Linking Churches with Parks to Increase Physical Activity Among Latinos

将教堂与公园连接起来以增加拉丁裔的体育活动

• 批准号: 10153711
• 负责人: Kathryn Pitkin Derose
• 金额: $ 70.1万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-05-02 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10153711
• 关键词: Accelerometer; Address; Adult; Advocacy; Aerobic Exercise; Affect; Age; Body fat; Cardiovascular Diseases; Church; City Government; Communities; Conflict (Psychology); Congresses; Crime; Data Reporting; Diabetes Mellitus; Discrimination; Education; Effectiveness; Effectiveness of Interventions; Event; Exercise; Future; Gender; Government; Guidelines; HIV; Health; Health Promotion; Heart Rate; Immigrant; Incidence; Income; Individual; Infrastructure; Internships; Intervention; Kinesiology; Latino; Link; Location; Longevity; Los Angeles; Low income; Malignant Neoplasms; Mammography; Marketing; Mental Depression; Mental Health; Minority; Modeling; Morals; Neighborhoods; Obesity; Outcome; Patient Self-Report; Personal Satisfaction; Persons; Physical activity; Play; Quality of life; Randomized Controlled Trials; Recording of previous events; Religion and Spirituality; Reporting; Research; Resources; Role; Service provision; Social Network; Social Work; Social support; Source; Structure; Students; Supervision; Testing; Trust; Universities; Waist-Hip Ratio; Walking; Work; authority; base; built environment; cancer prevention; collaborative approach; cost; exercise intervention; fitness; implementation facilitators; implementation intervention; innovation; member; minority communities; moderate-to-vigorous physical activity; novel; obesity prevention; peer; physical conditioning; physical model; population health; primary outcome; programs; scale up; secondary outcome; sedentary; social integration; social stigma; synergism; underserved community; vigorous intensity; waist circumference

Project Summary Engaging in regular physical activity (PA) contributes to positive health outcomes, including longevity, better quality of life, and reduced incidence of cardiovascular diseases, diabetes, depression, certain cancers, and obesity; however, only a minority of U.S. adults meet the minimum guidelines for moderate to vigorous PA (MVPA), and Latinos are less likely than whites to report meeting the guidelines. Public parks comprise local infrastructure that can be leveraged for community PA, but tend to be underutilized, particularly in low-income communities. Parks in low-income and minority communities tend to have less PA programming, especially targeting adults, and higher crime and other factors that affect park use. There is a need for interventions that address community concerns, target the built environment, and “activate” park use. Churches are credible, stable entities that have significant reach within Latino communities and a history of social service provision and advocacy related to health and well-being. Our research has found that church-based interventions can be effective across a wide range of health issues and types of churches. We propose to combine approaches from our team's extensive prior work with churches and parks to conduct a cluster randomized controlled trial of a multi-level intervention that links Latino Catholic churches (n=12) with their local parks to increase PA among Latino parishioners (n=1500) in Los Angeles. The specific aims are to: (1) Examine the impact of a multi-level church-based intervention that links Catholic parishes to their local parks on Latino parishioners' PA and health-related outcomes (effects on parishioners' MVPA and self-reported PA, heart rate/fitness, waist circumference, waist to hip ratio, body fat, mental health, and perceived social support for PA); (2) Explore differences in the effectiveness of the intervention by gender; and (3) Evaluate factors associated with intervention implementation (facilitators, barriers, fidelity, and replication costs) for future dissemination. Our approach targets multiple levels to promote health-enhancing PA through park-based fitness classes led by kinesiology students, peer leader-led walking groups, park-based church events, and church-based PA support activities. It integrates churches' vast social networks, moral authority, and influence with parks' structural and organizational capacity and kinesiology student interns' professional expertise. The intervention makes use of innovative partnerships within and across sectors – faith-based, local parks/city government, and local universities. Our inter-sectoral, collaborative approach makes our intervention scalable and sustainable in real- world settings and incorporates action at multiple levels (individuals, churches, and neighborhoods). To our knowledge, this will be the first study to examine the effectiveness of an integrated church and park-based intervention on Latinos' PA, and it will provide a sustainable model of PA programming in low-income communities. If the intervention proves effective, the increased community capacity through this partnership will lay the groundwork for scale-up across the largest diocese in the U.S. and, potentially, the nation.

项目摘要 进行常规体育锻炼（PA）有助于积极的健康成果，涵盖寿命，更好 生活质量，心血管疾病，糖尿病，抑郁症，某些癌症的发生率降低 肥胖；但是，只有一小部分 （MVPA）和拉丁美洲人无情地报告符合准则。 利用社区PA的基础设施，但往往不足，尤其是在低矮的 低收入和少数民族社区的公园往往往往较少 针对成年人，更高的犯罪和其他影响公园使用的因素。 解决社区问题，针对建筑环境和“激活”公园的使用。 稳定的实体，在拉丁裔社区内的重大影响力和社会服务历史 与健康和福祉相关的提倡度。 在各种健康问题和教会类型中有效。 从我们团队的大量先前工作，用于进行簇的随机对照试验 多级互换Intervel Inters Latino Catholic Chuches（n = 12）与当地公园增加PA 在洛杉矶的拉丁裔教区居民（n = 1500）中。 多层CHUCH的Interventint将天主教教区与拉丁裔教区居民PA上的当地公园联系起来 和与健康有关的结果（对巴黎人的MVPA和自我报告的PA，心率/健身，腰部，腰部的影响 周长，臀部比例，身体脂肪，心理健康和对PA的社会支持）； 性别干预的有效性差异； 将来传播的间隔实施（促进者，障碍，忠诚和复制成本） 方法针对多个层次，以通过由公园 - 低音健身课程促进健康增强的PA 运动机能学专业的学生，​​同伴领导的步行小组，基于公园的教堂活动以及教堂低调的PA支持 活动。 组织能力和运动机能学专业实习生的专业知识。 基于安全信仰的当地公园/市政府和当地的创新合作伙伴关系 大学。 世界设置并以多个层次（个人，教堂和邻居的引擎盖）纳入我们的行动 知识，这将是第一个研究综合教会和公园的有效性的研究 干预拉丁美洲人的PA，它将在低收入中提供可持续的PA编程模型 社区。 将为在美国乃至全国的最大教区提供规模扩大的基础。