Obesity and Stress in South and Southeast Asians (OASIS)

利用基于信仰和基于社区的参与性研究方法，OASIS(南亚人的肥胖和压力)项目试图阐明纽约(NYC)南亚人口中将适应、压力和肥胖联系在一起的临床、行为、社会和文化机制，并探索基于信仰的战略在这些社区促进健康和预防疾病的潜在效果。这项为期五年的研究的具体目标包括：在为纽约市亚裔美国人社区服务的信仰组织中建立促进健康和疾病预防的基础设施；为亚裔美国人社区翻译和调整以证据为基础的基于信仰的干预措施，并在其他种族和少数族裔社区证明有效的基于证据的干预措施；以及评估调整后的干预措施的效力和效力，以改善南亚社区的体力活动，减少肥胖和肥胖相关疾病的风险。我们将审查在非裔美国人社区中被发现有效的基于信仰的干预内容，并与宗教领袖和社区合作伙伴合作，以确定那些可以在亚裔美国人社区的文化背景下复制并被认为是可接受和适当的战略。然后，我们将翻译和调整这些内容，使之符合文化和语言上适当的战略和信息，以符合参与宗教机构及其所服务的社区的目标。对有意义的翻译和有效采用干预措施的过程至关重要的是以下活动：a)开展形成性研究；b)采用CBPR方法；c)在干预措施设计中确保基于信仰的领导支持和指导；d)制定适当的信息和教育运动；e)支持环境和政策改革；以及f)加强参与宗教组织的宗教和社区领袖的能力，以充分参与研究和促进健康(包括有效的信息和交流)。我们将能够确定可以在不同的亚洲种族和宗教群体中推广的成功组成部分。

Using a faith-based and community-based participatory research approach, the OASIS (Obesity and Stress in South Asians) Project seeks to elucidate the clinical, behavioral, social and cultural mechanisms that link acculturation, stress, and obesity in South Asian populations in New York City (NYC) and to explore the potential efficacy of faith-based strategies for health promotion and disease prevention in these communities. The Specific Aims of this five-year study include:To establish an infrastructure for health promotion and disease prevention among faith-based organizations serving Asian American communities in NYC; To translate and adapt and evidence-based faith-based intervention proven effective in other racial and ethnic minority communities for the Asian American community; and To evaluate the efficacy and effectiveness of the adapted intervention to improve physical activity and reduce the risk for obesity and obesity-related diseases among South Asian communities. We will review faith-based intervention components found to be effective in the African American community and work with religious leaders and community partners to identify those strategies that could be replicated and are deemed acceptable and appropriate within the cultural context of Asian American communities. We will then translate and adapt these components in culturally- and linguistically-appropriate strategies and messages that fit with the goals of the participating religious institutions and for the communities they serve. Critical to the process of meaningful translation and effective adoption of the intervention is the following activities: a) conduct formative research; b) apply a CBPR approach; c) secure faith-based leadership support and guidance in intervention design; d) develop appropriate messaging and educational campaigns; e) support environmental and policy changes; and f) strengthen capacity of religious and community leaders at participating faith-based organizations to fully engage in research, as well as health promotion (including for example, effective messaging and communication). We will be able to identify successful components that can be generalized across different Asian ethnic and religious groups.