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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 是一项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性研究 (CBPR) 的原则。 Take Charge Lite 在六个社区健康中心开展业务，为超过 40,000 名社会经济弱势的非西班牙裔黑人、西班牙裔和非西班牙裔白人成年人提供服务。在全国范围内，联邦政府批准的社区卫生中心每年为超过 1400 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。触及范围有时被称为干预的渗透率。它被定义为接受干预的目标人群的比例和特征。通过提高我们对影响少数族裔和社会经济弱势群体的影响因素的理解，拟议的研究将为减少健康差异提供途径。拟议的研究通过利用正在进行的基于社区健康中心的 Take Charge Lite 体重管理计划的真实实验室来解决影响范围的问题。该项目的具体目标是确定影响 1) 体重管理计划处方接收和 2) 体重管理计划注册的患者、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) 墨西哥裔美国人、非西班牙裔黑人和非西班牙裔白人女性。我们的中年重点关注肥胖患病率最高的年份，这可能是预防慢性病和残疾的最佳时机。我们的调查将以社会营销原则为指导。目标 1 将通过分析患者与提供者的会面录音以及对参与提供者和患者的访问后访谈来实现。目标 2 将通过对接受体重管理计划处方且已登记、探索但未登记或未探索但未登记的患者进行家庭患者访谈来实现。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人患者的配额样本。最终，应用社会营销原理，调查结果将用于识别和测试可以改善弱势患者预防计划覆盖范围的变化。公共卫生相关性：肥胖在美国是一个严重的健康问题，少数族裔女性的肥胖率最高。该项目将有助于确定基于诊所的体重管理计划可以更好地帮助少数族裔妇女管理体重的方法。