Predicting PA Adoption among Minority Women Using SEM and Participatory Research

使用 SEM 和参与性研究预测少数民族妇女对 PA 的采用情况

基本信息

批准号：
8314366
负责人：
Scherezade Kelly Mama
金额：
$ 2.88万
依托单位：
UNIVERSITY OF HOUSTON
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-06-12 至 2013-09-11
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8314366
关键词：
Accounting Address Adoption Adult African American Chronic Communities Complex Data Data Collection Development Environment Environmental Risk Factor Equation Fellowship Future Guidelines Health Health Promotion Hispanics Individual Intervention Interview Knowledge Latina Literature Longitudinal Studies Maintenance Measurement Measures Methods Minority Modeling Outcome Participant Patient Self-Report Perception Physical activity Physical environment Policies Population Protocols documentation Public Health Public Health Practice Questionnaires Recommendation Recruitment Activity Relative (related person)Reporting Research Research Personnel Risk Science Self Efficacy Social support Sorting - Cell Movement Testing Training Activity Woman base community based participatory research ethnic minority population indexing innovation meetings member men novel programs skills social theories therapy development

项目摘要

DESCRIPTION (provided by applicant): Regularly done physical activity has been associated with numerous health outcomes, yet the majority of U.S. adults still struggle to meet minimum physical activity guidelines, making physical inactivity an ongoing, significant health challenge particularly among women and minorities. Although numerous tested strategies exist, there are few effective methods to increase adoption of physical activity and innovation in this arena is needed. The Ecologic Model of Physical Activity takes into account intrapersonal factors, interpersonal relationships, the physical environment and policies that are critical in the adoptio of physical activity. Women have unique needs, and may respond differently from men to health promotion materials and protocols, and may be especially sensitive to environmental conditions. Community based participatory research strategies hold promise for enhancing relevance and sustainability of physical activity interventions and allow researchers to gain a community perspective of health problems that theorists and researchers alone may miss. This study aims to explore individual, social and environmental correlates of physical activity adoption among African American and Hispanic or Latina women using a mixed-method approach, combining existing quantitative data with in-depth interviews and pile-sort data to identify novel factors associated with for physical activity adoption. We propose to develop two conceptual models of physical activity adoption. A research-based model (RBM) will be developed by conducting an extensive review of correlates of physical activity indentified by the existing scientific literatue and theories. A community-based model (CBM) will be developed using community members' perceptions and input from in-depth interviews and pile-sort activities. Correlates identified by the literature and community members will inform the development of latent constructs to be included in the models. Models will be analyzed using existing questionnaire and objective assessment data from the Health Is Power project (PI: Lee, 1R01CA109403). Model fit indices will be used to first define the best fitting RBM and CBM, and will then be compared between models to determine which model is a better predictor of physical activity adoption among African American and Hispanic or Latina women. This fellowship is a unique opportunity to refine the applicant's skills and reinforce training activities. Results will contribute knowledge about ecologic, multilevel mechanisms underlying adoption of physical activity among minority women to the applicant's dissertation and doctoral program and to science and practice of public health. The resulting model to predict physical activity adoption among African American and Hispanic or Latina women may be used to guide future intervention development and physical activity research. PUBLIC HEALTH RELEVANCE: Physical inactivity rates are higher among women than men, and despite increased vulnerability to related health compromising conditions, ethnic minorities report higher rates of physical inactivity than whites. Although numerous tested strategies exist, there are few effective methods to increase adoption of physical activity and innovation in this arena is needed. Combining community based participatory research and structural equation modeling to develop a model that can be used to explain physical activity adoption among African American and Hispanic or Latina women is highly relevant to public health.

描述（由申请人提供）：经常进行体育锻炼与许多健康成果有关，但是大多数美国成年人仍在努力满足最低限度的体育锻炼指南，这使得身体不活动构成了持续的，重大的健康挑战，尤其是在妇女和少数群体中。尽管存在许多经过测试的策略，但几乎没有有效的方法可以增加该领域的体育活动和创新的采用。体育锻炼的生态模型考虑了人际因素，人际关系，身体环境和政策，这对于采用体育锻炼至关重要。妇女有独特的需求，并且可能从男性到健康促进材料和方案的反应不同，并且可能对环境条件特别敏感。基于社区的参与性研究策略有望增强体育活动干预的相关性和可持续性，并使研究人员能够对理论家和研究人员可能会错过的健康问题获得社区观点。这项研究旨在通过使用混合方法探索非洲裔美国人和西班牙裔或拉丁裔妇女进行体育活动采用的个人，社会和环境相关性，将现有的定量数据与深入的访谈和堆积数据相结合，以确定与采用体育活动相关的新因素。我们建议开发两个采用体育活动的概念模型。基于研究的模型（RBM）将通过对现有科学文学和理论缩进体育活动的相关性进行广泛的审查来开发。基于社区的模型（CBM）将使用社区成员的看法和深入访谈和堆积活动的意见开发。文献和社区成员确定的相关性将告知要在模型中包括的潜在结构的发展。将使用现有问卷调查和来自健康的IS Power Project（PI：Lee，1R01CA109403）的客观评估数据来分析模型。模型拟合指数将首先定义最佳拟合的RBM和CBM，然后将在模型之间进行比较，以确定哪种模型可以更好地预测非裔美国人和西班牙裔或拉丁裔女性的体育活动采用。这项奖学金是完善申请人技能并加强培训活动的独特机会。结果将有助于有关少数族裔妇女在申请人的论文和博士学位计划以及科学和公共卫生实践的生态，多层次机制的知识。预测非裔美国人和西班牙裔或拉丁裔妇女进行体育活动的最终模型可能用于指导未来的干预发展和体育活动研究。公共卫生相关性：男性的身体不活动率高于男性，尽管对相关健康损害疾病的脆弱性增加，但少数民族报告的身体不活动率高于白人。尽管存在许多经过测试的策略，但几乎没有有效的方法可以增加该领域的体育活动和创新的采用。将基于社区的参与性研究和结构方程建模相结合，以开发可用于解释非裔美国人和西班牙裔或拉丁裔妇女进行体育活动的模型，这与公共卫生高度相关。