Healthy Immigrant Families: Working Together To Move More and To Eat Well

健康的移民家庭：共同努力多动、吃得好

• 批准号: 8585875
• 负责人: Julie Ann Nigon
• 金额: $ 32.51万
• 依托单位: MAYO CLINIC ROCHESTER
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-12-15 至 2016-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8585875
• 关键词: Address; Adolescent; Adoption; Adult; Affect; Behavior; Blood Pressure; Body Composition; Body mass index; Child; Cognitive; Communities; Community Participation; Complex; Country; Data; Diet; Diet Habits; Dietary Intervention; Eating; Education; Expectancy; Family; Family health status; Focus Groups; Future; General Population; Goals; Habits; Health; Health Services; Health Status; Health behavior; Hispanics; Home environment; Hour; Immigrant; Immigration; Individual; Institution; Intervention; Learning; Life Style; Linguistics; Measurable; Measures; Mediating; Mediator of activation protein; Mentors; Mentorship; Minnesota; Modeling; North America; Obesity; Outcome; Outcome Assessment; Patient Self-Report; Physical activity; Population; Public Health; Randomized; Refugees; Research; Research Infrastructure; Resources; Roentgen Rays; Self Efficacy; Series; Social support; Testing; Training; United States National Institutes of Health; Waist-Hip Ratio; Woman; Work; base; behavior influence; cardiovascular risk factor; community based participatory research; demographics; design; experience; health related quality of life; high risk; improved; innovation; nutrition; population based; prevent; primary outcome; programs; promoter; secondary outcome; sedentary; social; theories; treatment effect

DESCRIPTION (provided by applicant): Across many measures, immigrant and refugee populations arrive to the US healthier than the general population, but the longer they reside in the US, the more they approximate the cardiovascular risk profiles of the general population. These declines are mediated, in part, by less physical activity and lower dietary quality upon immigration among both adults and their children. Given the complex socio-cultural forces that influence these behaviors, a community-based participatory research (CBPR) approach is called for to address them. The Rochester Healthy Community Partnership is a robust CBPR partnership in Rochester, Minnesota consisting of community-based organizations, health service organizations, and academics who are experienced at collectively deploying programming and outcomes assessment among immigrant and refugee populations. Community and academic partners have shared the responsibility of preparing this project. The specific aims are: 1) To develop a sustainable, socio-culturally appropriate physical activity and nutrition intervention with and for immigrant and refugee families, and 2) to evaluate the efficacy of the physical activity and nutrition intervention. The intervention framework is a series of home-based, individualized family mentoring and education session for physical activity and nutrition led by trained Family Health Promoters from each of the participating immigrant and refugee communities (Hispanic, Somali, Sudanese, Cambodian) with opportunities for group activities. Using a two-group randomized design, 160 individuals (including both adults and adolescents) will be randomly assigned to receive the intervention either immediately or after a delay of one year. Primary outcomes assessed in both adults and adolescents, measured up to two years after implementation, will include physical activity as measured by accelerometry and dietary change as measured by 24 hour dietary recalls. Secondary outcomes will include changes in body mass index, body composition, blood pressure, waist-hip ratio, and health-related quality of life. Innovative approaches that arise organically from the affected communities are needed to create and sustain interventions that promote healthy behaviors. The use of CBPR will enhance the relevance of this program by targeting socio-cultural determinants of physical activity and nutrition.

描述（由申请人提供）：从许多方面来看，到达美国的移民和难民人群比普通人群更健康，但他们在美国居住的时间越长，他们的心血管风险状况就越接近普通人群。这些下降的部分原因是成年人及其子女移民后体力活动减少和饮食质量下降。鉴于影响这些行为的复杂社会文化力量，需要采用基于社区的参与性研究（CBPR）方法来解决这些问题。罗彻斯特健康社区合作伙伴关系是明尼苏达州罗彻斯特市的一个强大的 CBPR 合作伙伴关系，由社区组织、卫生服务组织和学者组成，他们在移民和难民群体中集体部署规划和结果评估方面经验丰富。社区和学术合作伙伴共同承担了准备该项目的责任。具体目标是：1) 为移民和难民家庭制定可持续的、适合社会文化的体育活动和营养干预措施，2) 评估体育活动和营养干预措施的效果。干预框架是一系列以家庭为基础的、个性化的家庭指导和体育活动和营养教育课程，由来自每个参与的移民和难民社区（西班牙裔、索马里人、苏丹人、柬埔寨人）训练有素的家庭健康促进者主持，并为团体提供机会活动。采用两组随机设计，160 名个体（包括成人和青少年）将被随机分配立即接受干预或延迟一年后接受干预。实施后两年内对成人和青少年进行的主要评估结果将包括通过加速度测量法测量的身体活动和通过 24 小时饮食回忆测量的饮食变化。次要结果包括体重指数、身体成分、血压、腰臀比以及与健康相关的生活质量的变化。需要从受影响社区自然产生的创新方法来制定和维持促进健康行为的干预措施。 CBPR 的使用将通过针对身体活动和营养的社会文化决定因素来增强该计划的相关性。