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

德克萨斯州埃尔帕索的循证干预措施旨在提高步行参与度。

• 批准号: 10626491
• 负责人: Jennifer J. Salinas
• 金额: $ 2.64万
• 依托单位: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER AT 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 2023-09-16
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10626491
• 关键词: Achievement; Address; Adherence; Area; Behavior Therapy; Behavioral; Cardiometabolic Disease; Cost Effectiveness Analysis; County; Disease; Disparity; Dose; Economic Burden; Economics; Effectiveness; Employee; Evaluation; Evidence based intervention; Evidence based practice; Exhibits; Family; Goals; Guidelines; Health; Health Benefit; Health Sciences; Hispanic-serving Institution; Individual; Intervention; Knowledge; Life; Malignant Neoplasms; Measures; Metabolism; Mexican Americans; Mexico; Modeling; Monitor; Motivation; Not Hispanic or Latino; Occupations; Participant; Phase; Physical activity; Population; Prevention strategy; Primary Prevention; Productivity; Public Health; Random Allocation; Recommendation; Research; Research Personnel; Resources; Schools; Sequential Multiple Assignment Randomized Trial; Testing; Texas; Text Messaging; Time; United States; Universities; Walking; Wellness Program; Work; Workplace; adaptive intervention; cardiometabolism; compare effectiveness; cost; cost effectiveness; effectiveness evaluation; effectiveness testing; ethnic minority population; evidence base; health disparity; health equity; improved; innovation; insight; meetings; prevent; process evaluation; professional atmosphere; programs; response; satisfaction; school district; trial design; urban area; vigorous intensity; walking intervention

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 socio- ecological 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.

抽象的 居住在美墨边境地区的墨西哥裔美国人遭受的痛苦尤为严重 可预防的心脏代谢疾病。经常快走是一种有效的措施 调节代谢过程并预防疾病。基于雇主的健康计划 是解决这一公共卫生问题的有前景的策略，因为它们利用了 改善 MVPA 参与机会的工作环境，同时还解决 与不活动相关的障碍。基于雇主的 MVPA 计划尚未广泛普及 在美国和墨西哥边境进行了测试。我们计划进行集群连续多重 分配随机试验 (SMART) 以确定基于雇主的有效性 步行挑战干预 - 50,000 for Life (50K4Life) - 改善快走 学区员工的参与度（每天至少 7,000 步）。拟议的 干预策略基于 PI Salinas 在 El 进行的步行干预 Paso 以及联合调查人员的行为、环境和工作现场干预措施。审判 将包括 30 所随机选择的公立学校，学生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的干预策略 将分为两个阶段：1) 50K4Life 对比 50K4Life + SMS 短信，以及 2) 个人对比个人。 针对对初始干预阶段反应较低的校园进行学校层面的适应。我们 假设步行挑战基于多层次的能力建设和适应 干预反应将改善对 PA 指南的遵守。这项提议的社会 基于生态模型的研究通过西班牙裔服务机构 (HSI) 利用资源 来自德克萨斯州，拥有德克萨斯大学基于雇主的工作场所干预方面的专业知识 佐治亚州 (UGA) 基于合作伙伴为解决 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。这项研究将提供优化实施所需的信息 以证据为基础的行为干预措施，以提高墨西哥人的步行参与度 居住在美墨边境地区的美国人。