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

在非洲裔美国男性中促进健康的努力收效甚微。非洲裔美国男性 与健康相关的生活质量较低(HRQOL；即，由身体、 心理和社会功能)比美国的任何其他种族性别群体都要多。HRQOL是一种衡量标准 与死亡率和发病率有关的人口健康问题。高质量生活质量会因压力、抑郁、 低水平的体力活动和糟糕的饮食--这是非洲人经常经历的不良健康的因素 美国男人。迫切需要制定一个健康促进计划，以改善这些人的健康生活质量 男人。这样一个项目的成功取决于它有能力招募和留住这些人--非裔美国人 男性在登记参加临床试验的参与者中所占比例不到10%，在健康领域的比例也很低 研究。与这些男性的生活经历相关的文化上的健康促进计划，以及 通过点对点模式实施可提高参与度、最大限度地减少损耗并提升HRQOL。 因此，社区知情、点对点的干预措施将改善非裔美国人男性的HRQOL 被开发出来。这一干预措施的发展将由健康的社会生态模型提供信息， 社会认知理论、基于社区的参与性研究和由以下组成的社区咨询委员会 非裔美国人的。假设这种基于理论的干预在招聘中将是有效的 除了提高他们的人力资源质量外，还要留住这些人。研究的具体目的是：(1)确定 影响压力、抑郁、体力活动和饮食的个人、社会和环境特征 在非裔美国人中；(2)评估社区知情、点对点社区的可行性和可接受性 同伴干预以改善非裔美国人男性的HRQOL；以及(3)评估飞行员的疗效 随机轮候名单对照试验确定社区知情干预对艾滋病的初步影响 非洲裔美国人男性的HRQOL。这项研究将为非洲人的招聘和留住工作提供信息 美国男性参与健康促进计划，以及改善HRQL的战略。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， 有色人种男性的健康，定性和定量研究，基于社区的参与性研究，以及 针对非裔美国男性的技术强化干预。培训计划包括课程作业、研讨会、 和有指导的研究经验，以发展(1)定性、定量和混合方法方面的专业知识 研究，(2)实施和传播科学，(3)行为随机对照试验，(4)赠款-- 写作，(5)促进健康和少数群体之间的差距，以及(6)移动健康。该研究和 K23职业发展奖中建议的培训将支持候选人成为 在开发和测试创新干预措施方面的独立科学家和主要调查员 服务不足和处于危险中的社区的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.