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Behavioral/Support Intervention for Diet and Exercise Among Underserved Women

对服务不足的女性进行饮食和锻炼的行为/支持干预

基本信息

批准号：
8103950
负责人：
PATRICIA A SHARPE
金额：
$ 46.02万
依托单位：
UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-08-03 至 2013-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8103950
关键词：
Age Attention Attitude Behavior Behavioral Body Weight Body Weight decreased Body mass index Cardiovascular Diseases Cardiovascular system Chronic Chronic Disease Communities Control Groups Counseling Diabetes Mellitus Diet Dietary intake Disadvantaged Eating Eating Behavior Economically Deprived Population Economics Energy Intake Environmental Risk Factor Ethnic Origin Exercise Expenditure Fatty acid glycerol esters Focus Groups Food Food Labeling Frequencies General Population Goals Health education High Prevalence High Risk Woman Hyperphagia Hypertension Individual Intake Intervention Logistics Low income Mails Maintenance Measures Mediating Minority Monitor Morbidity - disease rate Obesity Overweight Patient Self-Report Phase Physical Fitness Physical activity Problem Solving Psychological reinforcement Race Randomized Controlled Trials Relative (related person)Research Risk Self Efficacy Social support Stroke Telephone Testing Time Trans Fats Underrepresented Minority Weight Woman Women&apos s Health base behavior change diet and exercise emotional eating fast food fitness follow-up fruits and vegetables good diet group intervention improved intervention effect lifestyle intervention mortality primary outcome saturated fat secondary outcome skills social success treatment as usual waist circumference

项目摘要

DESCRIPTION (provided by applicant): Morbidity and mortality risks for chronic conditions such as cardiovascular disease, diabetes, hypertension, and stroke associated with overweight/obesity, physical inactivity, and unhealthy diets are higher in minority and economically disadvantaged women, who also tend to have poorer diet and physical activity behaviors compared to the general population. This study takes a comprehensive approach to behavior change that gives attention to individual attitudes and skills, sociocultural factors, and environmental factors influencing behavior change. The study's primary aim is to test the effects of 16 weeks of a culturally-appropriate, behavioral/social support lifestyle intervention (one counseling session and 16 weekly group sessions) on body weight, body mass index, and waist circumference, compared to a usual-care, minimal-contact control group (one counseling session) among overweight or obese women of lower income. The goal of the intervention is for the women (ages 25 to 50) to achieve a 10% reduction in weight at a rate of one to two pounds per week. Secondary aims are to: a) test the effects of the 16-week intervention on physical fitness, physical activity level, total energy intake, % caloric intake from total fat, saturated fat, and trans fat, fruit and vegetable intake, self-efficacy for diet and physical activity, social support for diet and physical activity, and behavioral skills for healthy diet and physical activity; b) test the effects of 8 weeks of a telephone-contact maintenance intervention on primary and secondary outcomes; and c) assess long-term maintenance of primary and secondary outcomes 18 weeks after the end of the maintenance intervention phase. Pre-intervention activities will include focus groups to insure cultural sensitivity of the intervention. A community advisory board will advise on recruitment, logistics, and cultural appropriateness. This community-based, randomized controlled trial will include 90 women in the intervention group and 90 in a "usual care" control group. Objective and self-report measures will be taken at four time points: baseline, immediate posttest after 16 weeks of intervention, delayed posttest after an additional 8 weeks of the telephone-contact maintenance intervention, and a follow-up posttest. To enhance community acceptability of the research, the control group will be offered the intervention after all measures are completed.

描述（由申请人提供）：与超重/肥胖、缺乏身体活动和不健康饮食相关的慢性疾病（如心血管疾病、糖尿病、高血压和中风）的发病率和死亡率风险在少数民族和经济弱势女性中较高，与一般人群相比，这些女性的饮食和身体活动行为也往往较差。这项研究采取了一种综合的方法来改变行为，注意到个人的态度和技能，社会文化因素，环境因素影响行为的变化。该研究的主要目的是测试16周的文化适当的行为/社会支持生活方式干预（一次咨询会议和16周小组会议）对体重，体重指数和腰围的影响，与低收入超重或肥胖女性中的日常护理，最小接触对照组（一次咨询会议）相比。干预的目标是让女性（25至50岁）以每周一到两磅的速度减轻10%的体重。次要目标是：a）测试16周干预对身体健康、身体活动水平、总能量摄入、总脂肪、饱和脂肪和反式脂肪的卡路里摄入百分比、水果和蔬菜摄入、饮食和身体活动的自我效能、饮食和身体活动的社会支持以及健康饮食和身体活动的行为技能的影响; B）测试8周电话联系维持干预对主要和次要结局的影响;以及c）在维持干预阶段结束后18周评估主要和次要结局的长期维持。干预前活动将包括焦点小组，以确保干预的文化敏感性。一个社区咨询委员会将就招聘、后勤和文化适当性提供咨询。这项以社区为基础的随机对照试验将包括90名干预组妇女和90名“常规护理”对照组妇女。将在四个时间点进行客观和自我报告测量：基线、16周干预后立即进行的后测、额外8周电话联系维持干预后的延迟后测和随访后测。为提高社区对研究的接受度，在所有措施完成后，将对对照组进行干预。

项目成果

期刊论文数量（7）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Perceived barriers to exercise and healthy eating among women from disadvantaged neighborhoods: results from a focus groups assessment.

DOI：
10.1080/03630242.2014.896443
发表时间：
2014
期刊：
Women & health
影响因子：
1.6
作者：
Baruth M;Sharpe PA;Parra-Medina D;Wilcox S
通讯作者：
Wilcox S

Frequency of consumption at fast-food restaurants is associated with dietary intake in overweight and obese women recruited from financially disadvantaged neighborhoods.

对于来自经济困难社区的超重和肥胖女性来说，快餐店的消费频率与饮食摄入量有关。

DOI：
10.1016/j.nutres.2013.05.007
发表时间：
2013
期刊：
Nutrition research (New York, N.Y.)
影响因子：
0
作者：
Wilcox,Sara;Sharpe,PatriciaA;Turner-McGrievy,Gabrielle;Granner,Michelle;Baruth,Meghan
通讯作者：
Baruth,Meghan

Patterns of sedentary behavior in overweight and obese women.

超重和肥胖女性的久坐行为模式。

DOI：
发表时间：
2013
期刊：
Ethnicity & disease
影响因子：
3.2
作者：
Baruth,Meghan;Sharpe,PatriciaA;Hutto,Brent;Wilcox,Sara;Warren,TatianaY
通讯作者：
Warren,TatianaY

A randomized trial of a diet and exercise intervention for overweight and obese women from economically disadvantaged neighborhoods: Sisters Taking Action for Real Success (STARS).

对来自经济贫困社区的超重和肥胖女性进行饮食和运动干预的随机试验：为真正成功采取行动的姐妹 (STARS)。

DOI：
10.1016/j.cct.2011.08.003
发表时间：
2011
期刊：
Contemporary clinical trials
影响因子：
2.2
作者：
Wilcox,Sara;Sharpe,PatriciaA;Parra-Medina,Deborah;Granner,Michelle;Hutto,Brent
通讯作者：
Hutto,Brent

Dietary Intake, Behaviors and Psychosocial Factors Among Women from Food-Secure and Food-Insecure Households in the United States.

美国食品安全和食品不安全家庭女性的膳食摄入量、行为和心理社会因素。