Developing a Community-Informed, Peer-to-Peer Intervention to Improve Health-Related Quality of Life among African American Men

非裔美国人的健康促进工作成果有限。非洲裔美国男性 具有较低的健康相关生活质量（HRQoL;即，一个综合的健康指标， 心理和社会功能）比美国任何其他种族性别群体。HRQoL是一种衡量指标 与死亡率和发病率相关的人口健康。HRQoL会因压力、抑郁、 低水平的身体活动和不良的饮食-非洲人经常经历的不良健康状况的因素 美国男人有迫切需要制定一个健康促进计划，以改善HRQoL其中 男人这样一个项目的成功取决于它招募和留住这些人的能力--非洲裔美国人 男性在参加临床试验的参与者中所占比例不到10%， research.一个与这些人的生活经历在文化上相关的健康促进计划， 通过点对点模式实施的培训可以提高参与度，最大限度地减少流失，并促进HRQoL。 因此，社区知情，对等干预，以改善非裔美国人的HRQoL将 发展。这项干预措施的制定将以健康的社会生态模式为依据， 社会认知理论，基于社区的前瞻性研究，以及社区咨询委员会， 非裔美国人的。假设基于理论的干预将有效地招募 并留住这些人，除了改善他们的HRQoL。本研究的具体目的是：（1）确定 影响压力、抑郁、身体活动和饮食的个人、社会和环境特征 （2）评估社区知情，同行对 同伴干预，以改善非裔美国人的HRQoL;（3）评估试点的有效性 随机等待名单对照试验，以确定社区知情干预对 非裔美国男性的HRQoL。这项研究将为非洲国家的征聘和保留工作提供信息。 美国男性在健康促进计划，除了战略，以提高HRQoL。候选人的 导师团队由制定量身定制的健康促进干预措施的知名专家组成， 有色人种的健康，定性和定量研究，以社区为基础的前瞻性研究， 为非裔美国人提供技术支持。培训计划包括课程作业、研讨会， 并指导研究经验，以发展（1）定性，定量和混合方法的专业知识 研究，（2）实施和传播科学，（3）行为随机对照试验，（4）资助- 写作，（5）健康促进和少数群体之间的差异，以及（6）移动健康。研究与 K23职业发展奖中提出的培训将支持候选人成为 一位独立的科学家和领先的研究者，在开发和测试创新的干预措施，以改善 在服务不足和风险社区中的HRQoL。

Health promotion efforts among African American men have produced limited results. African American men have lower health-related quality of life (HRQoL; i.e., a comprehensive indicator of health consisting of physical, psychological, and social functioning) than any other ethnic-sex group in the United States. HRQoL is a measure of population health that is associated with mortality and morbidity. HRQoL is exacerbated by stress, depression, low levels of physical activity, and poor diet – contributors to adverse health often experienced by African American men. There is an urgent need to develop a health promotion program to improve HRQoL among these men. The success of such a program hinges on its ability to recruit and retain these men – African American men constitute fewer than 10% of participants enrolled in clinical trials and are underrepresented in health research. A health promotion program that is culturally relevant to the lived experiences of these men and implemented through a peer-to-peer model can improve engagement, minimize attrition, and promote HRQoL. Thus, a community-informed, peer-to-peer intervention to improve the HRQoL among African American men will be developed. The development of this intervention will be informed by the Social Ecological Model of Health, Social Cognitive Theory, Community-Based Participatory Research, and a community advisory board consisting of African American men. It is hypothesized that the theoretically-based intervention will be effective in recruiting and retaining these men, in addition to improving their HRQoL. The specific aims of the study are (1) to determine the individual, social, and environmental characteristics that impact stress, depression, physical activity, and diet among African American men; (2) to assess the feasibility and acceptability of a community-informed, peer-to- peer intervention to improve the HRQoL among African American men; and (3) to evaluate the efficacy of a pilot randomized wait-list control trial to determine the preliminary impacts of the community-informed intervention on HRQoL among African American men. This research will inform recruitment and retention efforts of African American men in health promotion programs, in addition to strategies to improve HRQoL. The candidate’s mentorship team consists of renowned experts in the development of tailored health promotion interventions, the health of men of color, qualitative and quantitative research, Community-Based Participatory Research, and technology-enhanced interventions for African American men. The training plan involves coursework, seminars, and mentored research experiences to develop expertise in (1) qualitative, quantitative, and mixed-methods research, (2) implementation and dissemination science, (3) behavioral randomized controlled trials, (4) grant- writing, (5) health promotion and disparities among minority communities, and (6) mHealth. The research and training proposed in this K23 Career Development Award will support the candidate’s long-term goal of becoming an independent scientist and leading investigator in developing and testing innovative interventions to improve the HRQoL among underserved and at-risk communities.