancer, diabetes, and cardiovascular disease. Compared to their urban counterparts, rural residents tend to have higher rates of cancer, obesity, physical inactivity, and poor diet. Rural residents also have higher rates of poverty and lower rates of health insurance, and face unique challenges accessing healthy foods, and/or physical activity opportunities, which contribute to these rural health disparities. Civic engagement for built environment change (CEBEC) integrates resident-led community assessments with environmental change initiatives aiming at improving population health. In several pilot studies, engaging and empowering residents to identify solutions to improve community health have demonstrated successful implementation. Evidence demonstrating positive change in behaviors and health outcomes using the CEBEC approach are limited in scope and rigor but show notable and encouraging outcomes (e.g. increased physical activity). This study proposes to evaluate a CEBEC intervention, the multilevel Change Club (CC) project, which would be implemented in eight rural locations. The objective of the CC is to reduce rural risk factors for obesity, cancer, and other chronic diseases through CEBEC physical activity and healthy eating projects. The CC provides a menu of effective interventions; step-wise planning strategy; behavior change strategies and goal setting; assessment and engagement tools; and ongoing support via conference calls, webinars, and discussion boards to rural resident CCs, which typically include about 12-16 residents. For Aim 1, we will evaluate individual-level health and behavioral outcomes in eight rural towns. We will measure outcomes in CC members, local social network members (SNM) of CC members, and a sample of town residents recruited through mass mailings and community events. The primary outcome is Simple 7 composite cardiovascular risk score, which includes blood pressure, glucose and cholesterol, BMI, diet, smoking, and physical activity; additional outcomes are knowledge, attitudes, beliefs, and self-efficacy related to healthy eating and exercise, including use of community resources for healthy eating, physical activity, and health care; and environmental factors. Objective measures, including BMI, biochemical measures, accelerometry, dermal carotenoids, and blood pressure, will be collected with CC members and a sample of SNM and town residents. Aim 2 includes a mixed methods process evaluation examining unintended consequences; implementation barriers and facilitators, including costs; and the effect of community/built environment/policy, social/collective, and individual-level factors on intervention-specific outcomes. We will compare costs across sites and explore cost- effectiveness of CC interventions relative to change in Simple 7 score. This project is an innovative opportunity to evaluate multilevel rural CEBEC interventions focused on chronic disease risk factor behaviors. Outcome and process data will provide critical insight into the viability of CEBEC interventions for future dissemination.

项目总结

项目成果

Recruiting experiences of NIH-funded principal investigators for community-based health behavior interventions during the COVID-19 pandemic.

• DOI: 10.1016/j.cct.2023.107271
• 发表时间: 2023-08
• 期刊: CONTEMPORARY CLINICAL TRIALS
• 影响因子: 2.2
• 作者: Seguin-Fowler, Rebecca A.;Demment, Margaret;Folta, Sara C.;Graham, Meredith;Hanson, Karla;Maddock, Jay E.;Patterson, Megan S.
• 通讯作者: Patterson, Megan S.

Evaluation of a civic engagement approach to catalyze built environment change and promote healthy eating and physical activity among rural residents: a cluster (community) randomized controlled trial.

• DOI: 10.1186/s12889-022-13653-4
• 发表时间: 2022-09-04
• 期刊: BMC PUBLIC HEALTH
• 影响因子: 4.5
• 作者: Seguin-Fowler, Rebecca A.;Hanson, Karla L.;Villarreal, Deyaun;Rethorst, Chad D.;Ayine, Priscilla;Folta, Sara C.;Maddock, Jay E.;Patterson, Megan S.;Marshall, Grace A.;Volpe, Leah C.;Eldridge, Galen D.;Kershaw, Meghan;Luong, Vi;Wang, Hua;Kenkel, Don
• 通讯作者: Kenkel, Don

COVID-19 Related Protocol Considerations and Modifications within a Rural, Community-Engaged Health Promotion Randomized Trial.

• DOI: 10.3390/mps6010005
• 发表时间: 2023-01-05
• 期刊: Methods and protocols
• 影响因子: 2.4
• 作者: Seguin-Fowler RA;Eldridge GD;Graham M;Folta SC;Hanson KL;Maddock JE
• 通讯作者: Maddock JE