Free Time 4 Wellness

总结 缺乏身体活动是导致慢性病和健康状况不佳的一个重要因素。这种关系是 特别是在美国社会经济地位低的妇女中，超过60%的妇女没有达到 建议每周至少进行150分钟的适度体力活动。先前的研究 记录该人群的身体活动障碍，包括个体因素（例如，有限的时间， 健身房会员或日托资金不足）和社区层面的因素（例如，传统的性别角色， 有限的娱乐空间）。先前增加体力活动的尝试通常针对 个人，只有适度的结果。增加生活在资源匮乏地区的母亲的体育活动， 社区，创新的研究，以确定一个多层次的干预，很容易在社区实施 迫切需要为时间不多的母亲提供适当水平的教育。对母亲时间的要求越来越高 在一个新的流行病时代，免费提供托儿服务是一个有吸引力的选择。我们成功地设计和 试行了一项创新的干预措施，通过将健身课程与 免费托儿和技术，在社区一级联系和支持母亲。该项目将评估 我们的多层次干预的有效性，自由时间健康（FT 4 W）计划。概念 FT 4 W计划的框架是基于社会认知理论和NIMHD少数民族健康和健康 差异研究框架。干预措施包括：1）免费健身班的免费儿童保育，2）同伴 支持活动，包括小组游戏日期和小组志愿者活动。之前没有健康干预 包括我们假设的这些成分，单独或组合，将增加身体活动， 基于先前的理论和试点工作。我们将测试FT 4 W程序作为一种混合方法，群集随机 在为种族少数群体和社会经济群体提供服务的社区卫生中心进行对照试验 弱势群体。参与者将被随机分配到三个组中的一个：对照组，仅儿童保育组 试验将评估：（1）FT 4 W增加体力活动的能力， （2）FT 4 W计划的潜在机制 有利于身体活动（例如，环境资源，社会凝聚力）;（3）潜在的差异， 交叉社会分层参数（包括种族/民族、社会经济 位置和迁移状态。研究完成后，我们将免费提供FT 4 W协议 并努力在低社会经济水平地区推广该项目。因此，拟议项目旨在引入一个 * 易于在社区实施并适合母亲的有效多层次干预措施， 时间这种可扩展的干预措施将有助于减少阻止母亲参加身体检查的障碍。 活动，防止未来与不活动有关的慢性病的高发病率。

SUMMARY Physical inactivity is a significant contributor to risk of chronic diseases and poor health. This relationship is particularly salient for women of low socioeconomic position in the US, for which >60% do not reach the recommended guidelines of at least 150 minutes of moderate physical activity each week. Prior research has documented barriers to physical activity for this population, including individual factors (e.g., limited time, insufficient funds for gym memberships or daycare) and community-level factors (e.g., traditional gender roles, limited access to recreation space). Prior attempts to increase physical activity have generally targeted individuals, with only modest results. To increase physical activity among mothers living in low-resourced communities, innovative research to identify a multilevel intervention that is easily implemented at the community level and appropriate for mothers with little time is urgently needed. The increasing demands on mothers' time in a new pandemic era makes freely accessible childcare an attractive option. We successfully designed and piloted an innovative intervention to increase physical activity among mothers by combining fitness classes with free childcare and technology to connect and support mothers at the community level. This project will evaluate the effectiveness of our multilevel intervention, the Free Time for Wellness (FT4W) program. The conceptual framework for the FT4W program is based on social cognitive theory and the NIMHD Minority Health and Health Disparities Research Framework. The intervention includes: 1) free childcare at free fitness classes, and 2) peer support activities including group play dates and group volunteer activities. No prior health intervention has included these components that we hypothesize, separately or in combination, will increase physical activity, based on prior theory and pilot work. We will test the FT4W program as a mixed method, cluster randomized controlled trial conducted in community-based health centers serving racially minoritized and socioeconomically disadvantaged populations. Participants will be randomized to one of three arms: a control arm, a childcare only arm, or a childcare + peer support arm. The trial will evaluate: (1) the ability of FT4W to increase physical activity within 12 weeks as confirmed by accelerometers; (2) the potential mechanisms by which the FT4W program facilitates physical activity (e.g., environmental resources, social cohesion); and (3) potential differences in the magnitude of effect across intersecting social stratification parameters including race/ethnicity, socioeconomic position, and migration status. At the completion of our study, we will make the FT4W protocol freely available and work to scale the program in low-socioeconomic areas. The proposed project thus aims to introduce an effective multilevel intervention that is easily implemented in communities and appropriate for mothers with little time. This scalable intervention will help reduce the barriers that prevent mothers from participating in physical activity, preventing future high rates of chronic diseases associated with inactivity.