HOPE Accounts for Women

HOPE 女性账户

• 批准号: 7829068
• 负责人: MARCI K CAMPBELL
• 金额: $ 47.6万
• 依托单位: UNIV OF NORTH CAROLINA CHAPEL HILL
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-24 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7829068
• 关键词: Accounting; Address; Advisory Committees; Affect; African American; American; American Indians; Area; Behavior; Body Weight decreased; Build-it; Businesses; Climacteric; Communities; Community Developments; Data; Demographic Factors; Development; Diabetes Mellitus; Diet; Economic Conditions; Economic Development; Economic Factors; Economics; Education; Educational process of instructing; Effectiveness of Interventions; Employment; Evaluation; Feeling; Financial Support; Fostering; Future; Generic Drugs; Goals; Health; Health Benefit; Health Planning; Health behavior; Health behavior change; Heart Diseases; Home environment; Income; Individual; Intake; Internet; Intervention; Lead; Learning; Low income; Mediator of activation protein; Minority; Modeling; Newsletter; North Carolina; Obesity; Occupations; Overweight; Ownership; Participant; Physical activity; Physical environment; Population; Poverty; Psychosocial Factor; Rural; Rural Health; Savings; Security; Self Efficacy; Social Change; Social Environment; Social support; Socioeconomic Factors; Socioeconomic Status; Stroke; Technology; Time; Training; Unemployment; Weight; Woman; Work; base; computer generated; depressed; design; empowerment; fruits and vegetables; health disparity; health empowerment; improved; innovation; interest; literacy; meetings; member; outreach; programs; rural area; secondary outcome; skill acquisition; social; social capital

DESCRIPTION (provided by applicant): This application addresses broad Challenge Area (09): Health Disparities and specific Challenge Topic 09-MD- 101: Creating Transformational Approaches to Address Rural Health Disparities. HOPE Accounts for Women is an innovative intervention approach to address obesity among low-income minority women in rural North Carolina. Obesity and poor health exist in the context of social and economic determinants, such as education and employment, which influence hope and empowerment to make life changes. In the economically depressed areas of rural North Carolina, structural changes to improve social and economic conditions are needed to have a lasting impact on health. Individual Development Accounts (IDAs), matched savings accounts for low-income individuals, provide financial assistance for a microenterprise, further education, or home ownership and have been shown to increase feelings of confidence about the future and economic security. The HOPE Accounts for Women intervention is designed to address the social and economic factors that contribute to rural health disparities. The program is participatory and community-led. The Community Advisory Committee was instrumental in planning HOPE Accounts for Women and will oversee its implementation in the communities. Community members will be trained to lead HOPE Accounts Circles of 8- 12 low-income, overweight women. During the first month of the intervention, Circles will provide participants with an IDA training, after which each participant will open an IDA and begin saving money toward reaching a personal goal. In the remaining six months, Circles will provide social support, teach strategies for weight management, and address financial literacy and strategies for moving out of poverty. Participants will receive monthly tailored health newsletters providing individualized information and strategies to achieve targeted health behavior changes and financial goals. A rigorous evaluation will assess obesity, socioeconomic factors, health behaviors, and psychosocial factors among HOPE Accounts for Women participants compared to participants in an intervention providing generic health and financial planning information. Minorities in rural North Carolina suffer disproportionately from obesity and associated health conditions. Social and economic factors underlie these rural health disparities. The proposed structural intervention aims to improve health among low-income minority women by providing financial support through Individual Development Accounts in conjunction with information and social support needed to pursue financial and health goals.

描述（由申请人提供）：此申请解决广泛的挑战领域（09）：健康差异和特定挑战主题09-MD- 101：创建转型方法来解决农村健康差异。妇女的希望账户是一种创新的干预方法，可以解决北卡罗来纳州农村低收入少数族裔妇女的肥胖症。肥胖和健康不良存在于社会和经济决定因素（例如教育和就业）的背景下，这会影响希望和赋权改变生活的能力。在北卡罗来纳州农村地区经济沮丧的地区，需要改善社会和经济状况的结构变化，以对健康产生持久的影响。个人发展帐户（IDA），匹配低收入个人的储蓄帐户，为微型企业，进一步的教育或房屋所有权提供财务援助，并已被证明可以增加对未来和经济安全的信心。妇女干预措施的希望旨在解决导致农村健康差异的社会和经济因素。该计划是参与性的，由社区主导。社区咨询委员会在规划妇女的希望账户方面发挥了作用，并将监督其在社区中的实施。社区成员将接受培训，以领导8-1个低收入，超重女性的希望帐户圈。在干预的第一个月中，圈子将为参与者提供IDA培训，然后每个参与者将打开IDA，并开始为实现个人目标省钱。在剩下的六个月中，圈子将提供社会支持，教授体重管理策略，并解决财务素养和摆脱贫困的策略。参与者将获得每月量身定制的健康通讯，提供个性化信息和策略，以实现有针对性的健康行为改变和财务目标。严格的评估将评估肥胖，社会经济因素，健康行为和心理社会因素，希望与提供通用健康和财务计划信息的干预措施相比，女性参与者对女性参与者进行评估。北卡罗来纳州农村地区的少数民族因肥胖和相关的健康状况而遭受不成比例的痛苦。社会和经济因素是这些农村健康差异的基础。拟议的结构干预旨在通过通过个人发展帐户与追求财务和健康目标所需的信息和社会支持一起提供财务支持，从而改善低收入少数族裔妇女的健康。