Healthy Frio: A Rural Community Partnership to Advance Latino Obesity Research

健康 Frio：农村社区合作伙伴关系推进拉丁裔肥胖研究

基本信息

批准号：
9080405
负责人：
DEBORAH PARRA-MEDINA
金额：
$ 68.69万
依托单位：
UNIVERSITY OF TEXAS AT AUSTIN
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-09-16 至 2021-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9080405
关键词：
21 year old Address Adherence Adopted Adult Affect Age Behavior Behavior Therapy Body Weight decreased Child Clinic Clinical Communities Control Groups Disease E-learning Effectiveness Environmental Risk Factor Family Goals Health Health Benefit Health Policy Health Promotion Health Status Healthcare Healthy Eating Home environment Impaired health Individual Intervention Knowledge Latino Learning Life Life Style Locales Maintenance Methods Monitor Obesity Obesity associated disease Parents Participant Patients Persons Physical activity Populations at Risk Poverty Primary Health Care Program Accessibility Public Health Randomized Randomized Controlled Trials Recruitment Activity Research Research Infrastructure Research Personnel Rural Rural Community South Texas Staging Technology Testing Texas Translating Transportation Underserved Population Weight Weight maintenance regimen arm base behavior change collaborative environment community center community partnership comparative comparative effectiveness compare effectiveness design early childhood energy balance evidence base follow-up health related quality of life healthy lifestyle healthy weight improved innovation innovative technologies lifestyle intervention post intervention primary outcome programs public health relevance secondary outcome skills social social cognitive theory therapy design

项目摘要

DESCRIPTION (provided by applicant): Much has been learned about the efficacy and effectiveness of comprehensive healthy lifestyle interventions to reduce obesity, but few studies have been translated into rural settings or among Latinos. Y Living is an evidence-based family-focused intervention (FI) designed for urban Latino families by PI Dr. Deborah Parra-Medina and her South Texas-based research team. The FI is a 12-week behavioral modification program grounded in the social cognitive theory of behavior change designed to engage the whole family in lifestyle changes by developing knowledge and skills in physical activity and healthy eating, building skills in goal-setting and self- monitoring, and creating a supportive environment at home. Researchers will engage community partners in formative research to adapt the current FI for rural Latino families. Two parallel delivery methods of the FI will be developed and tested: 1) in-person group setting at a community center (FI-IP) and 2) home-based delivered remotely with technology (FI-RT). While both will be designed to address the unique social, cultural and environmental factors facing rural Latino families, the latter takes advantage of innovative modern technology and e-Learning to increase program availability, accessibility and program participation in rural settings. We will conduct a 3-arm randomized controlled trial to compare the effectiveness of the two delivery approaches on weight loss (primary outcome) and energy balance behaviors (secondary outcomes) among obese Latino parent-child pairs versus control. We will recruit 270 obese (BMI 30-39.9kg/m2) Latino adults (ages 21-65) with a child (ages 8-17) from three primary care practices in rural South Texas. These 270 parent-child pairs will be randomized to one of three arms stratified by clinic: 1) FI-IP (n=90); 2) FI- RT (n=90); or 3) control group (n=90). The primary specific aims of the study are to: 1) Conduct community-engaged formative studies to transform the existing family-focused intervention (FI) into two unique delivery methods (FI-IP and FI-RT) for use in a subsequent randomized controlled trial in a rural Latino community; and 2) Conduct a randomized controlled trial to evaluate the comparative effectiveness of two parallel delivery methods of family-focused intervention (FI-IP and FI-RT) to address weight loss (primary outcome) and energy balance behaviors (secondary outcomes) among obese rural Latino adults compared with adult participants in control group at immediate post intervention (3 months), again after a 3-month maintenance program (6 months post randomization) and a 6-month follow-up (12 months post randomization). A secondary aim is to examine the impact of FI-IP and FI-RT children's weight and energy balance behaviors.

描述（由申请人证明）：关于全面健康生活方式干预的功效和有效性o减少了肥胖症，但很少有研究被转化为农村环境或拉丁美洲人的生活。）PIRRA-MEDINA和她的总部位于德克萨斯州南部的研究团队为Urbano家庭设计。在家中的支持环境。旨在独特的社会，文化和环境因素拉丁裔拉丁裔家庭，后者采用Advidate RN技术和电子学习，以增加计划的可用性，而PrimonRAM PROGENRAM PROGNAL PRAINGRAM参与了农村地区的控制。肥胖拉丁裔父母对与对照的损失（主要结果）和能量。德克萨斯州农村的初级保健初级保健。（n = 90）; 2）f- rt（n = 90）； fi）将两种独特的输送方法（FI-IP和FI-RT）用于随后在农村蒂诺群落中的随机试验中；肥胖的拉丁美洲人的重点干预（FI-IP和FI-RT）与对照组的成年人在干预后（3个月）（3个月）（3个月后的维护计划（6个月）（6个月后6个月）相比，肥胖的拉丁裔成年人之间的重点干预措施（FI-IP和FI-RT）相比。随机化）和6个月的随访（随机化12个月）。