Social and cultural processes that impact physical activity among South Asian Americans managing hypertension: A mixed methods study

项目摘要(摘要) 南亚裔美国人受高血压和心血管疾病的影响不成比例。减少 对于这种健康差距，干预措施应针对可改变的健康行为，例如体育活动。这个 建议的F31申请将学位论文研究项目与更广泛的文化影响培训相结合 南亚裔美国人的预防性健康行为。该研究项目将采用按顺序进行的 探索性混合方法研究人群体力活动的社会和文化预测因素 患有无法控制的高血压的南亚裔美国人，他们参加了一个文化定制的社区 卫生工作者的干预。第一个目标将考察文化、社会关系和动机的维度。 作为中等到剧烈体力活动变化的决定因素，以及随后的高血压状态。 这将通过对从158南方收集的数据进行二次定量分析来实现 亚裔参与者被随机分配到干预组。第二个目标将提供深入的 对社会(家庭)背景下的文化对体育活动的影响进行定性分析 在南亚裔美国人中。数据将通过家庭访谈收集、编码和分析 与定量研究结果相结合。更广泛的奖学金培训计划旨在包括 将为研究提供信息并增加研究技能的组成部分：(1)增加对南亚的了解 美国卫生；(B)加强定量统计方法和解释定性数据的技能； 以及(C)通过制作手稿和举行会议，继续开展研究传播工作 演示文稿。这项研究和培训将在纽约市立大学研究生中心进行。 研究团队包括具有相关和不同专业知识的导师，由小学特蕾西·雷文森博士领导 赞助商，一位著名的健康心理学家，他从社会生态的角度研究如何适应 慢性病。纳迪亚·伊斯拉姆博士是一名医学社会学家，他开发了与文化相关的社区- 作为心血管疾病和糖尿病研究的负责人，与南亚社区的联系模型 为NIMHD资助的国家研究中心纽约大学亚裔美国人健康研究中心提供跟踪 卓越之处。另一位共同赞助人泰雷尔·斯塔克斯博士是一位具有指导经验的临床心理学家。 对健康行为干预数据的纵向分析；合作者谢丽尔·卡尔迈克尔博士是 在关系科学方面有专长的社会心理学家。项目、培训计划和指导一起 团队将提供必要的技能，使申请者朝着成为健康的长期目标前进 心理/行为医学研究科学家，专注于翻译研究，可以减少 健康差距。

Project Summary (Abstract) South Asian Americans are disproportionately affected by hypertension and cardiovascular disease. To reduce this health disparity, interventions should target modifiable health behaviors, e.g., physical activity. The proposed F31 application combines a dissertation research project with broader training in cultural influences on preventive health behaviors of South Asian Americans. The research project will employ a sequential exploratory mixed methods design to investigate the social and cultural predictors of physical activity among South Asian Americans with uncontrolled hypertension who participated in a culturally-tailored, community health worker intervention. The first aim will examine dimensions of culture, social relationships, and motivation as determinants of change in moderate-to-vigorous physical activity and, subsequently, hypertension status. This will be accomplished by conducting a secondary quantitative analysis of data collected from 158 South Asians participants randomly-assigned to the intervention arm. The second aim will provide an in-depth qualitative analysis of cultural influences, experienced within the social (family) context, on physical activity among South Asian Americans. Data will be collected by through family interviews, coded and analyzed in conjunction with the quantitative findings. The broader fellowship training plan is designed to include components that will inform the studies and increase research skills: (1) increasing knowledge of South Asian American health; (b) strengthening skills in quantitative statistical methods and interpreting qualitative data; and (c) continuing practice in research dissemination, facilitated by producing manuscripts and conference presentations. This research and training will take place at the Graduate Center, City University of New York. The study team includes mentors with relevant and diverse expertise led by Dr. Tracey Revenson, primary sponsor, a renowned health psychologist who applies a socio-ecological perspective studying adjustment to chronic. Dr. Nadia Islam, a co-sponsor, is a medical sociologist who develops culturally relevant community- linkage models to South Asian communities as director of the cardiovascular disease and diabetes research track for the NYU Center for the Study of Asian American Health, an NIMHD-funded National Research Center of Excellence. Dr. Tyrel Starks, another co-sponsor, is a clinical psychologist with experience conducting longitudinal analyses on health behavior intervention data; and, Dr. Cheryl Carmichael, a collaborator, is a social psycholgist with expertise in relationship science. Together, the project, training plan, and mentorship team will provide skills necessary to advance the applicant toward the long-term goal of becoming a health psychology/behavioral medicine research scientist with a focus on translational research that can reduce health disparities.