Evaluating a Community Engaged Program to Reduce Obesity in Hispanic Families

描述(由申请者提供)：西班牙裔人的体重增加和肥胖率很高，大约75%的20-60岁的西班牙裔成年人和40%的西班牙裔青年被认为超重。虽然一些儿童已经证明了有效的生活方式减肥方法，但对低收入少数族裔的有效干预知之甚少。以前的研究表明，与内在动机相关的动机变量(自主性、能力)和家庭变量(包括家庭温暖的积极父母方式)与青少年减肥行为呈正相关，但很少有研究将这些新结构整合到有效的干预措施中。需要为拉美裔家庭制定有效的方案，以解决拉美裔家庭中明显的健康差距、这一群体缺乏成功的基于社区的干预措施以及这一问题与地方和国家政策制定者日益密切的相关性；制定干预措施以解决不断上升的肥胖率和相关的共病状况，已成为政策制定者和普通公众的优先事项。这一拟议项目的目的是测试一种新的基于社区的干预措施的可行性，以管理居住在德克萨斯州欧文的低收入拉美裔家庭的肥胖问题，作为正在进行的以社区为基础的参与性研究项目的一部分，该项目旨在改善名为Fit for Health的健康状况。提议的项目是由欧文市赞助的一个减少肥胖的强大联盟制定的，因此具有巨大的政策影响能力。80个西班牙裔家庭将随机参加Fit For Health Plus或Fit For Health Basic计划。Fit for Health Plus干预是一种新的干预措施，它集成了动机和家庭变量，以减少青少年肥胖，并改善身体活动和饮食。Fit for Health Basic计划是一项健康生活方式教育计划，目前正在进行中，并将作为比较条件。符合这两种条件的家庭将参加欧文基督教青年会每周12次的会议。这项可行性研究的结果将提供以社区为基础的减肥计划的信息，主要针对低收入的西班牙裔人口。此外，由于欧文市的大力支持和活跃的社区联盟的存在，该计划有可能影响中等城市的卫生政策。好了！

DESCRIPTION (provided by applicant): Individuals of Hispanic ethnicity are experiencing significant rates of weight gain and obesity with approximately 75% of Hispanic adults age 20 - 60 years and 40% of Hispanic youth considered overweight. Although effective lifestyle approaches for weight loss have been demonstrated in some children, less is known about effective interventions for low-income ethnic minorities. Previous research has shown that motivational variables (autonomy, competence) related to intrinsic motivation and family variables (positive parenting styles including family warmth) are positively associated with adolescent weight loss behaviors, but few studies have integrated these novel constructs into effective interventions. Effective programs for Hispanic families are needed to address the health disparities evident in Hispanic families, the lack of successful community-based interventions in this population, and the increasing relevance of this problem to local and national policymakers; developing interventions to address rising levels of obesity and the related co-morbid conditions has become a priority for policy-makers and the general public. The purpose of this proposed project is to test the feasibility of a novel community-based intervention for managing obesity among low-income Hispanic families residing in Irving, Texas, as part of an ongoing community-based participatory research project to improve health called FIT for Health. The proposed project was developed through a strong coalition to reduce obesity sponsored the City of Irving, and therefore has tremendous capacity for influencing policy. Eighty families of Hispanic ethnicity will be randomized to either the FIT for Health Plus or FIT for Health Basic program. The FIT for Health Plus intervention is a novel intervention integrating motivational and family variables to reduce youth obesity, and improve physical activity and diet. The FIT for Health Basic program is a healthy lifestyle education program that is currently on going and will serve as a comparison condition. Families in both conditions will participate in 12 weekly sessions at the Irving YMCA. Findings from this feasibility study will provide information on community-based weight loss programs for primarily low-income Hispanic populations. Furthermore, due to the strong support of the City of Irving and the existence of an active community coalition, this program has the potential to influence health policy in mid-size cities. !