Corazón de la Familia (Heart of the Family)

摘要 拉美裔美国人患2型糖尿病(T2D)和心血管疾病(CVD)的风险明显更高 与非西班牙裔白人相比，这是一种负担。2型糖尿病和心血管疾病的发病率急剧上升 美国拉美裔美国人的疾病预计会随着人口老龄化和文化适应而增加 不健康的行为。有效的风险需要文化上合适的生活方式改变策略 还原。大多数改变生活方式的策略都侧重于个人和持续参与 健康的行为很少实现。尊重西班牙裔家庭主义的文化价值，优先考虑 家庭幸福重于个人幸福，我们建议进行以家庭为重点的二元干预 将家庭成员作为积极参与者，对患癌症风险较高的西班牙裔美国人进行生活方式干预 T2D或CVD。“Corazón de la Familia”(“家庭之心”)是一项宣传活动--(社区卫生工作者) 促进干预，将循证教育和健康行为技能发展与 通过家庭成员的参与制定社会支持战略。我们将进行随机对照 使用两组设计进行试验，比较以家庭为中心的短期和长期影响 对生物和行为T2D和CVD风险的以个体为中心的控制条件的积极干预 各种因素。此外，我们将确定每个积极干预的二元成员如何参与健康 生活方式行为和对伴侣参与健康生活方式行为的支持程度影响他们的 自己和他们的伴侣的结果。在以社区为本的参与式研究原则指导下，我们的 社区-学术合作伙伴关系的形成是为了回应西班牙裔居民认可的需求 肯塔基州根据社会文化定制的健康促进计划，以降低T2D和心血管疾病的风险。西语裔 社区合作伙伴全面参与了社会文化定制和试点测试的所有阶段 Corazón de la Familia干预。我们的社区-学术合作伙伴关系的工作成果是一个家庭 以DYAD为重点的干预，提供了一种独特的方法来维持健康生活方式 降低高危拉美裔T2D和CVD风险的行为。此外，这种以社区为基础的干预 具有广泛实施的巨大潜力，以成功解决T2D和CVD健康差距 在美国的拉美裔社区。

ABSTRACT Hispanics have significantly higher rates of type 2 diabetes (T2D) and cardiovascular disease (CVD) risk burden compared to non-Hispanic whites. Dramatic increases in rates of type 2 diabetes and cardiovascular disease in U.S. Hispanics are anticipated as the population ages and acculturation lends to engagement in unhealthy behaviors. Culturally appropriate lifestyle modification strategies are needed for effective risk reduction. Most lifestyle modification strategies have focused on individuals and sustained engagement in healthy behaviors is seldom achieved. Respectful of the Hispanic cultural value of familismo, prioritizing of the well-being of the family over that of the individual, we propose to conduct a family dyad-focused intervention that addresses family members as active participants in a lifestyle intervention for Hispanics with high risk for T2D or CVD. “Corazón de la Familia” (“Heart of the Family”) is a promotores’- (community health workers’) facilitated intervention that integrates evidence-based education and health behavior skills development with social support strategies through the involvement of family members. We will conduct a randomized controlled trial using a 2-group design and compare the short-term and long-term impact of the family dyad-focused active intervention to an individual-focused control condition on biological and behavioral T2D and CVD risk factors. Furthermore, we will determine how each active intervention dyad member’s engagement in healthy lifestyle behaviors and level of support for their partner’s engagement in healthy lifestyle behaviors affects their own and their partner’s outcomes. Guided by community-based participatory research principles, our community-academic partnership was formed in response to needs recognized by Hispanic residents of Kentucky for socioculturally tailored health promotion programs to reduce T2D and CVD risk. Hispanic community partners have been integrally involved in all phases of sociocultural tailoring and pilot testing the Corazón de la Familia intervention. The result of the work of our community-academic partnership is a family dyad-focused intervention that provides a unique approach to sustain engagement in healthy lifestyle behaviors to reduce T2D and CVD risk among at-risk Hispanics. Further, this community-based intervention has significant potential for broad implementation to successfully address T2D and CVD health disparities across U.S. Hispanic communities.