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.

项目摘要/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不成比例 导致美国健康差距扩大的疾病和状况，可以通过定期的 体力活动(PA)，但在美国人口中属于最不活跃的部分。相对较少的PA 计划的制定特别考虑到了他们的需求，大多数这些干预措施仍然存在 主要是在个人层面的影响，很少有这样的干预措施充分利用公认的 建筑和社会环境因素对增加和维持每日PA的影响。目标： 此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 通过利用居民本身作为本地数据收集者和解决方案的能力进行干预 推动社区环境变化的发电机。拟议的分组随机试验的主要目的是 系统地比较由业馀顾问提供的人员级别的持续(两年)多层次影响 已证明有效和可翻译的PA干预(每天积极生活)[单独领导手臂]， 与ALED计划相比，结合了一种名为Our Voice的新型邻居级干预 [ALED+我们的声音臂]。我们的声音计划教居民使用简单的移动应用程序来 单独和集体地确定社区日常活动的障碍。然后，他们将此信息传达给 当地利益相关者和决策者，以促进潜在可持续的邻里层面 改进对常规PA的支持。设计：我们建议随机抽选16幅公共房屋用地，提供以下服务： 收入、不同种族的中年人和老年人与ALED+Our Voice(n=265人/人 ARM；总计=530)。我们假设，通过加速度计测量的2年ALED+我们的语音参与者PA将 比单独的ALED更高。我们还将评估这两个项目对邻里关系的两年影响- 使用标准化的PA观察工具(SOPARC-PATH表)测量PA级。其他感兴趣的问题 包括中间测量时间点的PA变化水平；在 与一组假定的多级别调解人的关系；以及探讨#年两种干预措施的相对成本 与PA变化的关系。我们还将探索，在两个方面，正在进行的参与者与当地 利益相关者(即当地组织、媒体)，能够为持续的社会和建筑环境奠定基础 超出项目期的变更。影响：如果支持我们承诺的初步证据 语音社区参与计划得到确认，它将提供一种扩大影响和 个人层面的PA干预超越参与者本身，延伸到邻里环境。这个可以， 反过来，提供一种可扩展的方式，在更广泛的收入群体中进行潜在的可持续PA推广 与美国健康差距的相关性。

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.