COMMUNITY-BASED PARTICIPATORY RESEARCH

基于社区的参与式研究

• 批准号: 7960339
• 负责人: DEREK DAVID SMITH
• 金额: $ 32.08万
• 依托单位: UNIVERSITY OF WYOMING
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-07-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7960339
• 关键词: Adolescent Risk Behavior; Adult; American Indians; Behavior Therapy; Behavioral; Biomedical Research; Body mass index; Caucasians; Caucasoid Race; Communities; Computer Retrieval of Information on Scientific Projects Database; Development; Effectiveness; Funding; Goals; Grant; Institution; Internet; Intervention; Modification; Obesity; Online Systems; Outcome; Overweight; Physical activity; Population; Randomized Controlled Trials; Relapse; Research; Research Personnel; Resources; Risk; Risk Factors; Rural; Rural Community; Schools; Source; Surveys; Time; United States National Institutes of Health; Weaning; Wyoming; base; behavior change; community based participatory research; disorder risk; efficacy testing; evidence base; middle age; post intervention; programs; psychosocial; theories; tool

This subproject is one of many research subprojects utilizing the resources provided by a Center grant funded by NIH/NCRR. The subproject and investigator (PI) may have received primary funding from another NIH source, and thus could be represented in other CRISP entries. The institution listed is for the Center, which is not necessarily the institution for the investigator. Since 2005 the long-term goals have been two-fold: 1) to positively influence the development of and risk for overweight/obesity through increased participation in physical activity (PA) in American Indian and rural schoolchildren using a school community-based participatory research approach (CBPR); and 2) to evaluate the effectiveness of an internet-delivered PA behavior modification program on PA levels, cardiometabolic disease risk factors, and psychosocial/behavioral variables in middle-aged overweight/obese adults residing in rural communities. Goal 1  A CBPR approach was used to build and implement a web-based PA tracking tool (pedometer or time) in an American Indian school district. Select Youth Risk Behavior Survey items and body mass index were evaluated longitudinally (web-based tracking tool; 2006-2008) in conjunction with implementation and development (on-going) of a culture/population specific school-based PA intervention. The school-based intervention and web-based tool were implemented and are currently being evaluated in a second larger rural (predominantly Caucasian) school community using a CBPR approach. Goal 2  PA and cardiometabolic disease risk factor efficacy testing (randomized control trial; RCT) of a commercially available, internet-delivered, theory-based, physical activity behavior change program were completed. Findings demonstrated strong short-term outcomes for PA levels and central adiposity in overweight/obese adults but significant PA relapse occurred at one-year. Evidence-based revisions were made to the PA behavior change program to include: 1) enhanced internet interactivity and engaging content; and 2) tapered post-intervention weaning from the active intervention. A RCT testing the efficacy of these recently implemented evidence-based modifications to the internet-delivered PA intervention is nearly complete (April 2009).

这个子项目是许多研究子项目中的一个 由NIH/NCRR资助的中心赠款提供的资源。子项目和 研究者（PI）可能从另一个NIH来源获得了主要资金， 因此可在其他CRISP条目中表示。所列机构为 研究中心，而研究中心不一定是研究者所在的机构。 自2005年以来，长期目标有两个方面：1）通过使用基于学校社区的参与性研究方法（CBPR），增加美国印第安人和农村学龄儿童参与体育活动（PA），对超重/肥胖的发展和风险产生积极影响;和2）评估互联网提供的PA行为矫正计划对PA水平，心脏代谢疾病风险因素，和心理社会/行为变量在中年超重/肥胖的成年人居住在农村社区。 目标1  CBPR方法被用来建立和实施一个基于网络的PA跟踪工具（计步器或时间）在美国印第安学区。 选择青少年危险行为调查项目和体重指数进行了纵向评价（基于网络的跟踪工具; 2006-2008年），同时实施和发展（正在进行）的文化/人口特定的学校为基础的PA干预。以学校为基础的干预措施和网络工具已经实施，目前正在第二个较大的农村（主要是高加索人）学校社区采用基于社区的能力建设方法进行评估。 目标2  完成了一项市售、互联网提供、基于理论的体力活动行为改变计划的PA和心血管代谢疾病风险因素疗效试验（随机对照试验; RCT）。 研究结果表明，PA水平和超重/肥胖成人中心性肥胖的短期结果很强，但在一年内发生了显著的PA复发。 对PA行为改变计划进行了基于证据的修订，以包括：1）增强互联网交互性和参与内容; 2）逐渐减少干预后主动干预的断奶。 一项随机对照试验（RCT）即将完成（2009年4月），该试验测试了这些最近实施的基于证据的对互联网提供的PA干预措施的修改的疗效。