Evidence-based intervention to improve walking engagement in El Paso, Texas

提高德克萨斯州埃尔帕索步行参与度的循证干预措施

• 批准号: 10990420
• 负责人: Jennifer J. Salinas
• 金额: $ 95.09万
• 依托单位: UNIVERSITY OF TEXAS EL PASO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-15 至 2028-03-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10990420
• 关键词: Evidence; based; intervention; improve; walking

ABSTRACT Mexican Americans who live in the U.S.-Mexico border region suffer disproportionately from preventable cardiometabolic diseases. Regular brisk walking is an effective measure in regulating metabolic processes and preventing disease. Employer-based wellness programs are promising strategies to address this public health problem because they take advantage of workplace environments to improve opportunities for MVPA engagement while also addressing barriers associated with inactivity. Employer-based MVPA programs have not been widely tested on the U.S.-Mexico border. We plan to conduct a clustered Sequential Multiple Assignment Randomized Trial (SMART) to determine the effectiveness of an employer-based walking challenge intervention- 50,000 for Life (50K4Life)- in improving brisk walking engagement (at least 7,000 steps/day) among school district employees. The proposed intervention strategies are based on the walking interventions conducted by PI Salinas in El Paso and behavioral, environmental and worksite interventions by the Co-Investigators. The trial will include 30 randomly selected public schools with predominantly Mexican American employees from El Paso County area school districts. The intervention strategies in 50K4Life will be in two phases: 1) 50K4Life vs. 50K4Life + SMS text messaging and 2) Individual vs. School level adaptation for campuses with a low response to the initial intervention phase. We hypothesize that walking challenges with multilevel capacity building and adaptations based on intervention response will lead to improved adherence to PA guidelines. This proposed socioecological model-based study leverages resources through Hispanic Serving Institutions (HSI) from Texas and expertise in employer-based workplace interventions from the University of Georgia (UGA) based on the partner’s accumulative work to address the disparity in PA and advance health equity in the Mexican American population. As part of our intervention evaluation, we will conduct a process evaluation and cost-effectiveness to provide insight into cost and scalability. This study will provide needed information on optimizing the implementation of evidence-based behavioral interventions to improve walking engagement among Mexican Americans living in the U.S.-Mexico border region.

摘要 居住在美墨边境地区的墨西哥裔美国人患有不成比例的 可预防的心脏代谢疾病。经常快步走是一种有效的措施。 调节代谢过程，预防疾病。雇主为基础的健康计划 是解决这一公共卫生问题的有希望的战略，因为他们利用 工作场所环境，以改善MVPA参与机会，同时解决 与不活动相关的障碍。以雇主为基础的MVPA计划尚未得到广泛应用 在美墨边境进行了测试。我们计划进行群集化顺序倍数 分配随机试验(SMART)以确定以雇主为基础的有效性 步行挑战干预-50000终身(50K4Life)-改善快步行走 学区员工的参与度(每天至少7,000步)。建议数 干预策略基于Pi Salinas在El进行的步行干预 共同调查员的行动、环境和工地干预。这场审判 将包括随机选择的30所公立学校，主要是墨西哥裔美国人 来自埃尔帕索县地区学区的员工。《50K4Life》中的干预策略 将分为两个阶段：1)50K4Life与50K4Life+短信和2)个人与 对最初干预阶段反应较低的校园的学校层面的适应。我们 假设步行具有多层次的能力建设和适应挑战，基于 干预反应将改善对PA指南的遵守。这项建议 基于社会生态学模型的研究通过拉美裔服务机构利用资源 (HSI)和该大学以雇主为基础的工作场所干预方面的专业知识 佐治亚州(UGA)根据合作伙伴为解决PA和 促进墨西哥裔美国人的健康公平。作为我们干预的一部分 评估，我们将进行流程评估和成本效益，以提供洞察 成本和可扩展性。这项研究将为优化执行情况提供必要的信息 改善墨西哥人步行参与度的循证行为干预 生活在美墨边境地区的美国人。