Improving Health Habits in Impoverished Populations

改善贫困人口的健康习惯

基本信息

批准号：
7469479
负责人：
Lillian Gelberg
金额：
$ 15.4万
依托单位：
UNIVERSITY OF CALIFORNIA LOS ANGELES
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-01 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7469479
关键词：
Address Adherence Behavior Behavioral Biological Markers Blood Glucose Cardiovascular Diseases Caring Characteristics Chronic Chronic Care Chronic Disease Clinic Clinic Visits Clinical Engineering Clinical Research Communities Community Health Condition Counseling County Data Development Diabetes Mellitus Diet Diet Habits Disease Eating Exercise Exposure to Family Fasting Glycosylated hemoglobin A Habits Health Health Educators Health Priorities Health Promotion Health Status Health education Healthcare Systems Heart Diseases Hemoglobin Hispanics Hypotension Individual Intervention Interview Latino Life Life Style Link Lipids Literature Los Angeles Low income Measures Mediating Mexican Americans Minority Mission Motivation Non-Insulin-Dependent Diabetes Mellitus Not Hispanic or Latino Obesity Outcome Assessment Outcome Measure Overweight Patient Education Patient Preferences Patient Self-Report Patients Persons Physical activity Physicians Plant Roots Population Population Heterogeneity Prevalence Prevention program Process Process Measure Program Development Protocols documentation Provider Public Health Randomized Reading Research Research Personnel Resources Risk Risk Factors Self Care Self Efficacy Series Services Smoking Behavior Social support Standards of Weights and Measures System Time Uninsured United States National Institutes of Health Visit base behavior change clinical application compliance behavior demographics design desire diet and exercise disorder prevention early /brief intervention /therapy fitness follow-up improved innovation intervention program nutrition preference prescription document prescription procedure prevent programs promoter sedentary self help social theories therapy design tool trend

项目摘要

DESCRIPTION (provided by applicant): Poor diet, physical inactivity, and sedentary behaviors among low-income, minority populations have been linked to greater risk of chronic health conditions such as overweight/obesity, cardiovascular disease, and type 2 diabetes. Low-income clinics that serve these populations often represent an untapped opportunity for health promotion in impoverished individuals. Few studies have examined the feasibility of using brief physician advice and multi-level, clinic-based interventions to change poor dietary habits, physical inactivity, and sedentary lifestyle behaviors among these culturally diverse populations that comprise the clinic population. This exploratory project proposes to address this scientific gap by introducing and piloting a Self- Care Stimulating Disease Prevention Program (SCSDPP) to address poor dietary habits, physical inactivity, and sedentary lifestyle behaviors among low income, uninsured patient populations (primarily Latinos) served by the community clinics of the Venice Family Clinic (VFC) health center in Los Angeles County. The program will include the development of 1) a simple-to-use patient Health Priority Assessment (HPA) tool designed to assess patient preferences for behavior change; 2) a standard protocol for physicians to provide brief health advice using motivation interviewing (< 2 minutes per visit); 3) a protocol for distributing self-help aids for patient use (e.g., pedometer, exercise videos); and 4) a series of monthly follow-up counseling sessions by lay health educators (e.g., promoters) to help patients address their lifestyle change priorities overtime. We will conduct a randomized controlled pilot of the SCSDPP in approximately 100 patient cases at two community health clinics within the VFC health center system. The pilot will utilize precise outcome measures, including commonly-accepted biomarkers (e.g., HbA1c, fasting blood glucose) and psychometrically-validated measures of process and health status, to accurately assess the magnitude of changes in diet and physical activity among patients over a 12-month observation period. The feasibility of integrating the SCSDPP into the community health clinic setting will be evaluated, and is the primary aim of this project. The results will inform efforts to plan a larger, successor study. Relevance to Public Health: this study evaluates a clinic-based brief intervention protocol for preventing overweight/obesity, a public health problem that has been linked to greater risk of chronic health conditions such as heart disease and diabetes.

描述（由申请人提供）：低收入，少数民族的饮食不良，身体不活跃和久坐行为与慢性健康状况（例如超重/肥胖，心血管疾病和2型糖尿病）的风险更大。为这些人群提供服务的低收入诊所通常代表了贫困人口促进健康的机会。很少有研究检查使用简短的医师建议和基于诊所的多层次干预措施来改变饮食习惯不良，身体不活动和久坐的生活方式行为的可行性。 This exploratory project proposes to address this scientific gap by introducing and piloting a Self- Care Stimulating Disease Prevention Program (SCSDPP) to address poor dietary habits, physical inactivity, and sedentary lifestyle behaviors among low income, uninsured patient populations (primarily Latinos) served by the community clinics of the Venice Family Clinic (VFC) health center in Los Angeles County.该计划将包括开发1）易于使用的患者健康优先级评估（HPA）工具，旨在评估患者对行为改变的偏好； 2）医生使用动机访谈提供简短健康建议的标准方案（<2分钟访问）； 3）用于分发用于患者使用的自助辅助工具的协议（例如计步器，锻炼视频）； 4）外行健康教育者（例如促销员）的每月一次后续咨询会议，以帮助患者解决其生活方式改变的加时性。我们将在VFC卫生中心系统的两个社区健康诊所中，在大约100例患者病例中进行SCSDPP的随机控制飞行员。飞行员将采用精确的结果指标，包括普遍接受的生物标志物（例如HBA1C，空腹血糖）和过程和健康状况的心理验证测量方法，以准确评估12个月观察期间患者饮食和体育活动的变化的大小。将评估将SCSDPP整合到社区健康诊所环境中的可行性，这是该项目的主要目的。结果将为计划更大的继任研究提供努力。与公共卫生相关：这项研究评估了一种基于诊所的简短干预方案，以防止超重/肥胖，这是一种与慢性健康状况（如心脏病和糖尿病）更大风险有关的公共卫生问题。