Designing Technology to Facilitate Participation in Health Behavior Interventions among Underserved Populations: A CBPR Approach to Reduce Health Disparities and Address Changing Norms since COVID-19

项目摘要 正如我们所知，生活因COVID-19而改变。健康方面的现有差距 得不到充分服务的社区的情况更加恶化。拉丁美洲人和夏威夷土著人和太平洋 岛民（NHPI）在健康方面的差异不成比例，即使与 其他少数民族。这两个人群都有心脏病、癌症和糖尿病， 拉丁美洲人和NHPIs的肥胖率都很高。当我们开始 从大流行病中恢复过来，我们必须考虑到持续的健康差距， 新的社会规范和态度，以及新的健康行为模式。 该项目的总体目标是减少拉丁美洲人和土著人之间的健康差距。 NHPI，考虑到新的健康行为模式，社会规范和增加的技术使用 与COVID-19有关。本研究项目的具体目标是：（1）进行关键信息调查 在拉丁美洲人和NHPI之间进行访谈和焦点小组，（2）制定和实施一个 社区健康和健康行为调查，以及（3）基于社区反馈[从 目标1和2]，与CSUSM合作，共同设计、开发和测试新技术 创新中心，这是有意义的，并响应社区的需求和偏好。 此外，致力于培养生物医学研究中代表性不足的学生，我们 有目的地概述了研究能力的具体目标。它们是：（1）加强 学生在生物医学研究方面的研究能力不足，特别是在 培养未来独立的健康差距研究人员和学者，（2）加强 通过有意义的合作，提高CSUSM的研究能力、可持续性和卓越性 主要研究者和CSUSM创新中心（OTRES）之间的联系（用于招募 代表性不足的学生），以及其他合作者和社区伙伴。 我们将采用基于社区的前瞻性研究（CBPR）方法和形成性研究。 研究共同设计，开发和测试新技术，移动健康智能手机应用程序， 基于社区洞察力。组成部分可能包括改善肥胖的策略- 相关健康行为和心理健康。研究能力：我们将评估 人口统计学和参与研究的学生人数，包括学生成果（例如， 海报、论文和研究生院申请/录取率）。我们还将评估 态度、满意度、信任度和对协作的感知影响。拟议研究 为有目的和渐进的资助奠定基础（即，该R16、STTR、R21、R 01）， 将推动健康差异研究的科学和创新。

Project Summary Life, as we know it, has changed due to COVID-19. Existing health disparities among underserved communities were exacerbated. Latinos and Native Hawaiians and Pacific Islanders (NHPI) disproportionately experience disparities in health, even when compared to other minority populations. Both populations have heart disease, cancer, and diabetes as leading causes of death; and both Latinos and NHPIs have high rates of obesity. As we begin to recover from the pandemic, we must consider the intersection of continued health disparities, new social norms and attitudes, and new patterns of health behavior. The overarching goal of this project is to reduce health disparities among Latinos and Native NHPIs, considering new health behavior patterns, social norms, and increased technology use related to COVID-19. The research project specific aims are to: (1) conduct key informant interviews and focus groups among Latinos and NHPIs, (2) develop and implement a community health and health behavior survey, and (3) based on community feedback [from aims 1 and 2], co-design, develop and test new technology, in collaboration with the CSUSM Innovation Hub, that is meaningful and responsive to community needs and preferences. Additionally, with commitment to training students underrepresented in biomedical research, we were purposeful in outlining research capacity specific aims. They are, to: (1) enhance the research capacity of students underrepresented in biomedical research, especially towards training future independent health disparity researchers and scholars, and (2) enhance the research capacity, sustainability, and excellence of CSUSM through meaningful collaborations between the principle investigator and the CSUSM Innovation Hub, OTRES (for recruitment of underrepresented students), and other collaborators and community partners. We will use a Community-based Participatory Research (CBPR) approach and formative research to co-design, develop and test new technology, an mHealth smartphone application, based on community insights. Components will likely include strategies to improve obesity- related health behaviors and mental health. Research capacity: We will evaluate the demographics and number of students involved in research, including student outcomes (e.g., posters, papers, and graduate school application/acceptance rates). We will also evaluate attitudes, satisfaction, trust, and perceived impact of the collaboration. The proposed research lays the foundation for purposeful and progressive funding (i.e., this R16, STTR, R21, R01) that will advance the science and innovation in health disparities research.