Healthy Frio: A Rural Community Partnership to Advance Latino Obesity Research

健康 Frio：农村社区合作伙伴关系推进拉丁裔肥胖研究

• 批准号: 9982696
• 负责人: DEBORAH PARRA-MEDINA
• 金额: $ 57.36万
• 依托单位: UNIVERSITY OF TEXAS AT AUSTIN
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-09-16 至 2023-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9982696
• 关键词: Address; Adherence; Adopted; Adult; Affect; Age; Behavior; Behavior Therapy; Body Weight decreased; Child; Clinic; Clinical; Communities; Control Groups; Disease; E-learning; Effectiveness; Environmental Risk Factor; Family; Goals; Health; Health Benefit; Health Policy; Health Promotion; Health Status; Healthcare; Healthy Eating; Home environment; Impaired health; Individual; Infrastructure; Intervention; Knowledge; Latino; Life Style; Locales; Maintenance; Methods; Modernization; Monitor; Obesity; Obesity associated disease; Parents; Participant; Patients; Persons; Physical activity; Populations at Risk; Poverty; Primary Health Care; Public Health; Randomized; Randomized Controlled Trials; Research; Research Personnel; Rural; Rural Community; South Texas; Technology; Testing; Texas; Translating; Transportation; Underserved Population; Weight; Weight maintenance regimen; arm; base; behavior change; community center; community partnership; comparative; comparative effectiveness; compare effectiveness; design; early childhood; energy balance; evidence base; follow-up; health literacy; health related quality of life; healthy lifestyle; healthy weight; improved; innovation; innovative technologies; lifestyle intervention; obesity management; post intervention; primary outcome; programs; public health relevance; recruit; rural setting; secondary outcome; skills; social; social cognitive theory; supportive environment; therapy design

 DESCRIPTION (provided by applicant): Much has been learned about the efficacy and effectiveness of comprehensive healthy lifestyle interventions to reduce obesity, but few studies have been translated into rural settings or among Latinos. Y Living is an evidence-based family-focused intervention (FI) designed for urban Latino families by PI Dr. Deborah Parra-Medina and her South Texas-based research team. The FI is a 12-week behavioral modification program grounded in the social cognitive theory of behavior change designed to engage the whole family in lifestyle changes by developing knowledge and skills in physical activity and healthy eating, building skills in goal-setting and self- monitoring, and creating a supportive environment at home. Researchers will engage community partners in formative research to adapt the current FI for rural Latino families. Two parallel delivery methods of the FI will be developed and tested: 1) in-person group setting at a community center (FI-IP) and 2) home-based delivered remotely with technology (FI-RT). While both will be designed to address the unique social, cultural and environmental factors facing rural Latino families, the latter takes advantage of innovative modern technology and e-Learning to increase program availability, accessibility and program participation in rural settings. We will conduct a 3-arm randomized controlled trial to compare the effectiveness of the two delivery approaches on weight loss (primary outcome) and energy balance behaviors (secondary outcomes) among obese Latino parent-child pairs versus control. We will recruit 270 obese (BMI 30-39.9kg/m2) Latino adults (ages 21-65) with a child (ages 8-17) from three primary care practices in rural South Texas. These 270 parent-child pairs will be randomized to one of three arms stratified by clinic: 1) FI-IP (n=90); 2) FI- RT (n=90); or 3) control group (n=90). The primary specific aims of the study are to: 1) Conduct community-engaged formative studies to transform the existing family-focused intervention (FI) into two unique delivery methods (FI-IP and FI-RT) for use in a subsequent randomized controlled trial in a rural Latino community; and 2) Conduct a randomized controlled trial to evaluate the comparative effectiveness of two parallel delivery methods of family-focused intervention (FI-IP and FI-RT) to address weight loss (primary outcome) and energy balance behaviors (secondary outcomes) among obese rural Latino adults compared with adult participants in control group at immediate post intervention (3 months), again after a 3-month maintenance program (6 months post randomization) and a 6-month follow-up (12 months post randomization). A secondary aim is to examine the impact of FI-IP and FI-RT children's weight and energy balance behaviors.

 描述（由申请人提供）：关于减少肥胖的综合健康生活方式干预措施的功效和效果，人们已经了解了很多，但很少有研究被转化为农村地区或拉丁裔人群。Y Living 是一种以证据为基础的以家庭为中心的干预措施（ FI）由 PI 博士 Deborah Parra-Medina 和她位于德克萨斯州南部的研究团队为城市拉丁裔家庭设计。 FI 是一项为期 12 周的行为矫正计划，以行为改变的社会认知理论为基础，旨在让整个家庭参与其中。生活方式的改变研究人员将通过发展体育活动和健康饮食方面的知识和技能，培养目标设定和自我监控的技能，并在家庭中创造一个支持性的环境，让社区合作伙伴参与形成性研究，以适应农村拉丁裔家庭的现行金融政策。将开发和测试 FI 的并行交付方法：1）社区中心的面对面小组设置（FI-IP）和 2）通过技术在家远程交付（FI-RT）。解决农村拉丁裔家庭面临的独特社会、文化和环境因素，后者利用创新的现代技术和电子学习来提高农村地区计划的可用性、可及性和计划参与度。我们将进行一项三组随机对照试验，以比较两种减肥方法的有效性（主要结果）。 ）和肥胖拉丁裔亲子对与对照组的能量平衡行为（次要结果） 我们将招募 270 名肥胖（BMI 30-39.9kg/m2）的拉丁裔成年人（21-65 岁）和一个孩子（年龄）。 8-17）来自德克萨斯州南部农村地区的三个初级保健机构。这 270 对亲子将被随机分配到按诊所分层的三个组之一：1）FI-IP。 (n=90)；2) FI-RT (n=90)；或 3) 对照组 (n=90)。以家庭为中心的干预 (FI) 到两种独特的交付方法（FI-IP 和 FI-RT），用于随后在拉丁裔农村社区进行的随机对照试验；以及 2) 进行一项随机对照试验，以评估两种方法的比较有效性；以家庭为中心的干预的并行实施方法（FI-IP 和 FI-RT）旨在解决肥胖农村拉丁裔成年人与对照组成人参与者在干预后立即（3 个月）的体重减轻（主要结果）和能量平衡行为（次要结果）问题，同样是在干预后 3 个月后进行。一个月的维持计划（随机化后 6 个月）和 6 个月的随访（随机化后 12 个月）的第二个目的是检查 FI-IP 和 FI-RT 儿童体重和能量平衡行为的影响。

项目成果

A Digital Health Intervention for Weight Management for Latino Families Living in Rural Communities: Perspectives and Lessons Learned During Development.

针对农村社区拉丁裔家庭体重管理的数字健康干预措施：发展过程中的观点和经验教训。

• DOI: 10.2196/20679
• 发表时间: 2020
• 期刊: JMIR formative research
• 影响因子: 2.2
• 作者: Yin,Zenong;Errisuriz,VanessaL;Evans,Martin;Inupakutika,Devasena;Kaghyan,Sahak;Li,Shiyu;Esparza,Laura;Akopian,David;Parra-Medina,Deborah
• 通讯作者: Parra-Medina,Deborah

Technology-based health promotion: Current state and perspectives in emerging gig economy.

基于技术的健康促进：新兴零工经济的现状和前景。

• DOI: 10.1016/j.bbe.2019.07.006
• 发表时间: 2019
• 期刊: Biocybernetics and biomedical engineering
• 影响因子: 6.4
• 作者: Morales,Jafet;Inupakutika,Devasena;Kaghyan,Sahak;Akopian,David;Yin,Zenong;Evans,Martin;Parra-Medina,Deborah
• 通讯作者: Parra-Medina,Deborah