A Multilevel Physical Activity Intervention for South Asian Women and Girls
针对南亚妇女和女孩的多层次体育活动干预
基本信息
- 批准号:10241911
- 负责人:
- 金额:$ 54.46万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2019
- 资助国家:美国
- 起止时间:2019-08-01 至 2024-07-31
- 项目状态:已结题
- 来源:
- 关键词:AcculturationAddressAdolescenceAffectAmericanAmerican Heart AssociationAsian IndianAsiansBehaviorBehavioralBeliefBlood PressureBody Weight decreasedCardiometabolic DiseaseChildChild HealthCommunicationCommunitiesConflict (Psychology)Control GroupsCounselingDaughterEducationEffectivenessEnvironmentEnvironmental Risk FactorEvaluationExerciseFamilyFathersFeelingFemale AdolescentsFoundationsGenderGenerationsGlycosylated hemoglobin AGrowthHealthHeterogeneityHigh PrevalenceHispanicsHypertensionImmigrantImmigrationIndiaIndividualInterventionLanguageLife Cycle StagesLinguisticsLipidsMaintenanceMediatingMediator of activation proteinMethodsMothersMotivationNeighborhoodsNon-Insulin-Dependent Diabetes MellitusNot Hispanic or LatinoPakistanPhysical activityPilot ProjectsPopulationPositioning AttributeProcessPublic HealthRandomizedResearch DesignResourcesRiskRisk FactorsRoleRunningSame-sexSelf EfficacyShapesSocial isolationSocial supportSouth AsianSpousesStrenuous ExerciseSystemThinnessTimeUnited StatesWaiting ListsWalkingWeightWomanWorkbasecardiometabolic riskcommunity based participatory researchcommunity organizationscontrol trialeffective interventioneffectiveness testingefficacy evaluationefficacy testingempoweredexercise interventionexpectationexperiencegirlshealth disparityhigh riskimprovedintervention effectmotivational enhancement therapypeerphysical inactivityphysical modelpsychosocialrole modelsecondary outcomesedentarysocial culturetheoriesvigorous intensitywaist circumference
项目摘要
Project Summary
Asian Indian and Pakistani (South Asian) immigrants have a high prevalence of physical inactivity and
cardiometabolic risk factors. South Asian (SA) women and girls are particularly at high risk due to a confluence
of immigration, culture, and gender which shape the health risk of SA women and girls across the life course.
Our community-based participatory research found that SA women (85% of whom were 1st generation
immigrants) experienced: a) social isolation and low social support, which reduced physical activity (PA)
motivation and self-efficacy; b) desire to maintain traditional values and norms, which conflicted with local PA
environments (e.g., mixed-gender exercise classes); and c) linguistic and environmental barriers. When SA
girls (majority 2nd generation) entered adolescence, they described: a) acculturation-related family conflict
because exercise was perceived as an “American behavior”; b) gender constraints; c) lack of role models; and
d) their community's shared illness belief that “if you are thin, you don't need to exercise.” Importantly, the
community also identified individual, interpersonal, and familial processes that empowered SA women and girls
to become more active, including holistic benefits of PA, aspirations for children's health, and feeling
connected and happy when exercising with other women and family. Building on a pilot study demonstrating
feasibility and preliminary efficacy, the proposed study aims to testing the efficacy and implementation of the
South Asians Active Together (SAATH) intervention. The 16-week intervention targets individual,
interpersonal, and family levels through four main components: 1) group exercise classes for mother-daughter
dyads; 2) dyadic mother-daughter PA counseling using motivational interviewing; 3) peer discussion groups,
and 3) family walking groups. The intervention also targets the environment level by working with park districts,
a public health department, and community organizations to make changes to the local environment that take
into account sociocultural (e.g., gender, family focus) and environmental (e.g., same sex classes) expectations
of SA. Aim 1 of the study is to determine the efficacy of the SAATH intervention to increase moderate-vigorous
PA in SA mother-daughter dyads using a randomized wait-list control study design. Secondary outcomes are:
walking and sedentary time in dyads and cardiometabolic risk factors in mothers. Aim 2 will evaluate the
impact of the intervention on individual (self-efficacy, autonomy support, social support, motivation) and dyadic
(acculturation conflict, communication, connectedness) factors hypothesized to mediate the intervention effect
on PA. Aim 3 is to evaluate implementation and sustainability of SAATH, including the environment and
systems changes made by cross-sector partners to promote and sustain PA in SA women and girls. Given the
growth of the SA population and their increased risk for cardiometabolic disease, identifying interventions that
increase PA among Asian Indian and Pakistani immigrant women is of significant public health import.
项目摘要
亚洲印第安人和巴基斯坦(南亚)移民的身体不活动率很高
心脏代谢危险因素。南亚(SA)妇女和女孩由于汇合而尤为高风险
在整个生活过程中塑造了SA妇女和女孩的健康风险的移民,文化和性别。
我们基于社区的参与研究发现,SA女性(其中85%是第一代
移民)经验丰富:a)社会隔离和较低的社会支持,减少了体育活动(PA)
动力和自我效能; b)渴望维持传统价值和规范,这些价值观和规范与当地的PA发生冲突
环境(例如,混合性别运动课); c)语言和环境障碍。当sa
她们(多数第二代)进入青少年,他们描述:a)与文化相关的家庭冲突
因为运动被认为是一种“美国行为”; b)性别限制; c)缺乏榜样;和
d)他们社区的共同疾病相信:“如果您瘦,就不需要运动。”重要的是,
社区还确定了赋予SA妇女和女孩权力的个人,人际关系和家庭过程
变得更加活跃,包括PA的整体好处,儿童健康的愿望和感觉
与其他妇女和家人锻炼时相互联系和快乐。在一项试验研究的基础上证明
拟议的研究旨在测试效率和实施,可行性和初步效率
南亚人一起活跃(ASATH)干预。 16周的干预针对个人
人际关系和家庭级别通过四个主要组成部分:1)母女的小组运动课
二元2)使用动机访谈的二聚体母女PA咨询; 3)同行讨论小组,
3)家庭步行小组。该干预措施还通过与公园区合作,针对环境水平
公共卫生部门和社区组织,以更改当地环境
考虑到社会文化(例如性别,家庭重点)和环境(例如,同性阶层)期望
SA。这项研究的目标1是确定AATH干预的效率,以增加现代刺激性
使用随机等待列表的控制研究设计中的SA母女二元组中的PA。次要结果是:
母亲的二元组和心脏代谢危险因素的步行和久坐时间。 AIM 2将评估
干预对个人的影响(自我效能,自主支持,社会支持,动机)和二元
(适应冲突,沟通,联系),假设介导干预效果的因素
在PA上。目的3是评估SATH的实施和可持续性,包括环境和
系统通过跨部门合作伙伴改变,以促进和维持SA妇女和女童的PA。鉴于
SA人群的增长及其增加心脏代谢疾病的风险增加,确定了干预措施
亚洲印第安人和巴基斯坦移民妇女的PA增加是重要的公共卫生进口。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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NAMRATHA R KANDULA其他文献
NAMRATHA R KANDULA的其他文献
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{{ truncateString('NAMRATHA R KANDULA', 18)}}的其他基金
Supplement for Community Translation of the South Asian Healthy Lifestyle Intervention (SAHELI)
南亚健康生活方式干预 (SAHELI) 社区翻译补充材料
- 批准号:
10588670 - 财政年份:2022
- 资助金额:
$ 54.46万 - 项目类别:
Mentoring in community engaged implementation research to reduce cardiovascular disparities
指导社区参与实施研究以减少心血管差异
- 批准号:
10877251 - 财政年份:2021
- 资助金额:
$ 54.46万 - 项目类别:
Mentoring in community engaged implementation research to reduce cardiovascular disparities
指导社区参与实施研究以减少心血管差异
- 批准号:
10671467 - 财政年份:2021
- 资助金额:
$ 54.46万 - 项目类别:
Mentoring in community engaged implementation research to reduce cardiovascular disparities
指导社区参与实施研究以减少心血管差异
- 批准号:
10455407 - 财政年份:2021
- 资助金额:
$ 54.46万 - 项目类别:
A Multilevel Physical Activity Intervention for South Asian Women and Girls
针对南亚妇女和女孩的多层次体育活动干预
- 批准号:
10458696 - 财政年份:2019
- 资助金额:
$ 54.46万 - 项目类别:
A Multilevel Physical Activity Intervention for South Asian Women and Girls
针对南亚妇女和女孩的多层次体育活动干预
- 批准号:
10675709 - 财政年份:2019
- 资助金额:
$ 54.46万 - 项目类别:
Administrative Supplement for A Multilevel Physical Activity Intervention for South Asian Women and Girls
南亚妇女和女童多层次体育活动干预行政补充
- 批准号:
10771843 - 财政年份:2019
- 资助金额:
$ 54.46万 - 项目类别:
Community Translation of the South Asian Healthy Lifestyle Intervention (SAHELI)
南亚健康生活方式干预(SAHELI)的社区翻译
- 批准号:
10221765 - 财政年份:2017
- 资助金额:
$ 54.46万 - 项目类别:
Community Translation of the South Asian Healthy Lifestyle Intervention (SAHELI)
南亚健康生活方式干预(SAHELI)的社区翻译
- 批准号:
9309493 - 财政年份:2017
- 资助金额:
$ 54.46万 - 项目类别:
Social and Cultural Influences on Cardiovascular Risk in South Asians
社会和文化对南亚人心血管风险的影响
- 批准号:
8605408 - 财政年份:2014
- 资助金额:
$ 54.46万 - 项目类别:
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