A Communication Intervention for Physical Activity in Underserved Communities

服务欠缺社区体育活动的沟通干预

基本信息

批准号：
8321064
负责人：
Jennifer Kate Carroll
金额：
$ 13.25万
依托单位：
UNIVERSITY OF ROCHESTER
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-26 至 2013-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8321064
关键词：
Address Adopted Behavior Behavioral Medicine Cancer Prevention Intervention Cancer Prevention Trial Clinical Trials Communication Communication Research Communities Competence Data Development Plans Educational Activities Educational Intervention Exercise Family Physicians Foundations Funding Goals Health Communication Health Promotion Health Services Research Intervention K-Series Research Career Programs Link Low income Measurable Measurement Mediating Mentors Modeling Office Visits Participant Patients Physical activity Population Practice based research Primary Cancer Prevention Primary Health Care Randomized Clinical Trials Research Research Personnel Social Environment Taxonomy Testing Underserved Population arm base biobehavior cancer prevention career career development communication theory design experience health disparity improved intervention effect member multidisciplinary patient oriented patient population post intervention primary outcome programs sedentary skills statistics

项目摘要

DESCRIPTION (provided by applicant): Overview: Jennifer Carroll, MD, MPH, a family physician, is applying for a mentored career development award to become an independent investigator in health communication, physical activity interventions, and cancer prevention. Her research goal is to evaluate a primary care-based clinician communication intervention to promote physical activity in underserved primary care populations. Communication about physical activity is a cornerstone to primary prevention of cancer linked to sedentary behavior. The proposed research is theoretically guided by principles of patient-centered communication and the 5A (Ask, Advise, Agree, Assist, Arrange) model positing that a primary care clinician intervention linked to a community program improves communication about physical activity in this population. Career Development Plan: Dr. Carroll's background in health promotion and underserved communities and cross-cultural communication research provide a strong foundation to her career plan. Her previous research experience will be enhanced by a specific, measurable career development plan in communication theory and measurement, practice-based research, physical activity interventions, advanced statistics, and behavioral medicine. An experienced, multidisciplinary mentoring team supports her plan. Her mentoring team provides internationally recognized expertise in research involving communication, biobehavioral clinical trials, health disparities and health services research. Additional advisory board members will provide expertise in cancer prevention, physical activity design issues, and research with underserved populations. Research Plan: The proposed study, along with mentoring and educational activities, will expand the promising findings of previous research conducted by Dr. Carroll and her mentors. The proposed study is a pilot two-arm randomized clinical trial to examine the effect of a primary care clinician communication intervention (n=15 clinicians) linked to a community-based exercise program on the primary outcome, use of the 5As in discussion of physical activity in 371 office visits in an ethnically diverse, primarily low income patient population. Secondary and exploratory aims are to provide pilot information on [feasibility and sustainability of the intervention from the patients' and clinicians' perspective and derive effect sizes on the intervention's effect on objective changes in physical activity in a subset of participants.] Study results will help Dr. Carroll to successfully apply for R01-level funding to conduct larger-scale cancer prevention trials to promote physical activity via communication interventions in primary care focusing on underserved populations.

描述（由申请人提供）：概述：詹妮弗·卡罗尔（Jennifer Carroll），医学博士，公共卫生硕士，家庭医生，正在申请指导职业发展奖，以成为健康沟通、身体活动干预和癌症预防方面的独立调查员。她的研究目标是评估基于初级保健的临床医生沟通干预，以促进服务不足的初级保健人群的身体活动。关于身体活动的沟通是与久坐行为相关的癌症一级预防的基石。拟议的研究在理论上以患者为中心的沟通原则和 5A（询问、建议、同意、协助、安排）模型为指导，该模型假设与社区计划相关的初级保健临床医生干预可以改善该人群有关身体活动的沟通。职业发展计划：卡罗尔博士在健康促进和服务不足社区以及跨文化传播研究方面的背景为她的职业计划奠定了坚实的基础。她之前的研究经验将通过在传播理论和测量、基于实践的研究、体育活动干预、高级统计学和行为医学方面的具体、可衡量的职业发展计划得到增强。经验丰富的多学科指导团队支持她的计划。她的指导团队在涉及交流、生物行为临床试验、健康差异和健康服务研究的研究领域提供国际公认的专业知识。其他顾问委员会成员将提供癌症预防、体育活动设计问题以及服务不足人群研究方面的专业知识。研究计划：拟议的研究以及指导和教育活动将扩展卡罗尔博士和她的导师之前进行的研究的有前景的发现。拟议的研究是一项试点两臂随机临床试验，旨在检查初级保健临床医生沟通干预（n = 15 名临床医生）与基于社区的锻炼计划相关联对主要结果的影响，即在讨论身体健康时使用 5A。对不同种族、主要是低收入患者群体进行了 371 次就诊活动。次要和探索性目标是提供关于[从患者和临床医生的角度来看干预措施的可行性和可持续性的试点信息，并得出干预措施对一部分参与者身体活动客观变化的影响大小。]研究结果将有助于卡罗尔博士成功申请 R01 级资金，以开展更大规模的癌症预防试验，通过针对服务不足人群的初级保健中的沟通干预措施来促进身体活动。