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Improving the Reach of a CBPR Developed Obesity Program Among Disavantaged Women

扩大 CBPR 制定的肥胖计划在弱势妇女中的覆盖面

基本信息

批准号：
7683251
负责人：
DANIEL O CLARK
金额：
$ 36.53万
依托单位：
INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-10 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7683251
关键词：
Address Adult Advisory Committees Affect Arts Attention Body Weight decreased Characteristics Charge Chronic Disease Clinic Community Health Centers Counseling Data Collection Disadvantaged Economically Deprived Population Education Electronics Enrollment Ethics Event Feedback Health Hispanics Home environment Individual Intervention Interview Investigation Laboratories Lead Life Style Literature Location Mexican Americans Minority Not Hispanic or Latino Obesity Participant Patients Penetration Prevalence Prevention Prevention program Preventive Primary Health Care Provider Public Health Recommendation Reporting Research Sampling Series Services Social Marketing Target Populations Testing Time Visit Weight Woman base community based participatory research design disability ethnic minority population health disparity improved middle age programs public health relevance socioeconomics

项目摘要

DESCRIPTION (provided by applicant): Take Charge Lite is a state-of-the-art lifestyle weight management program that was designed following the principles of community-based participatory research (CBPR). Take Charge Lite is operational in six community health centers serving over 40,000 socio-economically disadvantaged non-Hispanic black, Hispanic, and non-Hispanic white adults. Nationally, federally approved community health centers serve over 14 million disadvantaged patients annually. Basic public health principles emphasize that the "impact" of an intervention is a product of both its "efficacy" and its "reach". Reach is sometimes referred to as the penetration of the intervention. It is defined as the proportion and characteristics of the target population that is exposed to the intervention. By improving our understanding of the factors that influence reach among minority and socio-economically disadvantaged individuals, the proposed study would offer avenues to reducing health disparities. The proposed study addresses questions of reach by leveraging the real-world laboratory of the ongoing community health center- based Take Charge Lite weight management program. The specific aims of this project are to identify patient, primary care provider, and program factors that affect 1) receipt of a weight management program prescription and 2) enrollment in a weight management program. We target middle-aged (30-64) Mexican-American, non-Hispanic black, and non-Hispanic white women who are Class I, II, or III obese. Our middle-age focus captures the years with the highest obesity prevalence and may be the most opportune time for chronic illness and disability prevention. Our investigation will be guided by the principles of social marketing. Aim 1 will be accomplished through analysis of audio-recorded patient-provider encounters with post-visit interviews of participating providers and patients. Aim 2 will be accomplished by in-home patient interviews with patients who received a weight management program prescription and either enrolled, explored but did not enroll, or did not explore and did not enroll. Our data collection will be based on quota samples of Mexican-American, non-Hispanic black, and non-Hispanic white patients. Ultimately, applying the principles of social marketing, findings will be used to identify and test changes that could improve the reach of prevention programs for disadvantaged patients. PUBLIC HEALTH RELEVANCE: Obesity is a serious health issue in the U.S. and rates of obesity are highest among ethnic minority women. This project will help identify ways that clinic-based weight management programs can better assist minority women to manage their weight.

描述（由申请人提供）：Take Charge Lite是一种最先进的生活方式体重管理计划，其设计遵循基于社区的参与式研究（CBPR）的原则。“负责建兴"在六个社区卫生中心运作，为40 000多名社会经济地位不利的非西班牙裔黑人、西班牙裔和非西班牙裔白色成年人提供服务。在全国范围内，联邦批准的社区卫生中心每年为1400多万弱势患者提供服务。基本公共卫生原则强调，干预措施的“影响”是其“功效”和“范围”的产物。到达有时被称为干预的渗透。它被定义为受干预影响的目标人群的比例和特征。通过提高我们对影响少数民族和社会经济弱势群体的因素的理解，拟议的研究将提供减少健康差距的途径。这项拟议的研究通过利用正在进行的社区卫生中心的Take Charge Lite体重管理计划的真实实验室来解决问题。本项目的具体目的是确定影响1）接受体重管理计划处方和2）参加体重管理计划的患者、初级保健提供者和计划因素。我们的目标人群是I级、II级或III级肥胖的中年（30-64岁）墨西哥裔美国人、非西班牙裔黑人和非西班牙裔白色女性。我们对中年的关注抓住了肥胖患病率最高的年份，这可能是预防慢性疾病和残疾的最佳时机。我们的调查将遵循社会营销的原则。目标1将通过分析患者与提供者之间的音频记录，以及参与提供者和患者的访视后访谈来实现。目标2将通过与接受体重管理计划处方的患者进行家庭患者访谈来实现，这些患者要么入组，要么探索但未入组，要么未探索但未入组。我们的数据收集将基于墨西哥裔美国人、非西班牙裔黑人和非西班牙裔白色患者的配额样本。最终，应用社会营销的原则，研究结果将被用来确定和测试的变化，可以提高弱势患者的预防计划的覆盖面。公共卫生相关性：肥胖在美国是一个严重的健康问题，少数民族妇女的肥胖率最高。该项目将有助于确定以诊所为基础的体重管理计划可以更好地帮助少数民族妇女管理体重的方法。