Co-production of 'Health Connections' - a community-based diet, physical activity, and healthy weight intervention for UK Black and Asian adults

联合制作“健康连接”——针对英国黑人和亚洲成年人的基于社区的饮食、体育活动和健康体重干预

• 批准号: MR/X503022/1
• 负责人: Maria Maynard
• 金额: $ 15.37万
• 依托单位: Leeds Beckett University
• 依托单位国家: 英国
• 项目类别: Research Grant
• 财政年份: 2022
• 资助国家: 英国
• 起止时间: 2022 至 无数据
• 项目状态: 未结题
• 来源: https://gtr.ukri.org/projects?ref=MR%2FX503022%2F1
• 关键词: Co; production; Health; Connections; community; Co; production; Health; Connections; community

What is the problem? Current health communication and behaviour change programmes do not support UK Black and Asian populations in making healthier dietary and physical activity (PA) choices, and maintaining a healthier weight. We talked to Black Caribbean, Black African and South Asian women and men and to health practitioners to develop this project. In these conversations people shared that they are very motivated to improve their diet and PA behaviours to prevent serious health conditions such as type 2 diabetes. However, some also told us that worrying about or experiencing racism, and other barriers such as time and expense, stopped them from taking part in healthy lifestyle programmes. It was felt that existing services lacked relevance for Black and Asian people and were poorly communicated. When asked what ideal help with health behaviour change would look like to them, services with mental health support delivered by staff of the same ethnic group and similar lived experience were common opinions. The importance of being able to keep eating their traditional foods, and that dancing or walking were popular activities, was also emphasised. Weight loss, if needed, was seen as something that happened naturally, if healthy habits could be maintained. In terms of programme delivery, the need for low cost and flexible sessions, and a preference for community rather than medical settings, was stated. We also looked at existing published research and while there are some studies on what helps and hinders healthy behaviours among Black and South Asian ethnic groups, there has been very little research developing and testing interventions suitable for these groups. How will the problem be addressed? We have formed a group made up of researchers, members of the public, charities, health professionals, and policy makers. Together we aim to co-design 'Health Connections'- a new intervention tailored to the needs of Black Caribbean, Black African and South Asian men and women, based in communities and delivered by community educators supported by health professionals. We will look at how a culturally sensitive communication campaign and mental health support can be included in an intervention programme to improve diet and PA choices, and promote healthy weight. We will also examine how health professionals can be trained in cultural competency (being able to see things from the point of view of people from other cultures), so that partnerships between health professionals and community educators are improved. Throughout the project there will be meetings every two months and other activities such as questionnaires and a workshop, and support meetings for group members from the public, to make sure all views are represented. We will conduct interviews with men and women from diverse ethnic groups to understand their experiences, opinions and intervention needs, adding to our existing data. Findings will be summarised in a plain English report. We will also gather examples of existing intervention resources (such as culturally adapted recipes) and local practice. Based on the information gathered, we will make a list of potential programme sessions, their content, and how they will be delivered. The project group will complete questionnaires regarding the list, and discuss the results in a workshop to come to an agreement on the best ideas. Examples of session content (e.g. recipe cards and exercise videos) will be made and we will hold a community event in Leeds, UK, to see what the public think of the ideas and materials. The final stage will be to write a manual documenting the intervention and to share the project findings in publications, presentations, and an infographic. The findings will then be the basis of planning the next phase of research, which will be to carry out a trial to test whether the newly designed intervention can be carried out and is acceptable among Black and South Asian adults.

问题是什么？当前的健康沟通和行为改变计划不支持英国黑人和亚洲人口，以使更健康的饮食和体育锻炼（PA）选择，并保持更健康的体重。我们与黑人加勒比海，黑人非洲和南亚男女进行了交谈，并与卫生从业人员进行了交谈，以开发该项目。在这些对话中，人们分享了他们非常有动力改善饮食和PA行为，以防止严重的健康状况，例如2型糖尿病。但是，有人还告诉我们，担心或经历种族主义，以及其他时间和费用等其他障碍，阻止了他们参加健康的生活方式计划。人们认为现有的服务与黑人和亚洲人缺乏相关性，并且传达不良。当被问及对他们的健康行为变化有什么理想的帮助时，同一族裔员工提供的心理健康支持和类似生活经验的服务是常见的意见。还强调了能够继续吃传统食物以及跳舞或步行是流行活动的重要性。如果需要的话，减肥就被视为自然发生的事情，如果可以保持健康的习惯。在计划交付方面，陈述了对低成本和灵活会议的需求，以及对社区而非医疗环境的偏爱。我们还研究了现有的已发表研究，虽然有一些研究对黑人和南亚族裔的有助于和阻碍健康行为的研究，但很少有适合这些群体的研究和测试干预措施的研究。问题将如何解决？我们组成了一个由研究人员，公共成员，慈善机构，卫生专业人员和政策制定者组成的小组。我们共同旨在共同设计“健康联系” - 一种针对黑人加勒比海，黑人非洲和南亚男女的需求量身定制的新干预措施，该干预措施位于社区，并由卫生专业人员支持的社区教育工作者提供。我们将研究如何将具有文化敏感的沟通运动和心理健康支持包括在干预计划中，以改善饮食和PA的选择，并促进健康的体重。我们还将研究如何在文化能力上接受卫生专业人员的培训（从其他文化的人们的角度看待事物），以便改善卫生专业人员与社区教育者之间的伙伴关系。在整个项目中，每两个月将举行一次会议，以及其他活动，例如问卷和研讨会，并为公众团体成员提供支持会议，以确保代表所有观点。我们将对来自不同种族的男女进行采访，以了解他们的经验，意见和干预需求，从而增加了我们的现有数据。调查结果将在简单的英语报告中总结。我们还将收集现有干预资源（例如文化适应食谱）和当地实践的例子。根据收集的信息，我们将列出潜在的计划会议，其内容以及如何交付它们。项目组将填写有关列表的问卷，并在研讨会中讨论结果，以就最佳想法达成协议。将制作会话内容的示例（例如食谱卡和练习视频），我们将在英国利兹举行社区活动，以了解公众对思想和材料的看法。最后阶段是编写一份记录干预措施的手册，并在出版物，演示文稿和信息图中分享项目发现。然后，这些发现将是计划下一阶段研究的基础，该研究将是进行试验以测试新设计的干预措施是否可以进行，并且在黑人和南亚成年人中可以接受。