Sisters Healthy & Physically Empowered (SHAPE): Physical Activity Among African Americans

姐妹健康

基本信息

批准号：
8687518
负责人：
SANDRA Crouse QUINN
金额：
$ 17.47万
依托单位：
UNIV OF MARYLAND, COLLEGE PARK
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：
2014-03-01 至 2017-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8687518
关键词：
African American Age Appearance Beauty Behavioral Blood Pressure Books Cessation of life Chronic Disease Communities Consensus Coronary heart disease Disease Effectiveness Effectiveness of Interventions Environment Environmental Risk Factor Ethnic Origin Expectancy Family Friends Generations Goals Growth Health Health Promotion Healthy People 2000 Healthy People 2010 Healthy People 2020 High Prevalence Hypotension Individual Instruction Intervention Intervention Trial Life Linear Models Maryland Measures Mediator of activation protein Minority Minority Groups Obesity Organizational Change Outcome Participant Physical activity Population Preventive Intervention Public Health Race Randomized Randomized Controlled Trials Recruitment Activity Research Research Design Risk Self Efficacy Sister Social Interaction Social Network Social support Staging Subgroup Testing Translational Research Trust United States Visit Weight Woman Work base community setting cultural values design disorder prevention effective intervention empowered ethnic minority population evidence base forging health disparity health equity hypertensive heart disease intervention effect novel peer post intervention premature programs psychosocial racial and ethnic skills social weight gain prevention

项目摘要

African American women are at increased risk for cardiometabolic diseases ~ conditions for which risk is reduced by regular physical activity. Unfortunately, they are also one of the least physically active population subgroups. Community settings are attractive places to conduct physical activity interventions because they reach people in comfortable surroundings. No trial has investigated conducting a physical activity intervention in beauty salons that cater to African American women, although this is a setting in which women regularly visit and a place that reinforces core cultural values. This trial will test the effects of a 4- month, culturally-sensitive social ecological intervention emphasizing social support, conducted in beauty salons, for increasing moderate to vigorous physical activity level in African American women compared with a comparison condition. Moderate to vigorous physical activity, measured from Actigraph accelerometers worn over 7 consecutive days, will be assessed at baseline and post-intervention. Weight, blood pressure, and selected psychosocial mediators will also be assessed. Generally healthy participants between the ages of 18 and 60 years will be recruited from beauty salons and barbershops in which they frequent. 16 salons (25 women per salon) will be randomized into a physical activity intervention or comparison intervention. The intervention will be conducted in the salons and incorporate core cultural values of African American women. It will enhance social support, physical activity behavioral skills, and create a normative environment for physical activity within the salons. The comparison intervention will focus on life affirmation and personal growth through a book club. Results will be analyzed using 2-stage hierarchical linear modeling. The trial will determine if culturally grounded interventions, focusing on social support among existing social networks, delivered in salons, can increase physical activity in African American women. This study will contribute to the evidence base of third generation health disparities research by testing a culturally sensitive physical activity intervention delivered in a community setting.

非洲裔美国妇女患心脏代谢疾病的风险增加了〜通过常规身体活动降低风险的状况。不幸的是，它们也是体育活为最不活跃的人群亚组之一。社区环境是进行体育锻炼干预措施的有吸引力的地方，因为他们可以在舒适的环境中吸引人们。没有试验调查对迎合非裔美国妇女的美容院进行体育锻炼干预，尽管这是一个环境妇女定期参观，并加强核心文化价值观。该试验将测试4个月对文化敏感的社会生态干预措施，强调在美容院进行的社会支持，以提高非裔美国人妇女的中度至剧烈的体育锻炼水平与比较状况相比。将在基线和干预后连续7天内通过Actigraph加速度计测量的中等至剧烈的体育活动。体重，血压和选定的社会心理介体也将进行评估。通常，在18至60岁之间的健康参与者将从他们经常去的美容院和理发店中招募。 16个沙龙（每家沙龙25名妇女）将被随机分为体育锻炼干预或比较干预措施。干预将在沙龙中进行，并结合非裔美国妇女的核心文化价值。它将增强社会支持，体育锻炼行为技巧，并为沙龙内的体育活动创造规范性环境。比较干预措施将通过读书俱乐部侧重于生活肯定和个人成长。将使用2阶段分层线性建模分析结果。该试验将确定在文化上扎根的干预措施，专注于在沙龙中提供的现有社会网络之间的社会支持，可以增加非裔美国人妇女的体育锻炼。这项研究将通过测试在社区环境中提供的对文化敏感的身体活动干预措施来为第三代健康差异研究的证据基础做出贡献。