Linking Churches with Parks to Increase Physical Activity Among Latinos

项目概要 参加定期的体育活动 (PA) 有助于带来积极的健康成果，包括长寿、改善健康状况 生活质量，降低心血管疾病、糖尿病、抑郁症、某些癌症的发病率， 肥胖；然而，只有少数美国成年人符合中度至剧烈 PA 的最低准则 （MVPA），拉丁裔比白人更不可能报告符合准则。公园包括当地 可用于社区 PA 的基础设施，但往往未得到充分利用，特别是在低收入地区 社区。低收入和少数族裔社区的公园往往较少提供公共广播节目，尤其是 针对成年人、较高的犯罪率以及影响公园使用的其他因素。需要采取干预措施 解决社区关注的问题，以建筑环境为目标，并“激活”公园的使用。教会是可信的， 在拉丁裔社区中具有重要影响力且具有提供社会服务历史的稳定实体 以及与健康和福祉相关的宣传。我们的研究发现，以教会为基础的干预措施可以 对各种健康问题和教会类型都有效。我们建议结合多种方法 来自我们团队之前与教堂和公园的广泛合作，进行了整群随机对照试验 将拉丁裔天主教堂 (n=12) 与其当地公园联系起来以增加 PA 的多层次干预措施 洛杉矶的拉丁裔教区居民 (n=1500)。具体目标是： (1) 检验 基于教会的多层次干预措施，将天主教教区与拉丁裔教区居民公共广播上的当地公园连接起来 和健康相关的结果（对教区居民的 MVPA 和自我报告的 PA、心率/健身、腰围的影响） 周长、腰臀比、身体脂肪、心理健康和对 PA 的社会支持感知）； (2) 探索 干预效果的性别差异； (3) 评估相关因素 未来传播的干预实施（促进因素、障碍、保真度和复制成本）。我们的 该方法针对多个层面，通过公园健身课程促进健康增强 PA 运动机能学学生、同伴领袖带领的步行小组、公园教堂活动和教堂 PA 支持 活动。它将教会庞大的社交网络、道德权威和影响力与公园的结构和 组织能力和运动学学生实习生的专业知识。干预措施利用 部门内部和跨部门的创新伙伴关系——基于信仰、当地公园/市政府和当地 大学。我们的跨部门协作方法使我们的干预措施具有可扩展性和可持续性 世界环境并结合多个层面（个人、教会和社区）的行动。致我们的 知识，这将是第一项研究，以检验综合教堂和公园的有效性 对拉丁裔的 PA 进行干预，它将为低收入群体提供可持续的 PA 规划模式 社区。如果干预措施被证明有效，则通过这种伙伴关系提高社区能力 将为在美国乃至全国最大的教区扩大规模奠定基础。

Project Summary Engaging in regular physical activity (PA) contributes to positive health outcomes, including longevity, better quality of life, and reduced incidence of cardiovascular diseases, diabetes, depression, certain cancers, and obesity; however, only a minority of U.S. adults meet the minimum guidelines for moderate to vigorous PA (MVPA), and Latinos are less likely than whites to report meeting the guidelines. Public parks comprise local infrastructure that can be leveraged for community PA, but tend to be underutilized, particularly in low-income communities. Parks in low-income and minority communities tend to have less PA programming, especially targeting adults, and higher crime and other factors that affect park use. There is a need for interventions that address community concerns, target the built environment, and “activate” park use. Churches are credible, stable entities that have significant reach within Latino communities and a history of social service provision and advocacy related to health and well-being. Our research has found that church-based interventions can be effective across a wide range of health issues and types of churches. We propose to combine approaches from our team's extensive prior work with churches and parks to conduct a cluster randomized controlled trial of a multi-level intervention that links Latino Catholic churches (n=12) with their local parks to increase PA among Latino parishioners (n=1500) in Los Angeles. The specific aims are to: (1) Examine the impact of a multi-level church-based intervention that links Catholic parishes to their local parks on Latino parishioners' PA and health-related outcomes (effects on parishioners' MVPA and self-reported PA, heart rate/fitness, waist circumference, waist to hip ratio, body fat, mental health, and perceived social support for PA); (2) Explore differences in the effectiveness of the intervention by gender; and (3) Evaluate factors associated with intervention implementation (facilitators, barriers, fidelity, and replication costs) for future dissemination. Our approach targets multiple levels to promote health-enhancing PA through park-based fitness classes led by kinesiology students, peer leader-led walking groups, park-based church events, and church-based PA support activities. It integrates churches' vast social networks, moral authority, and influence with parks' structural and organizational capacity and kinesiology student interns' professional expertise. The intervention makes use of innovative partnerships within and across sectors – faith-based, local parks/city government, and local universities. Our inter-sectoral, collaborative approach makes our intervention scalable and sustainable in real- world settings and incorporates action at multiple levels (individuals, churches, and neighborhoods). To our knowledge, this will be the first study to examine the effectiveness of an integrated church and park-based intervention on Latinos' PA, and it will provide a sustainable model of PA programming in low-income communities. If the intervention proves effective, the increased community capacity through this partnership will lay the groundwork for scale-up across the largest diocese in the U.S. and, potentially, the nation.