Promoting Physical Activity in Black Barbershops

促进黑人理发店的体育活动

• 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
• 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

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.

黑人男性在几乎所有疾病类别中的发病率都高得不成比例，包括北卡罗来纳州的主要死因-癌症。据估计，50%的癌症是可以通过改变生活方式来预防的，例如增加体力活动(PA)、戒除烟草使用/暴露和保持健康的体重。有证据表明，体育锻炼可以降低患多种癌症的风险。需要以创新的方式向黑人男性提供有效的健康促进干预措施。 理发店代表着一个黑人男性可以接触到的地方，但还没有被用作干预以促进身体活动的场所。社区成员(理发店老板、理发师和他们的客户)与北卡罗来纳大学教堂山/莱恩伯格综合癌症中心、吉林斯全球公共卫生学院和北卡罗来纳中央大学的研究人员建立了一个经验丰富的跨学科合作伙伴关系，正在提议一项h？o阶段的外展研究来弥合这一差距。第一阶段是一系列相互关联的形成性研究(与理发师/老板的深入访谈；在商店的观察；与顾客的焦点小组)，导致开发原型、理论和证据指导的多层次体力活动干预(FITShop)，旨在增加理发店黑人男性的PA。将在一家商店进行FITShop干预原型的测试。使用阶段1结果。第二阶段是FITShop干预在14家黑人理发店进行的两组随机初步疗效试验，每家理发店有40名顾客(总共560人)。 ARM 1的顾客(7家商店，280名顾客)将接受FITShop干预，其中包括理发师培训、店内PA竞赛、计步器的使用、社区联系和个人反馈以及对PA的建议。ARM 2中的客户(7家商店，280名客户)将收到财务授权(FE)注意控制意图，该意图模拟暴露数量，而不影响主要结果。我们的咨询委员会将遵循以社区为基础的参与性研究原则，指导研究规划、开发、实施和结果分析的各个方面。主要结果(体力活动)将通过加速计测量，使用7天方案，并在基线和6个月时使用自我报告问卷，使用之前测试的方案，从理发店招募黑人男性。所有主要/次要结果将在评估活动中/在随机化之前(在6个月)通过问卷使用标准化的先前测试的方案对所有客户进行测量。过程评估将评估在顾客、理发师和理发店层面提供、接收、保真度以及覆盖面、采用率和代表性的干预剂量。由于理发店分布在所有社区，如果有效，这种干预措施有望传播和持续下去。