Understanding Social Networks and Obesity-risk Behaviors Among Black Women

了解黑人女性的社交网络和肥胖风险行为

基本信息

批准号：
8767006
负责人：
Soohyun Nam
金额：
$ 13.18万
依托单位：
YALE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2014
资助国家：
美国
起止时间：
2014-09-09 至 2017-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8767006
关键词：
Accounting Address Adult Affect African American Age Alcohol consumption Behavior Behavioral Biological Body fat Cardiovascular system Characteristics Chronic Disease Clinical Communication Communities Data Diet Diffusion Eating Education Environmental Risk Factor Ethnic Origin Foundations Frequencies Future Gender Goals HIV risk Health Health behavior Health behavior change High Prevalence Hip region structure Holly Individual Internet Intervention Knowledge Lead Life Life Style Longitudinal Studies Measurement Medical Care Costs Mental Depression Mentors Methods Mission Modeling Morbidity - disease rate Non-Insulin-Dependent Diabetes Mellitus Nurse Practitioners Obesity Outcome Overweight Participant Pathway Analysis Patients Perception Persons Physical activity Population Populations at Risk Prevalence Public Health Race Research Research Design Research Methodology Research Personnel Research Proposals Research Training Risk Behaviors Robin bird Self Management Seminal Sleep Sleep Deprivation Smoking Social Environment Social Network Social support Testing Thick Time Training Translating Trust United States Weight Woman Work base effective intervention experience health disparity high risk improved indexing insight intimate behavior lifestyle intervention member middle age mortality obesity risk prevent professor psychosocial public health priorities public health relevance sedentary skills social social communication social integration theories

项目摘要

DESCRIPTION (provided by applicant): The candidate, Dr. Soohyun Nam, is an assistant professor and nationally certified adult nurse practitioner who has an excellent foundation in patient self-management, health disparities, and community-based research for adults of diverse race/ethnicity with chronic diseases. The long-term goals of this application include the following: (a) to improve outcomes for people with an obesity-related condition, such as type 2 diabetes by developing, implementing, testing, and evaluating self-management and behavioral change interventions for adults of diverse race/ethnicity; (b) to develop effective social network interventions targeting obesity and type 2 diabetes; and, (c) to disseminate sustainable social network interventions to high-risk adults of diverse race/ethnicity and translate in the community. Given the high prevalence of obesity among Black women and the many challenges in improving obesity-risk behaviors in the current social environment, developing effective obesity interventions should be a top public health priority and needs to be informed by the social networks which influence the individuals' daily lifestyle. The training goals of this proposal are to: (1) develop expertise in social network theory, measurement and social network study design and recruitment of hard-to-reach at risk population (Dr. Carl Latkin); (2) develop skills in social network analysis (Dr. Trace Kershaw); (3) increase understanding of physical activity, diet and sleep as obesity-risk behaviors among Black women (Drs. Robin Whittemore and Nancy Redeker); and (4) gain knowledge and experience in advanced qualitative analysis and mixed methods (Drs. Holly Kennedy and Robin Whittemore). The research proposal includes three specific aims relating directly to the training goals: (1) to examine the relationships among characteristics of social networks, obesity-risk behaviors (physical inactivity, unhealthy eating, sleep deprivation), and obesity (BMI, body fat, waist/hip circumferences) among young or middle-aged Black women (BMI:15-42 kg/m2); (2) to examine the relationships between obesity-risk behaviors of Black women and their network members' obesity- risk behaviors, accounting for sociodemographic, clinical, psychosocial, and environmental factors; and (3) to explore Black women's perceptions of how social networks influence their obesity-risk behaviors, the communication channels of their social networks, and how social networks could be utilized to improve obesity- risk behaviors. This proposal builds on the candidate's previous work on self-management and lifestyle change research for adults of diverse race/ethnicity with type 2 diabetes, but adds more advanced statistical skills and knowledge of social network research methodologies in the context of obesity-risk behaviors, and an introduction to advanced qualitative and mixed methods research. The research and training plan, the team of mentors who have expertise in social network research, health behavior change interventions, and working with the Black population as well as the opportunity to work with community leaders will provide Dr. Soohyun Nam with focused, interdisciplinary expertise and maximize her capacity as an independent investigator.

描述（由申请人提供）：候选人 Soohyun Nam 博士是一名助理教授和国家认证的成人执业护士，在患者自我管理、健康差异和针对不同种族/成人的社区研究方面拥有良好的基础。患有慢性疾病的种族。该应用程序的长期目标包括以下内容：(a) 通过开发、实施、测试和评估成人自我管理和行为改变干预措施，改善患有肥胖相关疾病（例如 2 型糖尿病）的患者的预后不同种族/民族； (b) 针对肥胖和 2 型糖尿病制定有效的社交网络干预措施； (c) 向不同种族/族裔的高危成年人传播可持续的社交网络干预措施，并在社区中进行转化。鉴于黑人女性肥胖率较高，以及在当前社会环境下改善肥胖风险行为面临诸多挑战，制定有效的肥胖干预措施应成为公共卫生的首要任务，并且需要通过影响个人健康的社交网络来了解情况。日常生活方式。该提案的培训目标是：（1）发展社交网络理论、测量和社交网络研究设计以及招募难以接触的高危人群（Carl Latkin 博士）方面的专业知识； (2) 培养技能社交网络分析（Trace Kershaw 博士）； (3) 提高对黑人女性肥胖风险行为的体力活动、饮食和睡眠的认识（Robin Whittemore 博士和 Nancy Redeker 博士）； (4) 获得高级定性分析和混合方法方面的知识和经验（Holly Kennedy 博士和 Robin Whittemore 博士）。该研究提案包括与培训目标直接相关的三个具体目标：（1）检查社交网络特征、肥胖风险行为（身体活动不足、不健康饮食、睡眠不足）和肥胖（BMI、体脂、体重）之间的关系。年轻或中年黑人女性（BMI：15-42 kg/m2）的腰围/臀围； (2) 研究黑人女性的肥胖风险行为与其网络成员的肥胖风险行为之间的关系，考虑社会人口、临床、社会心理和环境因素； (3) 探讨黑人女性对社交网络如何影响其肥胖风险行为、社交网络的沟通渠道以及如何利用社交网络改善肥胖风险行为的看法。该提案建立在候选人之前针对患有 2 型糖尿病的不同种族/族裔成年人的自我管理和生活方式改变研究的工作基础上，但增加了在肥胖风险行为背景下更先进的统计技能和社交网络研究方法知识，以及先进的定性和混合方法研究的介绍。研究和培训计划、在社交网络研究、健康行为改变干预措施、与黑人群体合作以及与社区领袖合作的机会方面拥有专业知识的导师团队将为 Soohyun Nam 博士提供专注的跨学科专业知识并最大限度地发挥她作为独立调查员的能力。