Promoting Physical Activity in Black Barbershops

促进黑人理发店的体育活动

基本信息

批准号：
8068508
负责人：
LAURA A LINNAN
金额：
$ 17.52万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-01 至 2013-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8068508
关键词：
Address Adoption Attention Beauty Behavior Therapy Blood Pressure Categories Cause of Death Cessation of life Colon Carcinoma Communities Comprehensive Cancer Center Data Development Development Plans Disease Dose Effectiveness Evaluation Event Faculty Feedback Focus Groups Future Health Health Promotion Heart Rate High Prevalence Incidence Intention Intervention Intervention Trial Interview Knowledge Licensing Life Style Malignant Neoplasms Malignant neoplasm of lung Malignant neoplasm of prostate Measures Mediator of activation protein Minority North Carolina Obesity Outcome Patient Self-Report Phase Physical activity Play Population Process Protocols documentation Public Health Questionnaires Randomized Recommendation Recruitment Activity Research Research Personnel Risk Risk Behaviors Risk Factors Role Scanning Schools Series Smoke Smoking Social Environment Testing Tobacco use Training Trust Universities Visit Weight Work arm base cancer health disparity cancer risk cancer type community based participatory research design effective intervention efficacy trial empowerment experience improved innovation interest intervention program member men mortality outreach phase 2 study prevent primary outcome prototype psychosocial research study satisfaction secondary outcome theories

项目摘要

Black men suffer disproportionately higher rates of nearly all disease categories, including the leading cause of death in North Carolina - cancer. An estimated 50% of cancer is preventable with lifestyle modifications such as increasing physical activity (PA), eliminating tobacco use/exposure and maintaining a healthy weight. Evidence suggests that physical activity can reduce risk to several types of cancer. Innovative ways to reach Black men with effective health promotion interventions are needed. Barbershops represent one place where Black men can be reached, but have not been utilized as settings for intervening to promote physical activity. An experienced, interdisciplinary, partnership between community members (barbershop owners, barbers and their customers) and researchers from UNC Chapel Hill/Lineberger Comprehensive Cancer Center and the Gillings School of Global Public Health, and North Carolina Central University are proposing a h¿o-phase outreach study to bridge this gap. Phase 1 is a series of inter-related formative research studies (in-depth interviews with barbers/owners; observations in shops; focus groups with customers) leading to the development of prototype, theory and evidence-guided, multi-level physical activity intervention (FITShop) designed to increase PA among Black men in barbershops. A test of the prototype FITShop intervention will be conducted in one shop. Using Phase 1 results. Phase 2 is a two-arm, group randomized, initial efficacy trial of the FITShop intervention in 14 Black barbershops with 40 customers per shop (n=560 total). Customers in Arm 1 (7 shops, 280 customers) will receive the FITShop intervention which includes barber training, PA contest in the shop, use of pedometers, community connections and personal feedback plus recommendations for PA. Customers in Arm 2 (7 shops, 280 customers) will receive a Financial Empowerment (FE) attention-control intention that mimics exposure amount without influencing the primary outcome. Consistent with community-based participatory research principles, our Advisory Board will guide all aspects of the study planning, development, implementation and analysis of results. The primary outcome (physical activity) will be measured via accelerometer using a 7-day protocol and with self-report questionnaires at baseline and 6 months using a previously tested protocol with Black men recruited from barbershops. All primary/secondary outcomes will be measured on all customers at an assessment event/via questionnaire prior to randomization (and at 6 mo) using standardized, previously tested protocols. Process evaluation will assess dose of intervention delivered, received, fidelity, as well as reach, adoption and representativeness at the customer, barber and barbershop levels. Since barbershops are located in all communities, if effective, this intervention has promise for dissemination & sustainability.

黑人男性几乎所有疾病类别的发生率较高，包括北卡罗来纳州癌症的主要死亡原因。估计有50％的癌症可以通过改变生活方式（例如体育锻炼（PA），消除烟草使用/暴露并保持健康的体重）来预防癌症。证据表明，体育活动可以减少几种类型的癌症的风险。需要进行有效的健康促进干预措施接触黑人的创新方法。理发店代表了可以到达黑人的一个地方，但尚未用作干预以促进体育锻炼的设置。来自UNC Chapel Hill/Lineberger综合癌症中心和Gillings全球公共卫生学院和北卡罗来纳州中央大学的经验，社区成员（理发店所有者，理发师及其客户）之间的经验，跨学科的，社区成员（理发店所有者，理发师及其客户）之间的经验。第1阶段是一系列相关的形成性研究（与理发师/所有者进行了深入的访谈；在商店中进行观察；与客户的焦点小组的观察结果），导致了原型，理论和循证，多层次的体育活动干预（FITSHOP）的发展，旨在增加Barbershops黑人男性PA的PA。将在一家商店中对原型Fitshop干预进行测试。使用阶段1结果。第2阶段是对14个黑色理发店的两臂随机效率试验，每家商店有40个客户（总计n = 560）。 ARM 1（7家商店，280个客户）的客户将获得Fitshop干预措施，其中包括理发师培训，商店中的PA竞赛，使用计步器，社区连接和个人反馈以及PA的建议。 ARM 2（7家商店，280个客户）的客户将获得财务授权（FE）注意力控制意图，该意图模仿暴露量而不会影响主要结果。与基于社区的参与研究原则一致，我们的顾问委员会将指导研究计划，开发，实施和分析结果的各个方面。主要结果（身体活动）将使用7天方案通过加速度计测量，并在基线时通过自我报告调查表，使用先前测试的方案与从理发店招募的黑人男子一起测量6个月。所有主要/次级结果将在评估事件/通过问卷调查（在6个月）之前使用标准化的，先前测试的协议对所有客户进行测量。流程评估将评估客户，理发师和理发店级别的干预剂量，收到，忠诚以及覆盖范围，采用和代表性。由于理发店位于所有社区，如果有效，则这种干预有望传播和可持续性。