Care2bWell: A Worksite Physical Activity & Wellness Program for Child Care Staff

Care2bWell：工地体力活动

• 批准号: 8989887
• 负责人: LAURA A LINNAN
• 金额: $ 79.11万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-01-01 至 2018-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8989887
• 关键词: Accelerometer; Address; Adopted; African American; American; Arthritis; Attention; Behavior; Behavioral; Blood Pressure; Body Weight; Cardiovascular Diseases; Caring; Cessation of life; Child; Child Care; Child health care; Chronic; Chronic Disease; Data; Diabetes Mellitus; Diet; Dietary intake; Diffusion of Innovation; Eating; Eating Behavior; Educational workshop; Employee; Enrollment; Environment; Epidemic; Evaluation; Feedback; Fostering; Goals; Health; Health Insurance; Healthy Eating; Heart Diseases; Hispanics; Hour; Hypertension; Individual; Insurance Benefits; Intervention; Life; Location; Low income; Lung diseases; Maintenance; Malignant Neoplasms; Measures; Mediating; Minority; Monitor; North Carolina; Obesity; Occupations; Outcome; Overweight; Participant; Personal Satisfaction; Physical activity; Policies; Population; Prize; Process; Productivity; Psychosocial Factor; Public Health; Quality of life; Randomized Controlled Trials; Recommendation; Research; Risk; Risk Factors; Sampling; Self Efficacy; Sleep; Smoking; Social support; Stress; Stroke; Structure; Wages; Weight; Wellness Center; Wellness Program; Work; Workplace; arm; base; behavior change; behavioral health; collaborative environment; cost effectiveness; efficacy testing; empowerment; fitness; follow-up; fruits and vegetables; health care availability; health disparity; healthy lifestyle; high risk; improved; innovation; meetings; member; moderate-to-vigorous physical activity; obesity in children; physical inactivity; post intervention; premature; pressure; primary outcome; promoter; research study; role model; secondary outcome; sedentary lifestyle; smoking cessation; social; theories

DESCRIPTION (provided by applicant): There are approximately 1.3 million US child care workers, most of who are hourly employees and classified as low-wage earners. In North Carolina, half of these workers are African American or Hispanic. Many have no health insurance, putting them at increased risk for many serious and chronic health conditions such as obesity, diabetes, and hypertension. Regular physical activity (PA) is known to decrease risk of many chronic diseases; unfortunately, most Americans, especially low-income individuals and minorities, fail to meet PA recommendations. A multi-level worksite-based PA intervention offered in child care is an innovative strategy to reach these low wage workers and address health disparities among this high-risk population. While the primary target of our intervention is worker PA, we expect that healthier and more physically active workers will be better role models and promoters of healthy lifestyles for children in their care. This two-arm, cluster RCT (n=104 centers, with 4 workers/center) will test the efficacy of a 6-month Care2bWell (CARE) intervention in increasing workers' PA compared to a Financial Empowerment (FE) control arm. The CARE intervention will include a kick-off workshop, where participants get tailored feedback about their health risks and set behavioral goals, followed by three 2-month long wellness campaigns, during which workers monitor PA, receive tailored feedback, and compete in teams for prizes. Center directors will take part in monthly webinars focused on improving the work environment to support PA and wellness. Within a social ecological framework, Perceptual Control, Social Support, and Diffusion of Innovation theories guide intrapersonal, interpersonal, and center- level intervention components. Participants in the FE arm will receive a parallel intervention to enhance financial health at the individual and center levels. The primary outcome will be accelerometer-measured minutes of moderate to vigorous PA. Primary and secondary outcomes (diet, anthropometrics, psychosocial variables, & center wellness environments) will be assessed at baseline, follow-up (6 mo), and maintenance (18 mo). Detailed process evaluation, cost-effectiveness, and meditational analysis will be used to assess mechanisms of behavior change at the individual and center levels.

描述（由申请人提供）：美国约有 130 万名儿童保育员，其中大多数是小时工，被归类为低工资者。在北卡罗来纳州，这些工人中有一半是非裔美国人或西班牙裔。许多人没有健康保险，这使他们面临肥胖、糖尿病和高血压等许多严重和慢性健康问题的风险增加。众所周知，定期体力活动 (PA) 可以降低许多慢性疾病的风险；不幸的是，大多数美国人，特别是低收入个人和少数族裔，未能达到 PA 的建议。在儿童保育方面提供基于工作场所的多层次 PA 干预措施是一项创新战略，旨在帮助这些低工资工人并解决这些高风险人群之间的健康差异。虽然我们干预的主要目标是 工人 PA，我们期望更健康、体力更活跃的工人将为他们所照顾的儿童成为更好的榜样和健康生活方式的推动者。这项两臂集群随机对照试验（n=104 个中心，每个中心 4 名工作人员）将测试与财务赋权 (FE) 对照组相比，为期 6 个月的 Care2bWell (CARE) 干预措施在提高工人 PA 方面的功效。 CARE 干预措施将包括一个启动研讨会，参与者将获得有关其健康风险的定制反馈并设定行为目标，然后是三个为期 2 个月的健康活动，在此期间，工作人员会监测 PA，接收定制反馈，并以团队形式竞争奖品。中心主任将参加每月一次的网络研讨会，重点是改善工作环境以支持 PA 和健康。在社会生态框架内，感知控制、社会支持和创新扩散理论指导个人内部、人际和中心层面的干预组成部分。有限责任部门的参与者将接受并行干预，以增强个人和中心层面的财务健康状况。主要结果是加速计测量的中度至剧烈 PA 的分钟数。主要和次要结果（饮食、人体测量、心理社会变量和中心健康环境）将在基线、随访（6 个月）和维持（18 个月）时进行评估。详细的过程评估、成本效益和冥想分析将用于评估个人和中心层面的行为改变机制。