A Mixed-Methods Evaluation of mHealth Weight Management for Racial/Ethnic Minorities

少数族裔/族裔移动健康体重管理的混合方法评估

• 批准号: 10676754
• 负责人: Samuel Louis Battalio
• 金额: $ 4.32万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2025-05-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10676754
• 关键词: Address; Adult; Behavior; Behavioral; Body Weight decreased; Calories; Complement; Crime; Data; Data Set; Devices; Diet; Disadvantaged; Equity; Evaluation; Fatty acid glycerol esters; Fellowship; Food Access; Foundations; Goals; Health behavior; Impairment; Individual; Intervention; Interview; Investigation; Lead; Learning; Literature; Location; Meta-Analysis; Methods; Minority; Minority Groups; Modeling; Morbidity - disease rate; Neighborhoods; Obesity; Outcome; Overweight; Participant; Patients; Perception; Persons; Population; Prevalence; Public Health; Race; Research; Research Methodology; Risk Factors; Role; Social Environment; Social Functioning; Training; Treatment Efficacy; Weight; Weight maintenance regimen; Work; behavior change; cardiometabolism; cost; design; ethnic discrimination; ethnic disparity; ethnic minority; ethnic minority population; examination questions; experience; health equity; healthy weight; improved; lifestyle intervention; mHealth; mortality; obesity treatment; post intervention; programs; racial disparity; racial minority; racial minority population; remote delivery; scale up; secondary analysis; social culture; social disparities; social health determinants; social influence; success; systematic review; tool; treatment effect; trend; weight loss intervention

Project Summary/Abstract Obesity is the most prevalent preventable risk factor for cardiometabolic morbidity and mortality in the US. Additionally, obesity is more prevalent among racial/ethnic minorities whose rates continue to increase. Racial/ethnic disparities in obesity are influenced by social determinants of health that contribute to social disadvantage at multiple levels of influence. Among their influences, social determinants of health can interfere with the diet and activity behaviors that are the primary drivers of obesity and the targets of weight management interventions. Interventions need to account for these potential influences of social disadvantage. Mobile Health (mHealth) interventions are particularly promising because they have the reach and efficiency for equitable population-level dissemination. However, the degree to which social disadvantage interferes with mHealth treatment efficacy has not been well-studied, and so it is unclear whether mHealth weight management intervention produces equitable outcomes across sociocultural contexts. Research is needed to explore whether social disadvantage constrains the benefit derived from mHealth intervention, in order to inform potentially needed optimization. This project will leverage multiple synergistic research methods that span the intervention evidence spectrum to evaluate this question. A systematic review and meta-analysis will provide a comprehensive, rigorous overview of research literature on how mHealth obesity treatment effects may be moderated by socioenvironmental context and disadvantage. Secondary quantitative analyses of two previously conducted mHealth weight loss trials will evaluate the extent to which multilevel social determinants of health moderate improvements in health behaviors. Finally, qualitative interviews and analysis will be used to evaluate racial/ethnic minority participants’ perceptions of barriers and facilitators to engagement in mHealth weight management. Together, these synergistic methods to be learned and applied in this fellowship span the analytic spectrum. Their integration will build a coherent foundation upon which we can advance mHealth interventions for weight management among racial/ethnic minorities.

项目概要/摘要 肥胖是美国心脏代谢发病率和死亡率最普遍的可预防危险因素。 此外，肥胖在少数种族/族裔中更为普遍，其发病率持续上升。 肥胖的种族/民族差异受到健康社会决定因素的影响，这些因素有助于社会 在其影响的多个层面上，健康的社会决定因素可能会产生干扰。 饮食和活动行为是肥胖的主要驱动因素和体重目标 管理干预措施需要考虑社会劣势的这些潜在影响。 移动医疗（mHealth）干预措施特别有前途，因为它们具有覆盖范围和效率 然而，社会劣势的干扰程度。 mHealth 治疗效果尚未得到充分研究，因此尚不清楚 mHealth 体重是否有效 管理干预可以在不同的社会文化背景下产生公平的结果。 探讨社会劣势是否限制了移动医疗干预带来的益处，以便 告知潜在需要的优化。该项目将利用多种协同研究方法， 将跨越干预证据范围来评估这个问题。 提供有关移动健康肥胖治疗效果的研究文献的全面、严格的概述 可能会受到社会环境背景和不利条件的二次定量分析的影响。 之前进行的移动健康减肥试验将评估多层次社会决定因素的程度 最后，将使用定性访谈和分析。 评估少数种族/族裔参与者对参与移动医疗的障碍和促进因素的看法 本次研究金中要学习和应用的这些协同方法涵盖了体重管理。 它们的整合将为我们推进移动医疗奠定一个连贯的基础。 对少数种族/族裔进行体重管理的干预措施。

项目成果

Mobile Health Tobacco Cessation Interventions to Promote Health Equity: Current Perspectives.

移动健康戒烟干预措施促进健康公平：当前观点。

• 发表时间: 2022
• 作者: Battalio, Samuel L;Pfammatter, Angela F;Kershaw, Kiarri N;Hernandez, Alexis;Conroy, David E;Spring, Bonnie
• 通讯作者: Spring, Bonnie

Delivering COVID-19 Vaccine via Trusted Social Services: Program Evaluation Results from the Chicagoland CEAL Program.

通过可信社会服务提供 COVID-19 疫苗：芝加哥 CEAL 计划的计划评估结果。

• 发表时间: 2024-02
• 影响因子: 5.9
• 作者: Martin, Molly A;Cook, Sara;Spring, Bonnie;Echeverria Garcia, Jose Carlos;Moskowitz, David;Delaughter;Silva, Abigail;Hartstein, Madison;De Pablo, Marina;Peek, Monica;Lynch, Elizabeth;Battalio, Samuel;Vu, Milkie;Chicagoland CEAL
• 通讯作者: Chicagoland CEAL