Social, Ethical, and Behavioral Implications (SEBI) Research on COVID-19 Testing and Vaccine Uptake among Rural Latino Migrants in Southwest Florida

关于佛罗里达州西南部农村拉丁裔移民的 COVID-19 检测和疫苗接种情况的社会、伦理和行为影响 (SEBI) 研究

• 批准号: 10517970
• 负责人: Laura S Redwine
• 金额: $ 46.42万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-12-01 至 2023-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10517970
• 关键词: 12 year old; Acculturation; Address; Adherence; Adult; Behavior; Behavior Therapy; Behavioral; Behavioral Mechanisms; Black race; COVID-19 testing; COVID-19 vaccine; Cardiovascular Diseases; Child; Child Rearing; Chronic Disease; Cognitive; Collection; Communities; Community Health; Data; Data Collection; Diet; Eating; Eating Disorders; Education; Epidemic; Ethics; Evaluation; Family; Feedback; Florida; Focus Groups; Geography; Health; High Prevalence; Immigrant; Intervention; Language; Latino; Latino Population; Link; Low income; Malignant Neoplasms; Manuals; Measures; Metabolic syndrome; Methods; Mexican; Migrant; Mindfulness Training; Minority; Minority Groups; National origin; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome Measure; Overweight; Parents; Participant; Patient Self-Report; Personal Satisfaction; Physical activity; Pilot Projects; Procedures; Protocols documentation; Public Health; Randomized; Reporting; Research; Research Design; Risk; Risk Factors; Rural; Rural Community; Sampling Studies; School-Age Population; Schools; Series; Stress; Students; Target Populations; Techniques; Testing; Time; United States National Institutes of Health; Work; Youth; acceptability and feasibility; adult obesity; base; body-mind; community center; cultural competence; data quality; design; efficacy trial; evidence base; experience; feasibility testing; healthy lifestyle; high risk; improved; indexing; innovation; intervention effect; lifestyle intervention; member; mindfulness; mortality; obese person; obesity in children; obesity prevention; obesity risk; obesity treatment; offspring obesity; parental role; post intervention; programs; randomized trial; recruit; rural area; satisfaction; social; stress reduction; success; theories; treatment as usual; trend; uptake; vaccine acceptance; willingness

Project Summary Latino youth have the highest prevalence of obesity as compared to Black or White youth, and are at high- risk for adult obesity-related complications including cardiovascular disease. Moreover, Latino youth living in rural communities have an increased risk of adult obesity and mortality due to obesity-related chronic disease than Latinos living elsewhere. We synthesized our prior childhood obesity intervention and tailored our evidence-informed, theory-based, multi-family behavioral intervention, Adaptando Dieta y Acción Para Todos (ADAPT), to the acculturation status, language, and national origin or our target population - obese, school aged (8-12 years old) Latino youth and their parents living in rural areas. However, because the role of parent stress on obesity has not been adequately addressed in interventions aimed at reducing obesity in Latino youth, we argue that mindfulness parent stress reduction strategies may be a key component to improving eating and physical activity (PA) behaviors in both children and their parents. This NIH Stage I R34 proposes a refinement and optimization of the original ADAPT obesity intervention protocol to include mindfulness parent stress reduction strategies (now ADAPT+) (Stage IA) and feasibility assessment of ADAPT+ implementation (Stage IB). This mixed methods R34 sets the basis for a Stage 2 larger R01 trial to determine ADAPT+'s efficacy in improving Latino families' eating and PA behaviors. Two main aims guide our application. Aim 1: Refinement of ADAPT+ (ADAPT + mindfulness parent stress reduction) intervention. ? We assess acceptability of the integration of mindfulness parenting stress reduction into ADAPT to increase healthy lifestyle behaviors by: conducting a series of focus groups with our community health facilitators/ promotoras and parents of children (8-12 years old) with obesity to obtain feedback about and refine each of our 8 integrated sessions and evaluate optimization of ADAPT+ sessions. Aim 2: Feasibility and Acceptability trial. A randomized trial testing feasibility of ADAPT+ vs. Enhanced Usual Care/EUC conducted in two rural communities evaluates: ? study sample selection and recruitment, willingness to be randomized and retention. ? fidelity of intervention administration, intervention adherence, and further refinement of manuals. ? feasibility of data collection procedures, including collecting a battery of measures from parents and children, data quality and sensitivity of our measures to our intervention effects over time – (pre- post- 3 mos post). ? We anticipate that compared to EUC, ADAPT+ dyads will have a lower attrition rate and will report greater satisfaction. We also explore whether our eating, PA and stress indices are sensitive to the intervention. This application is significant, as it addresses an urgent public health epidemic among a specific at-risk, ethnic and geographical minority group; innovative, as it implements a unique intervention that addresses many limitations in the current state of obesity prevention and employs a rigorous scientific approach.

项目摘要 与黑人或白人青年相比，拉丁裔青年的肥胖症患病率最高，并且处于高 与成年肥胖有关的并发症（包括心血管疾病）的风险。而且，生活在拉丁裔青年 农村社区因肥胖相关慢性疾病而患成人肥胖和死亡的风险增加 比居住在其他地方的拉丁美洲人。我们综合了我们先前的儿童肥胖干预措施，并为我们的量身定制 证据，基于理论的，多户的行为干预，Adaptanto Dieta yAcciónParatodos （适应），培养状态，语言和国籍或我们的目标人群 - 肥胖，学校 年龄（8-12岁）的拉丁裔青年及其父母居住在农村地区。但是，因为父母的角色 旨在减少拉丁裔肥胖症的干预措施中，对肥胖症的压力尚未得到充分解决 青年，我们认为正念父母减轻压力策略可能是改善的关键组成部分 饮食和体育锻炼（PA）行为的孩子和父母的行为。这个NIH阶段I R34提案 原始适应肥胖干预方案的完善和优化，包括正念父母 减少压力策略（现在适应+）（IA阶段）和适应性+实施的可行性评估 （IB阶段）。这种混合方法R34为阶段2较大的R01试验设定了基础，以确定Autapt+'S 改善拉丁裔家庭的饮食和PA行为方面的功效。两个主要目标指导我们的应用。 目的1：适应 +的细化（适应 +正念父母压力减少）干预。 ？我们评估正念育儿压力减轻到适应以增加的整合的可接受性 健康的生活方式行为：与我们的社区卫生促进者一起进行一系列焦点小组/ 肥胖的儿童的发起人和父母（8-12岁），以获取有关和完善每一个的反馈 我们的8个集成会议并评估适应性+会话的优化。 目标2：可行性和可接受性试验。适应性+与增强的随机试验测试可行性 在两个粗糙社区中进行的常规护理/EUC评估： ？研究样本选择和招聘，愿意随机分配和保留。 ？干预措施的保真度，干预依从性以及手册的进一步完善。 ？数据收集程序的可行性，包括从父母和孩子那里收集一系列措施， 我们测量对干预效果的数据质量和敏感性随着时间的流逝（3个MOS邮政前）。 ？我们预计与EUC相比，Adapt+ Dyads的属性率将较低，并且将报告更大 满意。我们还探索我们的饮食，PA和压力指数是否对干预措施敏感。 该应用很重要，因为它解决了特定高危的特定公共卫生流行 种族和地理少数群体；创新的，因为它实施了一种独特的干预措施 当前肥胖状态和员工的许多局限性是一种严格的科学方法。

项目成果

Exploration of Multilevel Barriers and Strategies That Affected Early COVID-19 Vaccination and Testing in Rural Latino Communities in Southwest Florida.

• DOI: 10.3390/ijerph191811785
• 发表时间: 2022-09-18
• 期刊: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
• 作者: Buro, Acadia W.;Candelaria, Kevin Roman;Bailey, Rocio;Luna, Frances;Albizu-Jacob, Alexandra;Stern, Marilyn;Redwine, Laura
• 通讯作者: Redwine, Laura

Design and rationale for ADAPT+: Optimizing an intervention to promote healthy behaviors in rural, Latino youth with obesity and their parents, using mindfulness strategies.

• DOI: 10.1016/j.cct.2020.106243
• 发表时间: 2021-03
• 期刊: Contemporary clinical trials
• 影响因子: 2.2
• 作者: Stern M;Redwine L;Soca Lozano S;Rancourt D;Rodriguez C;Gray HL;Lock S;Bailey R
• 通讯作者: Bailey R

Developing Adaptando Dieta Y Acción Para Todos (ADAPT): An Intervention to Improve Healthy Lifestyle Behaviors Among Latino Parents and Children Living in Rural Communities.

• DOI: 10.1007/s10903-020-01037-y
• 发表时间: 2021-02
• 期刊: JOURNAL OF IMMIGRANT AND MINORITY HEALTH
• 影响因子: 1.9
• 作者: Stern, Marilyn;Soca Lozano, Sandra;Lescano, Celia;Rodriguez, Carmen;Redwine, Laura
• 通讯作者: Redwine, Laura