Developing a Community Empowered Intervention to Promote Latino Family Health

制定社区授权干预措施以促进拉丁裔家庭健康

基本信息

批准号：
8657478
负责人：
CHARLES R MARTINEZ
金额：
$ 29.36万
依托单位：
UNIVERSITY OF OREGON
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-05-01 至 2015-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8657478
关键词：
Adult Alcohol abuse Alcohol or Other Drugs use Area Arthritis Behavior Behavior Therapy Buffers Child Child health care Chronic Chronic Disease Collaborations Communities Community Developments Community Practice Development Discrimination Disease Disease Management Disease Progression Employee Strikes Epidemiology Ethnic group Evidence based intervention Family Family health status Growth Health Health Priorities Health Status Health behavior Heart Hispanics Housing Immigrant Instruction Intervention Language Latino Learning Life Life Style Link Literature Longitudinal Studies Manuals Mental Depression Mental Health Methods Monoclonal Antibody R24 Needs Assessment Obesity Oregon Outcome Overweight Parenting behavior Parents Personal Satisfaction Phase Physical activity Population Population Growth Principal Investigator Problem behavior Race Reporting Research Research Methodology Research Personnel Research Project Grants Risk Series Site Social Health Services Social support Stress Structure System Treatment Efficacy Universities Woman Youth adolescent drug use base behavioral health chronic pain cohesion community based participatory research demographics design efficacy testing efficacy trial empowered experience farm worker health disparity improved interest low socioeconomic status men nutrition physical conditioning pressure prevent prospective research study resilience respiratory response sedentary skills social stress management stressor therapy design therapy development

Adult Alcohol abuse Alcohol or Other Drugs use Area Arthritis Behavior Behavior Therapy Buffers Child Child health care Chronic Chronic Disease Collaborations Communities Community Developments Community Practice Development Discrimination Disease Disease Management Disease Progression Employee Strikes Epidemiology Ethnic group Evidence based intervention Family Family health status Growth Health Health Priorities Health Status Health behavior Heart Hispanics Housing Immigrant Instruction Intervention Language Latino Learning Life Life Style Link Literature Longitudinal Studies Manuals Mental Depression Mental Health Methods Monoclonal Antibody R24 Needs Assessment Obesity Oregon Outcome Overweight Parenting behavior Parents Personal Satisfaction Phase Physical activity Population Population Growth Principal Investigator Problem behavior Race Reporting Research Research Methodology Research Personnel Research Project Grants Risk Series Site Social Health Services Social support Stress Structure System Treatment Efficacy Universities Woman Youth adolescent drug use base behavioral health chronic pain cohesion community based participatory research demographics design efficacy testing efficacy trial empowered experience farm worker health disparity improved interest low socioeconomic status men nutrition physical conditioning pressure prevent prospective research study resilience respiratory response sedentary skills social stress management stressor therapy design therapy development

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项目摘要

DESCRIPTION (provided by applicant): In the last two decades, Latino population growth has exceeded that of all other racial and ethnic groups in the U.S. This growth has been particularly striking in Oregon, the site of this study, and in 21 similar states with emerging immigrant communities. Rapid population growth, when combined with unprepared health and social service systems, can significantly contribute to Latino health disparities. Parenting practices have long been implicated as a key influence on family and child health. The proposed study involves collaboration between the University of Oregon's Center for Equity Promotion (CEQP) and Farmworker Housing Development Corporation (FHDC) and is designed in three phases: (1) collaboration advancement and community needs assessment (n = 95); (2) intervention development; and (3) intervention feasibility and initial efficacy trial {n= 120 families; 210 parents, 120 youth). The intervention would be delivered with Spanish-speaking Latino parents who live in FHDC housing developments and would focus on those malleable behaviors (e.g., parenting practices, stress management, healthy nutrition, and physical activity) that can promote Latino family health and youth well-being. The study's specific aims are: (1) to create a sustainable structure for ongoing, community-empowered research by building on our existing collaborative community partnership; (2) to identify key family-based health behaviors that confer risk for and protection against negative physical and behavioral health outcomes (e.g., overweight and obesity, respiratory illness, substance use, depression, and youth problem behaviors) among FHDC families, through a collaboratively designed and implemented mixed methods needs assessment; (3) to develop, refine, and manual-ize an intervention that adapts promising practices from community and evidence-based interventions shown to impact behavioral and physical health outcomes for immigrant Latino families, and emphasizes family resilience, strong parenting practices, and family health-promoting behaviors; and (4) to examine the feasibility and initial efficacy of the intervention in terms of promoting healthy famiy behaviors that reduce risk for negative physical and behavioral health outcomes. RELEVANCE (See instructions): This community-based participatory research study aims to identify priority areas and malleable factors that, if positively influenced through an interventio targeting family health, could have broad ripple effects for reducing disease, including chronic conditions, among Latinos.

描述（由申请人提供）：在过去的二十年中，拉丁裔人口的增长超过了美国所有其他种族和族裔群体的增长，在这项研究的地点，俄勒冈州以及有21个具有新兴移民社区的类似州的增长尤其引人注目。当人口迅速增长与未准备好的健康和社会服务系统相结合时，可以极大地助长拉丁裔健康差异。长期以来，育儿做法一直被认为是对家庭和儿童健康的关键影响。拟议的研究涉及俄勒冈大学公平促进中心（CEQP）与农场工人住房开发公司（FHDC）之间的合作，并在三个阶段进行了设计：（1）协作进步和社区需求评估（n = 95）；（2）干预开发；（3）干预可行性和初始功效试验{n = 120个家庭； 210个父母，120名青年）。这项干预措施将与居住在FHDC住房发展中的讲西班牙语的拉丁裔父母一起进行，并将专注于可以促进拉丁裔家庭健康和青年福祉的可延展行为（例如，育儿做法，压力管理，健康的营养和身体活动）。该研究的具体目的是：（1）通过建立我们现有的协作社区伙伴关系来建立正在进行的社区授权研究的可持续结构；（2）确定基于家庭的健康行为，以通过合作设计和实施的混合方法需要评估的协作设计和实施的评估，以赋予FHDC家庭中FHDC家族之间对负面的身体和行为健康状况的风险（例如，超重和肥胖，超重和肥胖，呼吸疾病，药物使用，抑郁和青年问题行为）赋予FHDC家庭之间的风险；（3）开发，完善和手动尺寸一种干预措施，从社区和基于证据的干预措施中适应了对移民拉丁裔家庭影响行为和身体健康成果的有希望的做法，并强调家庭的韧性，强大的育儿实践以及家庭健康促进行为；（4）检查干预措施的可行性和初始功效，以促进健康的家族行为，以降低负面的身体和行为健康结果的风险。相关性（请参阅说明）：这项基于社区的参与性研究旨在确定优先领域和可延展因素，如果通过针对家庭健康的干预措施产生积极影响，则可能对减少拉丁美洲裔慢性病在内的疾病（包括慢性病）具有广泛的连锁反应。