Citizen Science to Promote Sustained Physical Activity in Low-Income Communities

公民科学促进低收入社区持续体育活动

基本信息

批准号：
10083192
负责人：
ABBY C KING
金额：
$ 56.64万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-01-01 至 2021-12-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10083192
关键词：
Accelerometer Address Affect Age Aging Behavioral Body mass index Cardiovascular Diseases Chronic Disease Cities Colorectal Cancer Communication Communities Data Elderly Environment Environment Design Environmental Risk Factor Feasibility Studies Fostering Geography Health Housing Income Individual Intervention Latino Law Enforcement Learning Locales Low income Measures Mediator of activation protein Methods Mind Neighborhoods Non-Insulin-Dependent Diabetes Mellitus Nonprofit Organizations Osteoporosis Outcome Participant Persons Physical activity Pilot Projects Population Public Health Public Housing Randomized Recreation Research Resources Running Safety Site Social Environment Standardization System Testing Time Trainers Training Training Voice Walking active lifestyle arm built environment citizen science cohesion community engagement community organizations design environmental change ethnic diversity evidence base exercise intervention health disparity interest intervention effect malignant breast neoplasm middle age mobile application moderate-to-vigorous physical activity novel programs randomized trial relative cost response skills social social factors socioeconomics temporal measurement tool vigorous intensity

项目摘要

Project Summary/Abstract Background: Low-income midlife and older adults are disproportionately impacted by a range of chronic diseases and conditions that contribute to widening US health disparities and can be alleviated by regular physical activity (PA), yet are among the most inactive segments of the US population. Relatively few PA programs have been developed specifically with their needs in mind, most of these interventions remain primarily at the individual level of impact, and few such interventions take full advantage of the recognized impacts that built and social environmental factors have for increasing and sustaining daily PA. Objective: The major objective of this application is to enhance the potential scalability and sustainability of person-level PA interventions by leveraging the capacity of residents themselves as local data gatherers and solution generators for neighborhood environmental change. The primary aim of the proposed group-randomized trial is to systematically compare the sustained (two-year) multi-level impacts of a lay advisor-delivered, person-level PA intervention that has demonstrated efficacy and translatability (Active Living Every Day) [ALED Alone arm], versus the ALED program in combination with a novel neighborhood-level intervention, called Our Voice [ALED+Our Voice arm]. The Our Voice program teaches residents to use a simple mobile application to individually and collectively identify neighborhood barriers to daily PA. They then convey this information to local stakeholders and decision-makers in ways that can facilitate potentially sustainable neighborhood-level improvements in support of regular PA. Design: We propose to randomize 16 public housing sites serving low- income, ethnically diverse midlife and older adults to ALED Alone vs. ALED+Our Voice (n=265 participants per arm; total=530). We hypothesize that 2-year ALED+Our Voice participant PA, measured via accelerometry, will be higher than in ALED Alone. We also will evaluate the 2-year impacts of the two programs on neighborhood- level PA using a standardized PA observation tool (SOPARC-path form). Additional questions of interest include levels of PA change at intermediate measurement time points; exploration of intervention effects in relation to a set of putative multi-level mediators; and exploration of the relative costs of the two interventions in relation to PA changes. We will also explore, in both arms, ongoing participant communication with local stakeholders (i.e., local organizations, media) that can set the stage for continued social and built environment changes beyond the project period. IMPACT: If the preliminary evidence supporting the promise of the Our Voice community engagement program is confirmed, it will provide a means for expanding the impacts and reach of person-level PA interventions beyond participants themselves to the neighborhood setting. This can, in turn, provide a scalable means for potentially sustainable PA promotion across broader income groups of relevance to US health disparities.

项目摘要/摘要背景：低收入中年和老年人受到一系列慢性的影响不成比例有助于扩大美国健康差异的疾病和条件，可以定期缓解体育锻炼（PA）是美国人口中最不活跃的部分之一。相对较少的PA 计划是专门为您的需求而开发的，这些干预措施中的大多数仍然存在主要处于个人影响层面，很少有这样的干预措施充分利用公认的建立和社会环境因素对增加和维持每日PA的影响。目标：该应用的主要目的是增强人级PA的潜在可扩展性和可持续性通过利用居民本身作为当地数据收集者和解决方案的能力来进行干预邻里环境变化的发电机。拟议的组随机试验的主要目的是要系统地比较外行顾问分配的人级的持续（两年）多层次的影响 PA干预已表现出功效和可翻译性（每天活跃的生活）[ARED ARM]，与ALED计划结合新颖的邻里级别干预措施，称为我们的声音 [ALED+我们的语音臂]。我们的语音程序教会居民使用简单的移动应用程序单独并集体确定每日PA的邻里障碍。然后他们将此信息传达给当地利益相关者和决策者以促进潜在可持续性社区层面的方式改进普通PA的支持。设计：我们建议将16个公共住房站点随机分配，以低 - 收入，种族多元化的中年和老年人与ALED vs. ALED+我们的声音（n = 265名参与者手臂;总计= 530）。我们假设通过加速度测定法测量的2年ALED+我们的语音参与者PA将会比单独使用ALED高。我们还将评估两个计划对邻里的两年影响 - 使用标准化PA观察工具（SOPARC-PATH表格）进行pa。其他感兴趣的问题在中间测量时间点包括PA变化的水平；探索干预效果与一组推定的多层次调解人有关；以及探索两种干预措施的相对成本与PA变化有关。我们还将在两个武器中探索与当地人的持续沟通利益相关者（即当地组织，媒体）可以为持续的社会和建筑环境奠定基础超出项目期间的变化。影响：如果初步证据支持我们的承诺确认语音社区参与计划，它将提供一种扩大影响和参与者本身以外的人级干预措施到达邻里环境。这可以，反过与美国健康差异有关。

项目成果

期刊论文数量（4）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Solution-based science to prevent and control diabetes in underserved communities around the world (commentary, for Diabetes special section).

基于解决方案的科学，用于在世界各地服务不足的社区预防和控制糖尿病（评论，针对糖尿病特别部分）。

DOI：
10.1093/tbm/ibz196
发表时间：
2020
期刊：
Translational behavioral medicine
影响因子：
3.6
作者：
King,AbbyC
通讯作者：
King,AbbyC

The Role of Citizen Science in Promoting Health Equity.

DOI：
10.1146/annurev-publhealth-090419-102856
发表时间：
2022-04-05
期刊：
ANNUAL REVIEW OF PUBLIC HEALTH
影响因子：
20.8
作者：
Rosas, Lisa G.;Espinosa, Patricia Rodriguez;Jimenez, Felipe Montes;King, Abby C.
通讯作者：
King, Abby C.