Promoting Physical Activity in Latinas via Interactive Web-based Technology

身体活动等健康行为在慢性病的预防和管理中很重要 包括癌症。然而，某些弱势群体，如拉丁裔妇女，不太可能参与 在这些预防行为中，这可能会导致健康结果的差异。门多萨-瓦斯科内斯博士的目标是 成为一名独立的研究者和行为科学家，从事有影响力的行为健康 有助于解决健康差距的推广研究。拟议的多样性补充，通过 有指导的培训，将使她进一步发展必要的技能，以实现她的职业目标。活动繁多 建议实现四个培训目标：1)获得与传播和传播有关的知识和技能 实施研究；2)提炼科学写作和资助写作技能；3)磨练领导力和 管理技能；以及4)继续发展网络技能。此应用程序的研究组件 还将为职业发展提供机会，并将扩展家长学习的目标(重点是 对加强型Pasos Hacia La Salud(Pasos)体力活动干预效果的测试，比较 到最初的干预，在受控环境中的拉丁裔中)。拟议的研究将使用D&I 调整和评估帕索斯干预措施的可行性、可接受性和有效性的方法 《真实世界》的背景：一个主要为拉丁裔服务的联邦合格健康中心(FQHC)。在协作中 与社区和诊所的利益相关者，并使用实用、可靠的实施和可持续发展模式 (棱镜)和‘功能和形式’的概念，帕索斯干预将按照以下步骤进行调整 通常用于D&I研究。将使用定量和定性数据来评估可行性和 适应性干预的可接受性。此外，为了评估改编后的Pasos的有效性 在这一新背景下的干预(即，在FQHC中的拉丁裔患者中)，一小部分(N=40)帕索斯 干预参与者将从本网站招募，并被分配使用经过调整的干预措施 POST，单臂开放标签研究设计，为期6个月。拟议的研究将绕过挑战 通过使用低接触、基于网络的PA干预来促进PA在医疗环境中的推广，该干预可以补充 卫生专业人员的建议在不增加负担的情况下发挥的作用已经使医疗体系负担过重。最终， 这项研究将为未来有效的低接触PA的实施和推广提供证据 在FQHC对拉丁裔人进行干预，这可能会在人口层面产生影响，并有助于与健康作斗争 差距。总体而言，拟议的职业发展计划和研究经验将使门多萨博士- Vasconez希望从事行为健康领域富有成效的独立研究人员的职业生涯。Dr。 门多萨-瓦斯科内斯将在布朗大学无与伦比的研究和学术环境中工作， 她将得到一支非常合格的导师团队的帮助，他们拥有广泛的研究和指导 专家，包括贝丝·马库斯博士(主要导师)、博西卡·拉宾博士和莎拉·林克博士。

Health behaviors such as physical activity are important in the prevention and management of chronic diseases including cancer. Nevertheless, certain vulnerable populations such as Latina women are less likely to engage in these preventive behaviors, which may lead to disparities in health outcomes. Dr. Mendoza-Vasconez aims to become an independent investigator and behavioral scientist engaging in impactful behavioral health promotion research that can help to address health disparities. The proposed diversity supplement, through mentored training, will allow her to further develop necessary skills to attain her career goals. Numerous activities are proposed to achieve four training goals: 1) acquiring knowledge and skills related to dissemination and implementation research; 2) refining scientific writing and grant writing skills; 3) honing leadership and management skills; and 4) continuing to develop networking skills. The research component of this application will also provide opportunities for career development and will extend the aims of the parent study (which focuses on testing the efficacy of the enhanced Pasos Hacia La Salud (Pasos) physical activity intervention, compared to the original intervention, among Latinas in a controlled environment). The proposed research will use D&I approaches to adapt and evaluate the feasibility, acceptability, and effectiveness of the Pasos intervention in a "real world" setting: a predominately Latino-serving Federally Qualified Health Center (FQHC). In collaboration with community and clinic stake holders and using the Practical, Robust Implementation and Sustainability Model (PRISM) and the concept of 'function and form', the Pasos intervention will be adapted following steps that are commonly used in D&I research. Quantitative and qualitative data will be used to evaluate the feasibility and acceptability of the adapted intervention. Additionally, to evaluate the effectiveness of the adapted Pasos intervention in this new context (i.e., among Latina patients in an FQHC), a small subsample (N=40) of Pasos intervention participants will be recruited from this site and assigned to use the adapted intervention in a pre- post, one-arm open label study design over a 6-month period. The proposed research will circumvent challenges to PA promotion in healthcare settings by using a low-contact, web-based PA intervention that could supplement the role of health professionals' advice without over-burdening already overtaxed healthcare systems. Ultimately, this research will provide evidence for future implementation and dissemination of an efficacious low-contact PA intervention for Latinas at FQHCs, which could have a population-level impact and help to combat health disparities. Overall, the proposed career development plan and research experience will equip Dr. Mendoza- Vasconez to pursue a career as a productive independent researcher in the field of behavioral health. Dr. Mendoza-Vasconez will be working in an unparalleled research and academic environment at Brown University, and she will be aided by an extremely qualified team of mentors with extensive research and mentorship expertise, including Dr. Bess Marcus (primary mentor), Dr. Borsika Rabin, and Dr Sarah Linke.