A novel sugar-sweetened beverage reduction intervention for Native American men

针对美国原住民男性的新型含糖饮料减少干预措施

• 批准号: 10264122
• 负责人: Rodney C Haring
• 金额: $ 19.53万
• 依托单位: ROSWELL PARK CANCER INSTITUTE CORP
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-09-15 至 2024-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10264122
• 关键词: Address; Adult; Assimilations; Behavior; Behavior Therapy; Body Weight; Calories; Colonialism; Communities; Consumption; Data; Dental caries; Diabetes Mellitus; Dietary Intervention; Dietary intake; Disease; Education; Employment; Energy Intake; Evaluation; Evidence based intervention; Female; Focus Groups; Food; Genocides; Goals; Health; Health behavior; Heart Diseases; Hypertension; Indigenous; Intake; Intervention; Interview; Lacrosse; Life; Link; Maintenance; Malignant Neoplasms; Native American Ancestry; Native Americans; Native-Born; New York; Obesity; Obesity associated cancer; Outcome; Personal Satisfaction; Phase; Planet Earth; Plant Roots; Population; Precede-Proceed Model; Process; Psychosocial Factor; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Research; Reservations; Risk Factors; Role; Rural; Source; Sports; Testing; Time; Trauma; United States; Ursidae Family; alternative treatment; base; community based participatory research; design; dietary; evidence base; federal policy; follow-up; healing; health inequalities; informant; intergenerational; member; men; novel; programs; resilience; secondary outcome; social health determinants; sugar; sweetened beverage; tribal Nation; tribal leader

Project Summary In the United States, sugar-sweetened beverages (SSB) is the largest single food source of calories. The intake of SSB is disproportionately high among Native Americans (NA). There are strong and consistent data documenting relationships among high SSB consumption and numerous health issues (e.g. obesity, diabetes, cancers, heart disease); NA bear a disproportionate burden of all of these health issues, particularly NA men. NA health must be considered within a broader historical context of colonialism that has contributed to the existing social determinants of health landscape in which NAs live. Incorporating this historical context is critical to meaningfully address health inequities within NA populations. Yet few studies have integrated NA values with social determinants of health, historical context, and dietary change using a tribally-guided, culturally-appropriate approach. We will target the major dietary risk factor of SSB, in addition to noticeable gaps in understanding the role of colonialism in NA health behavior inequities. Developed and tested by this research team, SIPsmartER is an SSB intervention that reduced SSB intake by 227kcal (-326,-127) per day in a rural, predominately White and female population from baseline to 6 months. We propose to adapt and integrate SIPsmartER within the traditional NA activity of lacrosse through a theoretical framework that connects NA historical context with health inequities to create SIPsmartER Lacrosse. Among NA, lacrosse is an ancestral activity associated with well-being. Our tribal leaders have asked for a dietary intervention that would target multiple health conditions while acknowledging social determinants of health. These leaders suggested building on the game of lacrosse, as this activity engages NA men regularly. We will adapt SIPsmartER into SIPsmartER Lacrosse. We will develop a theoretical framework that links the historical consequences of colonialism with current inequities in NA health outcomes, including SSB intake. We will then use a cluster RCT that targets 60 men nested within six lacrosse teams from two rural reservations/territories from the Seneca Nation of Indians. The overall goal is to the examine the preliminary efficacy of SIPsmartER Lacrosse in a 2 group (SIPsmartER Lacrosse vs. alternative treatment control) by 3 assessment (Baseline, 6-month, 18-month) design. Specific Aim 1: Create an evidence-based culturally appropriate SSB intervention for NA men that integrates their unique historical context in adapting SIPsmartER to SIPsmartER Lacrosse. Specific Aim 2: Implement and determine the initial efficacy of SIPsmartER Lacrosse to reduce SSB consumption.

项目摘要 在美国，糖粉饮料（SSB）是最大的卡路里食物来源。 在美洲原住民（NA）中，SSB的摄入量不成比例。有强大而一致的 数据记录高SSB消费和许多健康问题之间的关系（例如肥胖症， 糖尿病，癌症，心脏病）； NA承担着所有这些健康问题的负担，特别是 NA男子。 必须在更广泛的殖民主义历史背景下考虑NA健康，这有助于 NAS居住的现有社会决定因素。结合这种历史背景是 有意义地解决NA人群中的健康不平等至关重要。但是很少有研究整合了NA 具有社会决定因素的健康，历史背景和饮食变化的价值观，使用部落引导， 具有文化的方法。 除了理解明显的差距外，我们还将针对SSB的主要饮食危险因素 殖民主义在NA健康行为不平等中的作用。 Sipsmarter由该研究团队开发和测试 是SSB干预措施，将SSB摄入量减少227kcal（-326，-127），在农村地区，主要是白色 从基线到6个月的女性人口。我们建议适应和整合sipsmarter 曲棍网兜球的传统NA活动通过将NA历史背景联系起来的理论框架 健康的不平等，以创造sipsmarter曲棍球。在Na中，曲棍网兜球是与 福利。我们的部落领导人要求进行饮食干预，以针对多种健康状况 同时承认健康的社会决定因素。这些领导人建议在曲棍网兜球的比赛中建立建立 随着这项活动定期吸引NA男子。 我们将适应sipsmarter中的sipsmarter曲棍网兜球。我们将开发一个理论框架 将殖民主义的历史后果与NA健康结果中的当前不平等联系起来，包括SSB 进气。然后，我们将使用一个群集RCT，该群集针对60名筑巢的男子，该男子来自两个农村的六个曲棍球队 塞内卡国家印第安人的保留/领土。总体目标是检查初步 sipsmarter曲棍球在2组中的功效（sipsmarter lacrosse vs.替代治疗控制）通过3 评估（基线，6个月，18个月）设计。特定目的1：在文化上创建基于证据的循证 适合NA男人的SSB干预，将其独特的历史背景整合到适应Sipsmarter sipsmarter曲棍球。特定目标2：实施并确定SIPSMARTER的初始功效 曲棍球减少SSB消耗。