Healthy Immigrant Families: Working Together To Move More and To Eat Well

描述（由申请人提供）：在许多措施中，移民和难民人口到达美国比一般人群更健康，但他们在美国居住的时间越长，他们就越接近一般人群的心血管风险特征。这些下降部分是由于成年人及其子女在移民后体力活动减少和饮食质量下降而引起的。考虑到影响这些行为的复杂的社会文化力量，需要一种基于社区的参与性研究（CBPR）方法来解决这些问题。罗切斯特健康社区伙伴关系是明尼苏达州罗切斯特一个强大的CBPR伙伴关系，由社区组织，卫生服务组织和学者组成，他们在移民和难民人口中集体部署规划和成果评估方面经验丰富。社区和学术合作伙伴共同承担了准备这个项目的责任。具体目标是：1）与移民和难民家庭一起并为移民和难民家庭制定可持续的、社会文化上适当的体育活动和营养干预措施，2）评估体育活动和营养干预措施的效果。干预框架是一系列以家庭为基础的个性化家庭指导和教育课程，由来自每个参与的移民和难民社区（西班牙裔、索马里人、苏丹人、柬埔寨人）的训练有素的家庭健康促进员领导，并提供小组活动的机会。采用两组随机设计，160名个体（包括成人和青少年）将被随机分配立即或延迟一年后接受干预。在实施后两年内对成人和青少年进行评估的主要结果将包括通过加速度计测量的身体活动和通过24小时饮食回忆测量的饮食变化。次要结果将包括体重指数、身体成分、血压、腰臀比和健康相关生活质量的变化。需要从受影响社区有机产生的创新方法来创建和维持促进健康行为的干预措施。CBPR的使用将通过针对身体活动和营养的社会文化决定因素来增强该方案的相关性。

DESCRIPTION (provided by applicant): Across many measures, immigrant and refugee populations arrive to the US healthier than the general population, but the longer they reside in the US, the more they approximate the cardiovascular risk profiles of the general population. These declines are mediated, in part, by less physical activity and lower dietary quality upon immigration among both adults and their children. Given the complex socio-cultural forces that influence these behaviors, a community-based participatory research (CBPR) approach is called for to address them. The Rochester Healthy Community Partnership is a robust CBPR partnership in Rochester, Minnesota consisting of community-based organizations, health service organizations, and academics who are experienced at collectively deploying programming and outcomes assessment among immigrant and refugee populations. Community and academic partners have shared the responsibility of preparing this project. The specific aims are: 1) To develop a sustainable, socio-culturally appropriate physical activity and nutrition intervention with and for immigrant and refugee families, and 2) to evaluate the efficacy of the physical activity and nutrition intervention. The intervention framework is a series of home-based, individualized family mentoring and education session for physical activity and nutrition led by trained Family Health Promoters from each of the participating immigrant and refugee communities (Hispanic, Somali, Sudanese, Cambodian) with opportunities for group activities. Using a two-group randomized design, 160 individuals (including both adults and adolescents) will be randomly assigned to receive the intervention either immediately or after a delay of one year. Primary outcomes assessed in both adults and adolescents, measured up to two years after implementation, will include physical activity as measured by accelerometry and dietary change as measured by 24 hour dietary recalls. Secondary outcomes will include changes in body mass index, body composition, blood pressure, waist-hip ratio, and health-related quality of life. Innovative approaches that arise organically from the affected communities are needed to create and sustain interventions that promote healthy behaviors. The use of CBPR will enhance the relevance of this program by targeting socio-cultural determinants of physical activity and nutrition.