“治愈计划”：同伴教育助力哈莱姆区居民减重
Project HEAL: peer education leads to weight loss in Harlem.
作者信息
Goldfinger Judith Z, Arniella Guedy, Wylie-Rosett Judith, Horowitz Carol R
机构信息
Department of Health Policy and Medicine, Mt Sinai School of Medicine, New York, NY 10029, USA.
出版信息
J Health Care Poor Underserved. 2008 Feb;19(1):180-92. doi: 10.1353/hpu.2008.0016.
BACKGROUND
Obesity and diabetes are epidemic in the predominantly minority Harlem community. To address them, a coalition of community and academic leaders tested the effectiveness of a peer-led weight loss course.
METHODS
The coalition developed Project HEAL: Healthy Eating, Active Lifestyles through extensive collaboration with community members and experts in nutrition, exercise, and peer education. We piloted the course in a local church and assessed its impact through pre and post course weights, self-reported behaviors and quality of life.
RESULTS
Twenty-six overweight and obese African American adults lost a mean of 4.4 pounds at 10 weeks, 8.4 pounds at 22 weeks, and 9.8 pounds at 1 year. Participants reported decreased fat consumption and sedentary hours, and improved health related quality of life.
CONCLUSIONS
A peer-led, community-based course can lead to weight loss and behavior change. The minority communities most affected by obesity and diabetes may benefit from this low-cost, culturally appropriate intervention.
背景
肥胖和糖尿病在以少数族裔为主的哈莱姆社区中极为普遍。为解决这些问题，一个由社区和学术领袖组成的联盟对由同龄人主导的减肥课程的效果进行了测试。
方法
该联盟通过与社区成员以及营养、运动和同伴教育方面的专家广泛合作，开发了“健康饮食与积极生活方式项目（HEAL项目）”。我们在当地一所教堂对该课程进行了试点，并通过课程前后的体重、自我报告的行为以及生活质量来评估其影响。
结果
26名超重和肥胖的非裔美国成年人在10周时平均减重4.4磅，22周时减重8.4磅，1年时减重9.8磅。参与者报告称脂肪摄入量和久坐时间减少，与健康相关的生活质量得到改善。
结论
由同龄人主导的社区课程可带来体重减轻和行为改变。受肥胖和糖尿病影响最严重的少数族裔社区可能会从这种低成本、符合文化背景的干预措施中受益。
Zotero 插件