Comadres Saludables: A Web-Based Promotora Training Program for Obesity Prevention in Hispanic Women

Comadres Saludables：基于网络的 Promotora 西班牙裔女性肥胖预防培训计划

• 批准号: 10482551
• 负责人: DEBRA RIOS
• 金额: $ 69.72万
• 依托单位: ISA ASSOCIATES, INC.
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-05-31 至 2024-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10482551
• 关键词: Address; Adopted; Age-Years; Attitude; Behavior; Behavioral; Belief; Benchmarking; Body mass index; Cardiovascular Diseases; Cessation of life; Chronic; Communities; Community Health Aides; Data; Development; Diet; Disease; E-learning; Economic Factors; Educational Curriculum; Educational Intervention; Effectiveness; Effectiveness of Interventions; Ensure; Ethnic Origin; Evidence based practice; Exercise; Family; Female; Goals; Health; Heart; Hispanic; Hispanic Populations; Intervention; Knowledge; Latina; Learning; Marketing; Measures; Medical Care Costs; Modeling; Monitor; Morbidity - disease rate; Motivation; National Heart, Lung, and Blood Institute; Neighborhood Health Center; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; Obesity; Online Systems; Overweight; Participant; Patient Self-Report; Persons; Phase; Physical activity; Public Health; Race; Randomized; Randomized Controlled Trials; Recipe; Reduce health disparities; Research; Risk Behaviors; Risk Factors; Role playing therapy; Self Efficacy; Services; Social Interaction; Social support; Tablets; Target Populations; Technology; Test Result; Text Messaging; Time; Trainers Training; Training; Training Programs; Underserved Population; Unhealthy Diet; Weight; Woman; base; behavior change; bilingualism; cancer type; community organizations; cost; demographics; design; diet and exercise; eHealth; effectiveness testing; field study; health disparity; implementation intervention; improved outcome; indexing; intervention delivery; lifestyle intervention; mHealth; men; metropolitan; mortality; obesity prevention; obesity treatment; overweight adults; physical inactivity; post intervention; premature; programs; prototype; satisfaction; skills; social; successful intervention; theories; tool; waist circumference

ABSTRACT Hispanics are 23% more likely to be obese than their White counterparts4, and obesity rates are higher in Hispanic women than Hispanic men(45% vs. 39.7, respectively). It is estimated that 77% (or 15.5 million) Hispanic women are overweight or obese. Obesity is driven by a variety of social, physical, and economic factors, but is mainly due to poor diet and physical inactivity. Given this, most successful interventions that reduce adiposity indices (e.g. BMI, weight, waist circumference) incorporate both diet and exercise. Successful obesity interventions for Hispanics utilize cultural tailoring and have relied on promotores de salud (also known as community health workers) as key facilitators in delivering these interventions. Promotores are effective in delivering obesity interventions and promoting behavior change through enhanced motivation, social support, social interaction and connectedness, and self-efficacy. However, adequate in-person promotora training is necessary for effective implementation of these interventions. An in-person train-the-trainer (TTT) model is a laudable means of investing in promotores and communities, yet, there remains barriers to access including family commitments and associated costs. Our goal is to develop an effective, accessible, and scalable eHealth obesity intervention TTT for promotores. Comadres Saludables will combine both theory and evidence-based practices to provide promotores with the self-efficacy, knowledge, and skills required to effectively implement an obesity intervention for Hispanic women. Promotores will build their skillset through interactive quizzes, exercises, and video role-playing scenarios. Additionally, Comadres Saludables will be the first web-based TTT to provide promotores with interactive mHealth tools to enhance implementation with Hispanic women. Specifically, promotores will have the option of texting or emailing program materials directly to the participant and will have access to fidelity monitoring tools to ensure optimal implementation. In Phase I, a prototype of Comadres Saludables was developed, which was informed by formative research conducted with 35 Latina promotores (bilingual) 18-64 years of age. The results of Phase I strongly support the feasibility and potential effectiveness of the intervention, far exceeding the benchmarks established in the Phase I proposal. During Phase II we will complete development of the web-based Comadres Saludables training for promotores. In partnership with San Antonio Community Health Workers Association, we will examine the effectiveness of the Comadres Saludables training to increase self-efficacy in implementing effective core lifestyle intervention learning components for obesity interventions in Hispanics. Participants will be randomly assigned to either the intervention condition or to a control condition. Secondary measures will assess demographics, knowledge, attitudes, self-reported skill mastery, satisfaction, and utilization.

抽象的 西班牙裔肥胖的可能性高23％，而肥胖率更高 西班牙裔女性比西班牙裔男子（分别为45％和39.7）。据估计，有77％（或1550万） 西班牙裔妇女超重或肥胖。肥胖是由各种​​社会，身体和经济的驱动的 因素，但主要是由于饮食不良和身体不活跃。鉴于此，最成功的干预措施 减少肥胖指数（例如BMI，体重，腰围）融合了饮食和运动。成功的 西班牙裔的肥胖干预措施利用文化剪裁，并依靠促进店De Salud（也是 被称为社区卫生工作者）作为提供这些干预措施的关键促进者。促销是 有效地提供肥胖干预措施并通过增强动机来促进行为改变， 社会支持，社会互动和联系以及自我效能。 但是，有效实施这些培训是必要的 干预措施。面对面的火车培训者（TTT）模型是对促销和 但是，社区仍然存在障碍，包括家庭承诺和相关费用。我们的 目标是为促销提供有效，可访问且可扩展的eHealth肥胖干预TTT。 Comadres Saludables将结合理论和基于证据的实践，以提供促销 有效实施西班牙裔肥胖干预所需的自我效能，知识和技能 女性。促销将通过互动测验，练习和视频角色扮演来建立自己的技能 方案。此外，Comadres Saludables将是第一个基于网络的TTT 交互式MHealth工具可增强西班牙裔妇女的实施。具体而言，促销将有 直接向参与者发短信或电子邮件程序材料的选择，并将可以访问保真度 监视工具以确保最佳实现。 在第一阶段，开发了Comadres Saludables的原型，由形成性告知 研究以35个拉丁裔促销（双语）18-64岁进行的研究。第一阶段的结果强烈 支持干预的可行性和潜在有效性，远远超过了建​​立的基准 在第一阶段的建议中。 在第二阶段，我们将完成基于网络的Comadres Saludables培训的开发 促销。与圣安东尼奥社区卫生工作者协会合作，我们将研究 Comadres Saludables培训的有效性，以提高实施有效核心的自我效能感 西班牙裔肥胖干预措施的生活方式干预学习组成部分。参与者将随机 分配给干预条件或控制条件。次要措施将评估 人口统计学，知识，态度，自我报告的技能掌握，满意度和利用率。