TU SALUD SI CUENTA: A COMMUNITY BASED MEDIA INTERVENTION FOR MEXICAN AMERICAN

TU SALUD SI CUENTA：针对墨西哥裔美国人的社区媒体干预

• 批准号: 8377033
• 负责人: Belinda Reininger
• 金额: $ 22.02万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至 2014-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8377033
• 关键词: AIDS prevention; Accounting; Address; Affect; Area; Award; Awareness; Behavior; Behavior assessment; Behavioral; C-reactive protein; Cardiovascular Diseases; Centers of Research Excellence; Clinical Sciences; Communities; Community Outreach; County; Development Plans; Diabetes Mellitus; Diabetes prevention; Disadvantaged; Disease; Disease Marker; Effectiveness; Environment; Exercise; Exposure to; Food; Foundations; Funding; Goals; Grant; Health; Health Food; Health behavior; Hispanics; Influentials; Insulin Resistance; Intervention; Journalism; Language; Life; Life Style; Mass Media; Measures; Media Intervention; Mediation; Metabolic Marker; Methods; Mexican Americans; Mexico; Minority; National Center on Minority Health and Health Disparities; Neighborhoods; Newsletter; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Outcome; Parents; Participant; Physical activity; Physiological; Pilot Projects; Population; Prevention strategy; Program Effectiveness; Psychosocial Factor; Radio; Reporting; Research; Research Design; Research Project Grants; Risk Factors; Sampling; Screening for cancer; Surveys; Testing; Time; Tobacco use; Training; Translational Research; Trust; United States National Institutes of Health; Vision; base; cohort; community intervention; design; effective intervention; environmental change; follow-up; improved; inflammatory marker; innovation; intervention effect; member; novel; population based; psychosocial; role model; social

The proposed Center of Excellence on Diabetes in Americans of Mexican Descent aims to conduct research on the physiologic progression to diabetes and its complications among Mexican Americans, and to develop diabetes prevention strategies and test innovative approaches to effective interventions in a minority population severely affected by type 2 diabetes. This Center proposes an administrative core, a research core including three research projects and two pilot studies, a training core and a community engagement core. As part of the Research Core, the Tu Salud, jSi Cuenta!: A Community-Based Media Intervention for Mexican Americans research project will test its effectiveness for modifying physical activity and healthy food choices, two underlying modifiable behaviors associated with obesity and type 2 diabetes. Population-based strategies to modify behaviors are needed in order to address the overwhelming numbers of people becoming obese, particularly Mexican Americans. The use of mass media depicting attractive and influential role models (Behavioral Journalism) is a promising intervention method that has demonstrated positive effects. We propose a novel adaptation of a community-based media intervention for disadvantaged Mexican Americans living along the US / Mexico border. The Tu Salud jSi Cuenta! (Your Health Matters!) intervention will provide behavioral journalism-formatted Spanish language information in mass media venues (TV and radio) and small media formats (newsletters) focusing on increasing physical activity and healthful food choices. The media segments will be supported by community outreach and environmental changes. A quasi experimental matched community design will be implemented to assess outcomes among one intervention community and one comparison community. Additionally, a longitudinal follow-up study will examine outcomes among a cohort of Mexican Americans living in the intervention community. The intervention is innovative in its use of behavioral journalism to create Spanish language messages and in its assessment of behavioral and physiological outcomes. Specific Aim #1: Using a quasi-experimental matched community design, assess whether a communitybased media intervention positively changes psychosocial, environmental, and behavioral risk factors for type 2 diabetes among Mexican Americans. Specific Aim #2: Using a longitudinal follow-up study of participants in the Cameron County Hispanic Cohort, assess whether those who are most aware of the materials, messages and strategies of the intervention have improved physiological profiles from baseline to follow-up, as well as positive changes in psychosocial, environmental, and behavioral risk factors for type 2 diabetes

拟议的墨西哥血统美国人糖尿病卓越中心旨在进行 研究生理发展到糖尿病及其并发症的墨西哥裔美国人的研究， 并制定预防糖尿病的策略并测试创新方法，以进行有效干预措施 少数人群受2型糖尿病的严重影响。该中心提出了一个行政核心，一个 研究核心包括三个研究项目和两个试点研究，一个培训核心和一个社区 订婚核心。 作为研究核心的一部分，Tu Salud，Jsi Cuenta！：一种基于社区的媒体干预措施 墨西哥裔美国人研究项目将测试其修改体育锻炼和健康食品的有效性 选择，两种与肥胖和2型糖尿病相关的基本可修改行为。基于人群 需要修改行为的策略，以解决大量人数 变得肥胖，尤其是墨西哥裔美国人。大众媒体的使用描绘了有吸引力和有影响力的 榜样（行为新闻）是一种有前途的干预方法，表现为积极 效果。我们提出了针对不利的墨西哥的基于社区媒体干预的新颖调整 居住在美国 /墨西哥边境的美国人。 Tu Salud Jsi Cuenta！ （您的健康很重要！） 干预将在大众媒体中提供行为新闻的西班牙语信息 场地（电视和广播）以及小型媒体格式（新闻通讯），致力于增加体育锻炼和 健康的食物选择。媒体细分市场将得到社区外展和环境的支持 更改。将实施准实验匹配的社区设计，以评估结果 一个干预社区和一个比较社区。此外，纵向后续研究将 检查居住在干预社区中的墨西哥裔美国人队列中的结果。这 干预对使用行为新闻的使用是创新的，以创建西班牙语信息及其 评估行为和生理结果。 特定目的＃1：使用准实验性匹配的社区设计，评估是否基于社区 媒体干预积极改变心理社会，环境和行为风险因素 墨西哥裔美国人中的2型糖尿病。 特定目的＃2：使用卡梅伦县西班牙裔队列的参与者的纵向后续研究， 评估那些最了解干预材料，信息和策略的人 从基线到随访以及心理社会的积极变化，都有改善的生理概况， 2型糖尿病的环境和行为风险因素