Promoting Physical Activity in Churchgoing Latinas- LPerez

促进去教堂的拉丁裔的身体活动-LPerez

• 批准号: 8589985
• 负责人: Elva M Arredondo
• 金额: $ 5.01万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-03-03 至 2016-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8589985
• 关键词: Adult; Advocate; Attention; Behavioral; Body mass index; Cancer Control; Characteristics; Chronic Disease; Church; Commit; Communities; Data; Dose; Effectiveness; Elements; Environment; Equation; Ethnic group; Evaluation; Event; Evidence based intervention; Female; Funding; Geographic Information Systems; Goals; Individual; Institution; Intervention; Intervention Trial; Latina; Latino; Life; Life Style; Light; Low Prevalence; Maintenance; Malignant Neoplasms; Measures; Mediation; Mediator of activation protein; Modeling; Modification; Neighborhoods; Outcome; Participant; Personal Satisfaction; Physical activity; Physical environment; Pilot Projects; Population; Principal Investigator; Randomized; Randomized Controlled Trials; Recreation; Recruitment Activity; Relative (related person); Religious Belief; Research; Role; Self Efficacy; Services; Social support; Trees; Weight; Weight Gain; Weight maintenance regimen; Woman; Work; base; behavior change; cancer prevention; density; design; energy balance; environmental change; fitness; follow-up; improved; innovation; intervention effect; land use; member; primary outcome; programs; psychosocial; public health relevance; racial and ethnic disparities; randomized trial; social; theories

DESCRIPTION (provided by applicant): The low prevalence of moderate-to-vigorous physical activity (MVPA) among adult Latinas likely contributes to the high rates of cancer and other chronic diseases in this population. The goals of the current study, based largely upon the core principles of the Social Ecological Model, are to design, implement, and evaluate an innovative multi-level intervention promoting physical activity among churchgoing Latinas. Given the central role of churches within the Latino community and their overall commitment to the well-being of their members, churches serve as the ideal setting for the current study. The evidenced-based intervention will target three "tiers" of environmental influences (i.e., church, immediate neighborhood surrounding the church, and community) on activity, as well as MVPA-related personal factors (i.e.., intra/interpersonal, cultural, and perceived environmental variables). The physical activity intervention will be compared with an attention-control condition targeting general topics related to cancer prevention and control. Sixteen churches will be randomly assigned to either the physical activity intervention or the attention-control condition. Approximately 432 Latinas who attend church services at least weekly will be recruited as participants from the sixteen churches. Outcome analyses will determine whether the multi-level intervention will increase MVPA among Latina churchgoers in the intervention condition relative to the attention-control condition. The study's primary outcome will comprise accelerometry-measured MVPA at baseline, 12 and 24 months following implementation of intervention activities. Intra/interpersonal mediators and cultural moderators, as well as environmental mediators and moderators will be measured to assess multiple levels of influence on Latinas' physical activity. The proposed group - randomized controlled trial builds on formative and pilot research findings funded by an NCI R21 to the Principal Investigator, as well as more than 2 decades of foundational work by the research team. In the R21, the promotoras realized individual and environmental level changes. To examine the effectiveness of the multi-level intervention on Latinas' PA, a randomized controlled trial is an essential and logical follow-up to the pilot study.

描述（由申请人提供）：成人拉丁裔中中度到剧烈运动（MVPA）的患病率低可能导致该人群中癌症和其他慢性疾病的高率。当前研究的目标主要基于社会生态模型的核心原则，是为了设计，实施和评估创新的多层次干预措施，以促进教会拉丁裔的体育活动。鉴于教会在拉丁裔社区中的核心作用及其对成员福祉的整体承诺，教会是当前研究的理想环境。基于证据的干预措施将针对环境影响的三个“层”（即教堂，教堂周围和社区的直接社区）以及与MVPA相关的个人因素（即人际/际文化，文化和感知的环境变量）。体育活动干预将与针对与癌症预防和控制有关的一般主题的注意力控制条件进行比较。 16个教堂将被随机分配到体育锻炼干预或注意力控制状态。至少每周参加教堂服务的大约432个拉丁裔将被招募为十六个教堂的参与者。结果分析将确定相对于注意力控制条件，在干预条件下，多级干预是否会增加拉丁裔教会者之间的MVPA。该研究的主要结果将包括在基线实施干预活动后12和24个月的加速度计测量MVPA。将测量/际际介体和文化主持人以及环境介体和主持人，以评估对拉丁裔体育锻炼的多种影响。拟议的小组 - 随机对照试验基于由NCI R21资助的成立和试点研究发现，以及研究团队的基础工作，并超过20年的基础工作。在R21中，促销活动实现了个人和环境水平的变化。为了检查多级干预对拉丁裔PA的有效性，一项随机对照试验是试点研究的必不可少的逻辑随访。