Promoting Physical Activity and Healthy Eating in Latinas via Interactive Web-Based Technology

通过基于网络的交互式技术促进拉丁裔的体育活动和健康饮食

基本信息

批准号：
10508735
负责人：
Tanya J Benitez
金额：
$ 15.96万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-08-25 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10508735
关键词：
Address Adult Affect Area Behavior Behavior Therapy Behavioral Black race Blood Pressure Body Weight Body fat Body mass index Cardiometabolic Disease Chronic Chronic Disease Clinical Trials Communities Consumption Control Groups Data Development Diabetes Mellitus Diagnosis Diet Diet Habits Dietary Intervention Extended Family Family Focus Groups Food Labeling Fright Future Goals Guidelines Health Health Benefit Health behavior Healthy Eating Heart Diseases Hypertension Immigration Individual Infrastructure Intake Interdisciplinary Study Internet Intervention Interview Language Latina Latina Population Latino Latino Population Learning Life Style Linguistics Link Measures Mentorship Methodology Nutritional Study Obesity Online Systems Outcome Overweight Participant Physical activity Population Populations at Risk Prevalence Process Public Health Randomized Randomized Controlled Trials Reporting Research Research Personnel Resources Risk Factors Role Scientist Social support Stroke Structure Technology Testing Time Training Transportation Unhealthy Diet Waiting Lists Woman Work arm base behavior change bilingualism career cost dietary dietary guidelines disease disparity disorder prevention disparity reduction ethnic minority population evidence base exercise intervention food preparation fruits and vegetables good diet handheld mobile device health disparity innovative technologies interest intervention mapping lifestyle intervention member modifiable behavior modifiable risk novel nutrition physical inactivity preference prevent process evaluation programs racial minority reading difficulties skills social success sugar sweetened beverage theories treatment arm web site web-based intervention

项目摘要

Project Summary/Abstract Physical inactivity and poor diet quality, including low fruit and vegetable consumption and high sugar- sweetened beverages, have been linked with diabetes, overweight/obesity and numerous chronic health conditions. For Latina women in the U.S., the disproportionately low physical activity (PA) levels and unhealthy dietary habits contribute to the high and rising prevalence of diabetes and overweight/obesity, as well as heart disease, hypertension, and stroke. Reducing these disparities requires culturally appropriate interventions that promote multiple health behaviors of PA and healthy eating. The majority of lifestyle interventions that target these behaviors in Latinos have been implemented using face-to-face approaches, which may not be accessible to Latinas due to common barriers (e.g., lack of time, fear of immigration enforcement, and lack of transportation) and can require costly resources to implement. Internet-based interventions can overcome barriers of face-to-face approaches and have potential for wide reach. Latinos now report higher Internet usage than White and Black adults (95% Latinos use Internet) and are more likely than non-Latinos to use their mobile devices to access health information. While most Latinas report more than one modifiable risk factor contributing to cardiometabolic disease (physical inactivity, poor diet quality) no Internet-based interventions have yet been developed that are culturally tailored to address both diet and PA needs of Latinas. Our research team has already developed and tested a culturally and linguistically adapted, theory-driven, Internet- based intervention promoting PA in Latina women, Pasos Hacia la Salud, that has shown success by increasing and maintaining PA gains in this population over 12 months. Latina participants in our team’s PA studies have also expressed interest in learning more about dietary quality. Thus, we will expand our Internet- based PA intervention to include promotion of healthy eating in Latinas as a more comprehensive approach to reducing cardiometabolic disease in Latinas. We will then test the preliminary efficacy of the adapted web- based multiple behavior change intervention for Latinas in a 12-week pilot RCT. Participants (N=70) will be randomized to: 1) PA and dietary intervention arm, or 2) wait-list control arm. The goal of the proposed study is to help Latinas meet national PA and dietary guidelines for F&V and SSB consumption. This work leverages our existing infrastructure (web-based platform), didactic training, and the unique and complementary expertise of the mentorship team and collaborators in developing innovative technology-based and individually tailored PA and diet interventions in at-risk populations. The proposed project will provide the PI (Dr. Benitez) training on nutrition research and new methodologies in this area (Intervention Mapping process, evaluation of nutrition interventions, and multiple behavior clinical trials). This study proposes a novel, low-cost and high reach approach to reduce the burden of cardiometabolic disease in Latinas and will provide the PI with skills for developing and conducting culturally tailored multiple behavior (nutrition and physical activity) clinical trials.

项目概要/摘要身体活动不足和饮食质量差，包括水果和蔬菜摄入量低以及糖分高—— 含糖饮料与糖尿病、超重/肥胖和许多慢性健康问题有关对于美国的拉丁裔女性来说，体力活动 (PA) 水平过低且不健康。饮食习惯导致糖尿病、超重/肥胖以及心脏病的患病率高且不断上升减少这些差异需要在文化上采取适当的干预措施。促进 PA 和健康饮食的多种健康行为大多数生活方式干预措施都针对这些行为。拉丁美洲人的这些行为是通过面对面的方式实现的，这可能不是由于共同的障碍（例如，缺乏时间、担心移民执法以及缺乏运输），并且需要昂贵的资源来实施基于互联网的干预措施可以克服。拉丁美洲人现在报告说，互联网的使用率更高。比白人和黑人成年人（95% 拉丁裔使用互联网）高，并且比非拉丁裔更有可能使用互联网虽然大多数拉丁裔人报告了不止一种可改变的风险因素。导致心脏代谢疾病（缺乏身体活动、饮食质量差）无基于互联网的干预措施尚未开发出适合拉丁裔文化的饮食和 PA 需求。研究团队已经开发并测试了一种适应文化和语言的、理论驱动的、互联网的基于促进拉丁裔女性 PA 的干预措施 Pasos Hacia la Salud 已取得成功在 12 个月内增加并维持我们团队 PA 中拉丁裔参与者的 PA 增益。研究也表示有兴趣了解更多有关饮食质量的信息，因此，我们将扩大我们的互联网范围。基于 PA 的干预措施包括促进拉丁美洲人的健康饮食，作为一种更全面的方法然后我们将测试改编后的网络的初步功效。在为期 12 周的随机对照试验中，参与者（N=70）将接受针对拉丁裔的多重行为改变干预。随机分为：1) PA 和饮食干预组，或 2) 等候名单对照组本研究的目标是。帮助拉丁裔满足 F&V 和 SSB 消费的国家 PA 和饮食指南。我们现有的基础设施（基于网络的平台）、教学培训以及独特且互补的专业知识导师团队和合作者开发基于创新技术和个性化定制的拟议项目将为 PI（贝尼特斯博士）提供培训。营养研究和该领域的新方法（干预绘图过程、营养评估干预措施和多种行为临床试验）。这项研究提出了一种新颖、低成本和高覆盖范围的方法。减轻拉丁裔心脏代谢疾病负担的方法，并将为 PI 提供以下技能：开发和开展根据文化定制的多种行为（营养和身体活动）临床试验。