Engaging men from blue-collar industries in weight loss: Tailoring recruitment and treatment approaches

摘要 在蓝领行业(如机器操作、运输、建筑等)工作的男性玩得很开心 超重和肥胖的患病率很高，与肥胖有关的合并症比例很高。 不幸的是，这些男性不太可能参与基于证据的减肥干预。为了提高 为了让他们参与这些项目，需要采取多学科的方法。为了满足这一需求，我正在 申请这项导师研究科学家发展奖以获得额外的科学和技术 掌握1)定性方法、2)传播科学和3)卫生经济学方面的技能，并将这些技能应用于 干预措施的制定和评估。我的指导团队包括具有以下专业知识的心理学家 行为干预发展(博士Appelhans和Powell)，一种男性的健康交流和 定性方法论专家(Baglia博士)和健康经济学家(Walton博士)。和我的导师一起 团队，我制定了一份严格的训练计划，让我能够同时填补训练中的空白 同时开展有影响力的工作，重点关注未得到充分研究的人群。我会调查如何发展 鼓励参与减肥计划并适应行为减肥的招聘信息 在蓝领行业工作的男性使用的策略。此项目的目标1是确定如何 量身定制招聘信息和干预组件，以最大限度地扩大男性在 减肥计划。我将对来自目标的男性进行半结构化采访和焦点小组 随后进行了在线封闭式调查。这项调查将包括一个离散选择实验 它为开发参与者对干预和消息的相对偏好的模型提供数据 组件。第二个目标是测试使用精炼消息和干预组件的可行性 在一项随机试验中。这个项目的结果对于开发合适的方法来达到这个高度至关重要 负担和服务不足的人口，将为我的R01应用程序提供令人信服的初步数据。此外， 通过完成这个项目，我将接受培训，开始我的职业生涯，成为一名专注于 为服务不足的人群开发行为干预措施。

ABSTRACT Men working in blue-collar industries (e.g., machine operation, transportation, construction, etc.) have a high prevalence of overweight and obesity and have high rates of comorbidities associated with obesity. Unfortunately, these men are unlikely to participate in evidenced-based weight loss interventions. To improve their participation in these programs, a multidisciplinary approach is needed. To address this need, I am applying for this Mentored Research Scientist Development Award to gain additional scientific and technical skills in 1) qualitative methods, 2) communication science, and 3) health economics and apply these skills to intervention development and evaluation. My mentoring team includes psychologists with expertise in behavioral intervention development (Drs. Appelhans and Powell), a men’s health communication and qualitative methodology expert (Dr. Baglia), and a health economist (Dr. Walton). Along with my mentoring team, I have developed a rigorous training plan that will allow me to simultaneously fill the gaps in my training while conducting impactful work focused on an understudied population. I will investigate how to develop recruitment messages that encourage participation in weight loss programs and adapt behavioral weight loss strategies for use among men working in blue-collar industries. Aim 1 of this project is to determine how to tailor recruitment messages and intervention components to maximize reach and engagement of men in weight loss programs. I will conduct semi-structured interviews and focus groups with men from the target population followed by an online closed-response survey. The survey will include a discrete choice experiment which provides data to develop models of participants’ relative preferences for intervention and message components. The second aim is to test the feasibility of using refined messages and intervention components in a randomized trial. The results of this project are crucial for developing appropriate ways to reach this high burden and underserved population and will yield compelling preliminary data for my R01 application. Further, by completing this project I will have the training to launch my career as an independent investigator focused on developing behavioral interventions for underserved populations.