University of Iowa Prevention Research Center for Rural Health

爱荷华大学农村健康预防研究中心

• 批准号: 9230064
• 负责人: Barbara I Baquero
• 金额: $ 39.98万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-09-30 至 2019-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9230064
• 关键词: University; Iowa; Prevention; Research; Center

DESCRIPTION (provided by applicant): Reducing obesity, through improved nutrition and increased physical activity is one of the goals of the CDC's Winnable Battles initiative. Reducing obesity in rural residents is especially important since they are more likely to be obese than urban residents. Indeed, Iowa residents rank 33rd of 50 states in the percent of residents who are obese and half of Iowa's adults do not meet PA recommendations. Effective interventions to increase PA in rural micropolitan (<50,000 residents) communities are scant since most evidence-based interventions have been tested in urban or suburban areas. In the Midwest, these micropolitan communities are also "new destination" locations for an influx of Latino populations. The Prevention Research Center for Rural Health (PRC-RH), with a focus on obesity, addresses the health challenges of residents of micropolitan and other rural communities in Iowa through a variety of Center activities and resources as well as the implementation of an intervention research project, ActiveOttumwa. PRC-RH Center activities include maintenance of an infrastructure with cores focusing on community engagement, communication and dissemination of PRC-RH research and best practices, training of public health professionals, students and community members, and evaluation of PRC-RH activities. The PRC-RH has vibrant partnerships with the Iowa Department of Public Health, an active Community Advisory Board, with local health department and community organization representation, in Ottumwa, Iowa, a micropolitan new destination community. The PRC-RH intervention research project, Active Ottumwa focuses on increasing physical activity in Ottumwa by determining the effectiveness of a community-based PA intervention that uses a lay health advisor (LHA) approach - to implement evidence-based PA strategies. Based on the available evidence and strategies from the Community Guide, the Active Ottumwa will implement activities at three levels of influence: 1) community-wide campaigns (e.g. newspaper, TV, and radio announcements, website exposure and public health education programs; 2) behavioral and social support interventions (e.g. behavioral contracts, buddy systems, goal-setting to promote and support PA activities; and 3) land-use policies and access to places for PA, (.e.g. working with local governmental officials and agencies and community leaders to advocate, improve and create opportunities for access and use of facilities for PA). To evaluate Active Ottumwa, mixed methods will be used including a community-wide survey; longitudinal follow up of a cohort of residents that will complete accelerometry, physical and anthropometric measures and survey data; observational measures; key informant in-depth interviews; and project documentation. The research project and PRC-RH will address a major evidence gap in our PA knowledge by adapting intervention strategies tested in urban and suburban areas to a micropolitan new destination community in a rural state.

描述（由申请人提供）：通过改善营养和增加身体活动来减少肥胖是疾病预防控制中心“胜利之战”倡议的目标之一。减少农村居民的肥胖尤为重要，因为他们比城市居民更容易肥胖。事实上，爱荷华州居民的肥胖比例在 50 个州中排名第 33 位，爱荷华州一半的成年人不符合 PA 的建议。由于大多数基于证据的干预措施已经在城市或郊区进行了测试，因此在农村小城市（<50,000 名居民）社区中提高 PA 的有效干预措施很少。在中西部，这些小城市社区也是拉丁裔人口涌入的“新目的地”。农村健康预防研究中心 (PRC-RH) 以肥胖为重点，通过各种中心活动和资源以及实施干预研究，解决爱荷华州小城市和其他农村社区居民的健康挑战项目，ActiveOttumwa。 PRC-RH 中心的活动包括维护基础设施，其核心重点是社区参与、PRC-RH 研究和最佳实践的交流和传播、公共卫生专业人员、学生和社区成员的培训以及 PRC-RH 活动的评估。 PRC-RH 与爱荷华州公共卫生部建立了充满活力的合作伙伴关系，爱荷华州公共卫生部是一个活跃的社区咨询委员会，在爱荷华州奥塔姆瓦是一个小城市新目的地社区，并有当地卫生部门和社区组织代表。 PRC-RH 干预研究项目 Active Ottumwa 致力于通过确定基于社区的 PA 干预措施的有效性来增加奥塔姆瓦的身体活动，该干预措施使用非专业健康顾问 (LHA) 方法，以实施基于证据的 PA 策略。根据《社区指南》中的现有证据和策略，Active Ottumwa 将在三个影响层面开展活动：1) 社区范围内的活动（例如报纸、电视和广播公告、网站曝光和公共卫生教育计划；2）行为和社会支持干预措施（例如行为合同、伙伴系统、促进和支持 PA 活动的目标设定；3）土地使用政策和 PA 场所的准入（例如与当地政府官员和机构合作以及社区领袖倡导、改善和创造访问和使用 PA 设施的机会）。为了评估 Active Ottumwa，将使用混合方法，包括社区范围的调查；对一组居民进行纵向随访，完成加速测量、身体和人体测量以及调查数据；观察措施；关键人物深度访谈；和项目文档。该研究项目和 PRC-RH 将通过将在城市和郊区测试的干预策略调整到农村州的小城市新目的地社区来解决我们 PA 知识中的重大证据差距。