Designing Technology to Facilitate Participation in Health Behavior Interventions among Underserved Populations: A CBPR Approach to Reduce Health Disparities and Address Changing Norms since COVID-19

项目摘要 正如我们所知，新冠肺炎改变了人们的生活。现有的健康差距在 服务不足的社区情况进一步恶化。拉丁裔、夏威夷原住民和太平洋 岛民(NHPI)在健康方面存在不成比例的差异，即使与 其他少数民族人口。这两个人群都有心脏病、癌症和糖尿病 主要的死亡原因；拉丁裔和NHPI的肥胖率都很高。当我们开始 在从大流行中恢复的同时，我们必须考虑持续的健康差距的交集， 新的社会规范和态度，以及健康行为的新模式。 该项目的总体目标是减少拉美裔和土著之间的健康差距 NHPI，考虑到新的健康行为模式、社会规范和更多的技术使用 与新冠肺炎相关。本研究项目的具体目的是：(1)进行重点线人 在拉美裔人和全国卫生政策机构中进行访谈和焦点小组，(2)制定和实施 社区健康和健康行为调查，以及(3)基于社区反馈[来自 目标1和目标2]，与CSUSM协作，共同设计、开发和测试新技术 创新中心，这是有意义的，并响应社区的需求和偏好。 此外，我们致力于培养在生物医学研究中未被充分代表的学生 有目的地勾勒出研究能力的具体目标。它们是：(1)加强 在生物医学研究中代表性不足的学生的研究能力，特别是在 培养未来独立的健康差距研究人员和学者，以及(2)加强 通过有意义的合作，实现CSUSM的研究能力、可持续性和卓越 首席调查员和CSUSM创新中心OTRES(用于招聘 代表不足的学生)，以及其他合作者和社区伙伴。 我们将使用基于社区的参与性研究(CBPR)方法和形成性 研究共同设计、开发和测试新技术，一款mHealth智能手机应用程序， 基于社区洞察力。内容可能包括改善肥胖的战略-- 相关健康行为与心理健康。研究能力：我们将评估 人口统计数据和参与研究的学生数量，包括学生成绩(例如， 海报、论文和研究生院申请/录取率)。我们还将评估 协作的态度、满意度、信任度和感知的影响。拟议的研究 为有目的和循序渐进的资金(即本R16、STTR、R21、R01)奠定基础 将推进健康差距研究的科学性和创新性。

Project Summary Life, as we know it, has changed due to COVID-19. Existing health disparities among underserved communities were exacerbated. Latinos and Native Hawaiians and Pacific Islanders (NHPI) disproportionately experience disparities in health, even when compared to other minority populations. Both populations have heart disease, cancer, and diabetes as leading causes of death; and both Latinos and NHPIs have high rates of obesity. As we begin to recover from the pandemic, we must consider the intersection of continued health disparities, new social norms and attitudes, and new patterns of health behavior. The overarching goal of this project is to reduce health disparities among Latinos and Native NHPIs, considering new health behavior patterns, social norms, and increased technology use related to COVID-19. The research project specific aims are to: (1) conduct key informant interviews and focus groups among Latinos and NHPIs, (2) develop and implement a community health and health behavior survey, and (3) based on community feedback [from aims 1 and 2], co-design, develop and test new technology, in collaboration with the CSUSM Innovation Hub, that is meaningful and responsive to community needs and preferences. Additionally, with commitment to training students underrepresented in biomedical research, we were purposeful in outlining research capacity specific aims. They are, to: (1) enhance the research capacity of students underrepresented in biomedical research, especially towards training future independent health disparity researchers and scholars, and (2) enhance the research capacity, sustainability, and excellence of CSUSM through meaningful collaborations between the principle investigator and the CSUSM Innovation Hub, OTRES (for recruitment of underrepresented students), and other collaborators and community partners. We will use a Community-based Participatory Research (CBPR) approach and formative research to co-design, develop and test new technology, an mHealth smartphone application, based on community insights. Components will likely include strategies to improve obesity- related health behaviors and mental health. Research capacity: We will evaluate the demographics and number of students involved in research, including student outcomes (e.g., posters, papers, and graduate school application/acceptance rates). We will also evaluate attitudes, satisfaction, trust, and perceived impact of the collaboration. The proposed research lays the foundation for purposeful and progressive funding (i.e., this R16, STTR, R21, R01) that will advance the science and innovation in health disparities research.