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不成比例的 可预防的心脏代谢性疾病。常规轻快步行是一个有效的措施 调节代谢过程和预防疾病。基于雇主的健康计划 是解决这个公共卫生问题的有前途的策略，因为它们会利用 工作场所环境以改善MVPA参与的机会，同时解决 与不活动有关的障碍。基于雇主的MVPA计划尚未广泛 在美墨边境进行了测试。我们计划进行群集的顺序倍数 分配随机试验（SMART）确定基于雇主的有效性 步行挑战干预措施 - 终身50,000（50k4life） - 改善轻快的步行 学区雇员的参与度（至少7,000步/天）。提议 干预策略基于Pi Salinas在EL中进行的步行干预措施 共同投资者的PASO和行为，环境和工作场所干预措施。试验 将包括30所随机选择的公立学校，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的干预策略 将分为两个阶段：1）50K4Life vs. 50K4Life + SMS文本消息传递和2）个人VS。 对初始干预阶段反应较低的校园的学校水平适应。我们 假设通过多级能力构建和基于改编的步行挑战 干预响应将导致遵守PA指南的依从性。这个拟议的社会 - 基于生态模型的研究通过西班牙裔服务机构（HSI）利用资源 来自德克萨斯州的专业知识以及来自雇主的工作场所干预措施的专业知识 佐治亚州（UGA）基于合作伙伴的累积工作，以解决PA和 提高墨西哥裔美国人人口的健康平等。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，以提供有关 成本和可扩展性。这项研究将提供有关优化实施的所需信息 基于证据的行为干预措施以改善墨西哥人的步行参与 居住在美墨边境地区的美国人。