Improving the Reach of a CBPR Developed Obesity Program Among Disavantaged Women

扩大 CBPR 制定的肥胖计划在弱势妇女中的覆盖面

基本信息

批准号：
7683251
负责人：
DANIEL O CLARK
金额：
$ 36.53万
依托单位：
INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-09-10 至 2011-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7683251
关键词：
Address Adult Advisory Committees Affect Arts Attention Body Weight decreased Characteristics Charge Chronic Disease Clinic Community Health Centers Counseling Data Collection Disadvantaged Economically Deprived Population Education Electronics Enrollment Ethics Event Feedback Health Hispanics Home environment Individual Intervention Interview Investigation Laboratories Lead Life Style Literature Location Mexican Americans Minority Not Hispanic or Latino Obesity Participant Patients Penetration Prevalence Prevention Prevention program Preventive Primary Health Care Provider Public Health Recommendation Reporting Research Sampling Series Services Social Marketing Target Populations Testing Time Visit Weight Woman base community based participatory research design disability ethnic minority population health disparity improved middle age programs public health relevance socioeconomics

项目摘要

DESCRIPTION (provided by applicant): Take Charge Lite is a state-of-the-art lifestyle weight management program that was designed following the principles of community-based participatory research (CBPR). Take Charge Lite is operational in six community health centers serving over 40,000 socio-economically disadvantaged non-Hispanic black, Hispanic, and non-Hispanic white adults. Nationally, federally approved community health centers serve over 14 million disadvantaged patients annually. Basic public health principles emphasize that the "impact" of an intervention is a product of both its "efficacy" and its "reach". Reach is sometimes referred to as the penetration of the intervention. It is defined as the proportion and characteristics of the target population that is exposed to the intervention. By improving our understanding of the factors that influence reach among minority and socio-economically disadvantaged individuals, the proposed study would offer avenues to reducing health disparities. The proposed study addresses questions of reach by leveraging the real-world laboratory of the ongoing community health center- based Take Charge Lite weight management program. The specific aims of this project are to identify patient, primary care provider, and program factors that affect 1) receipt of a weight management program prescription and 2) enrollment in a weight management program. We target middle-aged (30-64) Mexican-American, non-Hispanic black, and non-Hispanic white women who are Class I, II, or III obese. Our middle-age focus captures the years with the highest obesity prevalence and may be the most opportune time for chronic illness and disability prevention. Our investigation will be guided by the principles of social marketing. Aim 1 will be accomplished through analysis of audio-recorded patient-provider encounters with post-visit interviews of participating providers and patients. Aim 2 will be accomplished by in-home patient interviews with patients who received a weight management program prescription and either enrolled, explored but did not enroll, or did not explore and did not enroll. Our data collection will be based on quota samples of Mexican-American, non-Hispanic black, and non-Hispanic white patients. Ultimately, applying the principles of social marketing, findings will be used to identify and test changes that could improve the reach of prevention programs for disadvantaged patients. PUBLIC HEALTH RELEVANCE: Obesity is a serious health issue in the U.S. and rates of obesity are highest among ethnic minority women. This project will help identify ways that clinic-based weight management programs can better assist minority women to manage their weight.

描述（由申请人提供）：Charge Lite是一项最先进的生活方式体重管理计划，遵循基于社区的参与性研究原则（CBPR）。收费精英在六个社区卫生中心运作，为40,000多名社会经济处于劣势的非西班牙裔黑人，西班牙裔和非西班牙裔白人成年人提供服务。在全国范围内，联邦批准的社区卫生中心每年为超过1400万处境不利的患者提供服务。基本的公共卫生原则强调，干预的“影响”是其“功效”及其“触及”的产物。有时将覆盖范围称为干预措施的渗透。它被定义为暴露于干预措施的目标人群的比例和特征。通过提高我们对影响少数群体和社会经济处于弱势群体中影响因素的理解，拟议的研究将为减少健康差异提供途径。拟议的研究通过利用正在进行的社区卫生中心的现实世界实验室来解决有关的问题。该项目的具体目的是确定影响患者，初级保健提供者和影响影响的计划因素1）收到体重管理计划处方和2）加入体重管理计划。我们针对中年（30-64）墨西哥裔美国人，非西班牙裔黑人和非西班牙裔白人妇女，这些妇女是I级，II或III级肥胖。我们的中年重点捕获了肥胖症患病率最高的岁月，可能是预防慢性病和残疾的最合适时机。我们的调查将以社会营销原则为指导。 AIM 1将通过分析与参与提供者和患者的访问后访谈来分析音频录制的患者提供者相遇。 AIM 2将通过与接受体重管理计划处方并注册，探索但未注册或没有探索或没有入学的患者进行家庭访谈来实现。我们的数据收集将基于墨西哥裔美国人，非西班牙裔黑人和非西班牙裔白人患者的配额样本。最终，采用社会营销原则，发现将用于识别和测试可以改善弱势患者预防计划的变化。公共卫生相关性：在美国，肥胖是一个严重的健康问题，在少数民族妇女中，肥胖率最高。该项目将有助于确定基于诊所的体重管理计划可以更好地帮助少数民族妇女管理自己的体重的方法。