Citizen Science to Promote Sustained Physical Activity in Low-Income Communities

公民科学促进低收入社区持续体育活动

• 批准号: 10083192
• 负责人: ABBY C KING
• 金额: $ 56.64万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-01-01 至 2021-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10083192
• 关键词: Accelerometer; Address; Affect; Age; Aging; Behavioral; Body mass index; Cardiovascular Diseases; Chronic Disease; Cities; Colorectal Cancer; Communication; Communities; Data; Elderly; Environment; Environment Design; Environmental Risk Factor; Feasibility Studies; Fostering; Geography; Health; Housing; Income; Individual; Intervention; Latino; Law Enforcement; Learning; Locales; Low income; Measures; Mediator of activation protein; Methods; Mind; Neighborhoods; Non-Insulin-Dependent Diabetes Mellitus; Nonprofit Organizations; Osteoporosis; Outcome; Participant; Persons; Physical activity; Pilot Projects; Population; Public Health; Public Housing; Randomized; Recreation; Research; Resources; Running; Safety; Site; Social Environment; Standardization; System; Testing; Time; Trainers Training; Training; Voice; Walking; active lifestyle; arm; built environment; citizen science; cohesion; community engagement; community organizations; design; environmental change; ethnic diversity; evidence base; exercise intervention; health disparity; interest; intervention effect; malignant breast neoplasm; middle age; mobile application; moderate-to-vigorous physical activity; novel; programs; randomized trial; relative cost; response; skills; social; social factors; socioeconomics; temporal measurement; tool; vigorous intensity

Project Summary/Abstract Background: Low-income midlife and older adults are disproportionately impacted by a range of chronic diseases and conditions that contribute to widening US health disparities and can be alleviated by regular physical activity (PA), yet are among the most inactive segments of the US population. Relatively few PA programs have been developed specifically with their needs in mind, most of these interventions remain primarily at the individual level of impact, and few such interventions take full advantage of the recognized impacts that built and social environmental factors have for increasing and sustaining daily PA. Objective: The major objective of this application is to enhance the potential scalability and sustainability of person-level PA interventions by leveraging the capacity of residents themselves as local data gatherers and solution generators for neighborhood environmental change. The primary aim of the proposed group-randomized trial is to systematically compare the sustained (two-year) multi-level impacts of a lay advisor-delivered, person-level PA intervention that has demonstrated efficacy and translatability (Active Living Every Day) [ALED Alone arm], versus the ALED program in combination with a novel neighborhood-level intervention, called Our Voice [ALED+Our Voice arm]. The Our Voice program teaches residents to use a simple mobile application to individually and collectively identify neighborhood barriers to daily PA. They then convey this information to local stakeholders and decision-makers in ways that can facilitate potentially sustainable neighborhood-level improvements in support of regular PA. Design: We propose to randomize 16 public housing sites serving low- income, ethnically diverse midlife and older adults to ALED Alone vs. ALED+Our Voice (n=265 participants per arm; total=530). We hypothesize that 2-year ALED+Our Voice participant PA, measured via accelerometry, will be higher than in ALED Alone. We also will evaluate the 2-year impacts of the two programs on neighborhood- level PA using a standardized PA observation tool (SOPARC-path form). Additional questions of interest include levels of PA change at intermediate measurement time points; exploration of intervention effects in relation to a set of putative multi-level mediators; and exploration of the relative costs of the two interventions in relation to PA changes. We will also explore, in both arms, ongoing participant communication with local stakeholders (i.e., local organizations, media) that can set the stage for continued social and built environment changes beyond the project period. IMPACT: If the preliminary evidence supporting the promise of the Our Voice community engagement program is confirmed, it will provide a means for expanding the impacts and reach of person-level PA interventions beyond participants themselves to the neighborhood setting. This can, in turn, provide a scalable means for potentially sustainable PA promotion across broader income groups of relevance to US health disparities.

项目概要/摘要 背景：低收入中年人和老年人受到一系列慢性疾病的影响尤为严重 导致美国健康差距扩大的疾病和病症，可以通过定期治疗来缓解 体力活动（PA），但属于美国人口中最不活跃的群体之一。 PA 相对较少 计划是专门根据他们的需求制定的，其中大部分干预措施仍然存在 主要是在个人层面上产生影响，很少有此类干预措施充分利用了公认的 建筑和社会环境因素对增加和维持每日 PA 的影响。目标： 该应用程序的主要目标是增强人员级 PA 的潜在可扩展性和可持续性 利用居民本身作为当地数据收集者和解决方案的能力进行干预 邻里环境变化的发电机。拟议的分组随机试验的主要目的是 系统地比较非专业顾问提供的个人层面的持续（两年）多层面影响 PA 干预已证明有效且可转化（每天积极生活）[ALED 单独手臂]， 与 ALED 计划与新颖的社区级干预措施（称为“我们的声音”）相结合的比较 [ALED+我们的语音手臂]。我们的声音计划教居民使用简单的移动应用程序 单独和集体确定社区日常公共活动的障碍。然后他们将此信息传达给 当地利益相关者和决策者以能够促进社区层面潜在可持续发展的方式 改进对常规 PA 的支持。设计：我们建议随机分配 16 个服务于低收入群体的公共住房用地 收入、种族多样化的中年和老年人对 ALED Alone 与 ALED+Our Voice 的对比（n=265 名参与者 手臂;总数=530）。我们假设通过加速度测量法测量的 2 年 ALED+Our Voice 参与者 PA 将 高于 ALED 单独使用。我们还将评估这两个计划对社区的两年影响—— 使用标准化 PA 观察工具（SOPARC 路径形式）来级别 PA。其他感兴趣的问题 包括中间测量时间点的 PA 变化水平；干预效果探索 与一组假定的多级中介的关系；并探讨两种干预措施的相对成本 与 PA 变化的关系。我们还将探索与当地参与者持续的沟通 利益相关者（即当地组织、媒体）可以为持续的社会和建筑环境奠定基础 超出项目期限的变更。影响：如果初步证据支持我们的承诺 语音社区参与计划已得到确认，它将提供扩大影响力和影响力的手段 个人层面的公共活动干预的范围超出了参与者本身，延伸到了社区环境。这可以， 反过来，为更广泛的收入群体中潜在可持续的 PA 推广提供可扩展的方法 与美国健康差异的相关性。

项目成果

Solution-based science to prevent and control diabetes in underserved communities around the world (commentary, for Diabetes special section).

基于解决方案的科学，用于在世界各地服务不足的社区预防和控制糖尿病（评论，针对糖尿病特别部分）。

• DOI: 10.1093/tbm/ibz196
• 发表时间: 2020
• 期刊: Translational behavioral medicine
• 影响因子: 3.6
• 作者: King,AbbyC

The Role of Citizen Science in Promoting Health Equity.

• DOI: 10.1146/annurev-publhealth-090419-102856
• 发表时间: 2022-04-05
• 期刊: ANNUAL REVIEW OF PUBLIC HEALTH
• 影响因子: 20.8
• 作者: Rosas, Lisa G.;Espinosa, Patricia Rodriguez;Jimenez, Felipe Montes;King, Abby C.
• 通讯作者: King, Abby C.