Can CHW/PS Promote Lifestyle and Environment Changes to Reduce CVD Risk in Texas

CHW/PS 能否促进生活方式和环境改变以降低德克萨斯州的 CVD 风险

• 批准号: 7493817
• 负责人: Maria O. Duarte-Gardea
• 金额: $ 57.29万
• 依托单位: UNIVERSITY OF TEXAS EL PASO
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2013-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7493817
• 关键词: Address; Advisory Committees; Area; Awareness; Behavior; Cardiovascular Diseases; Cities; Class; Communities; Community Health; Education; Environment; Environmental Risk Factor; Family; Fostering; Goals; Health behavior; Heart; Hispanics; Individual; Intervention; Intervention Studies; Knowledge; Lead; Life; Life Style; Modeling; Needs Assessment; Organizational Change; Phase; Pilot Projects; Policies; Process; Public Sector; Recreation; Research; Risk Factors; Schools; Self Efficacy; System; Texas; base; cardiovascular disorder risk; community based participatory research; community organizations; environmental change; environmental intervention; experience; fitness; follow-up; health disparity; improved; outreach; programs; service utilization

DESCRIPTION (provided by applicant): HEART (Heath Education Assessment Research Team) Phase 2 is a community-based participatory research continuation project whose overall goal is to reduce risk factors for cardiovascular disease (CVD) in Hispanics in El Paso, Texas using the community health workers/promotores de salud (CHW/PS) model. In HEART Phase 1 we: 1) developed a Community Health Advisory Committee (CHAC) to lead the participatory research process and guide additional means to obtain community input; 2) performed a community needs assessment to direct the research process; and 3) conducted a four-month CHW7PS pilot intervention (group classes and follow-up) to identify an optimal CHW/PS outreach approach. In addition to the lifestyle changes promoted in our pilot study, the HEART Phase 2 will add a fitness component and include a focus on the environment that contributes to CVD risk. Two new community partners have been added to emphasize our fitness and environmental approach: the YWCA facility in the Lower Valley and after-school programs available at both the YWCA and through the City of El Paso Parks and Recreation Department. We plan to foster the sustained integration of the CHW/PS model in these new community based organizations (CBOs) and public sector settings through increased organizational experience and knowledge regarding culturally-tailored lifestyle and environmental interventions. Most importantly, we will conduct an intervention in the Lower Valley of Et Paso that will build on our pilot study. Our culturally sensitive programming will be known as Mi Corazon, Mi Comunidad (My Heart, My Community). The goals of the intervention will be to 1) increase awareness and utilization of programs by Hispanic families living in the target community; 2) increase health behaviors including intentions and self-efficacy, and 3) decrease CVD risk factors among Hispanic families. Through our combined approach and with the continuous input from the CHAC, we will impact change agents, stakeholders, organizations, individuals and families. Lastly, we will define and promote a policy agenda that targets integration of CHW/PS in CBOs and public sector programs in conjunction with a dissemination plan to share our findings with a broader audience, thereby improving lifestyle and environmental factors that impact CVD risk factors for Hispanics in El Paso, Texas.

描述（由申请人提供）：第2阶段的心脏（Heath教育评估研究团队）是一个基于社区的参与性研究连续项目，其总体目标是使用得克萨斯州埃尔帕索的西班牙裔危险因素使用社区卫生工作者/促销员de Salud（CHW/PS）模型来减少西班牙裔埃尔帕索的心血管疾病（CVD）。在心脏阶段1中，我们：1）成立了一个社区健康咨询委员会（CHAC），以领导参与性研究过程，并指导其他手段以获得社区意见； 2）执行社区需求评估以指导研究过程； 3）进行了为期四个月的CHW7P飞行员干预（小组类别和后续行动），以确定最佳的CHW/PS外展方法。除了在我们的试点研究中促进的生活方式变化外，心脏2阶段还将增加健身成分，并将重点放在有助于CVD风险的环境上。添加了两个新的社区伙伴，以强调我们的健身和环境方法：下山谷的YWCA设施以及YWCA以及通过埃尔帕索公园和娱乐部门提供的课后课程。我们计划通过增加组织经验和有关文化规定的生活方式和环境干预措施的组织经验和知识来促进CHW/PS模型在这些新的社区组织（CBO）和公共部门环境中持续整合。最重要的是，我们将对ET PASO的下层山谷进行干预，这将基于我们的试点研究。我们对文化敏感的节目将被称为Mi Corazon，Mi Comunidad（我的心，我的社区）。干预的目标将是1）居住在目标社区中的西班牙裔家庭提高对计划的认识和利用； 2）增加健康行为，包括意图和自我效能感，3）减少西班牙裔家庭中CVD风险因素。通过我们的联合方法以及CHAC的持续投入，我们将影响变革的代理人，利益相关者，组织，个人和家庭。最后，我们将定义并促进政策议程，该政策议程针对CBO和公共部门计划中的CHW/PS的整合以及传播计划，以与更广泛的受众分享我们的发现，从而改善了德克萨斯州El Paso的CVD风险因素，从而改善了CVD风险因素。