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“行动中的铁/行动中的信念”:一项基于教会的随机试验的设计与实施,旨在促进常去教堂的拉丁裔女性的身体活动和癌症筛查。

Fe en Accion/Faith in Action: Design and implementation of a church-based randomized trial to promote physical activity and cancer screening among churchgoing Latinas.

作者信息

Arredondo Elva M, Haughton Jessica, Ayala Guadalupe X, Slymen Donald J, Sallis James F, Burke Kari, Holub Christina, Chanson Dayana, Perez Lilian G, Valdivia Rodrigo, Ryan Sherry, Elder John

机构信息

Graduate School of Public Health, San Diego State University, Institute for Behavioral and Community Health (IBACH), San Diego, CA, USA.

Graduate School of Public Health, San Diego State University, Institute for Behavioral and Community Health (IBACH), San Diego, CA, USA.

出版信息

Contemp Clin Trials. 2015 Nov;45(Pt B):404-415. doi: 10.1016/j.cct.2015.09.008. Epub 2015 Sep 8.

Abstract

OBJECTIVES

To describe both conditions of a two-group randomized trial, one that promotes physical activity and one that promotes cancer screening, among churchgoing Latinas. The trial involves promotoras (community health workers) targeting multiple levels of the Ecological Model. This trial builds on formative and pilot research findings.

DESIGN

Sixteen churches were randomly assigned to either the physical activity intervention or cancer screening comparison condition (approximately 27 women per church). In both conditions, promotoras from each church intervened at the individual- (e.g., beliefs), interpersonal- (e.g., social support), and environmental- (e.g., park features and access to health care) levels to affect change on target behaviors.

MEASUREMENTS

The study's primary outcome is min/wk of moderate-to-vigorous physical activity (MVPA) at baseline and 12 and 24 months following implementation of intervention activities. We enrolled 436 Latinas (aged 18-65 years) who engaged in less than 250 min/wk of MVPA at baseline as assessed by accelerometer, attended church at least four times per month, lived near their church, and did not have a health condition that could prevent them from participating in physical activity. Participants were asked to complete measures assessing physical activity and cancer screening as well as their correlates at 12- and 24-months.

SUMMARY

Findings from the current study will address gaps in research by showing the long term effectiveness of multi-level faith-based interventions promoting physical activity and cancer screening among Latino communities.

摘要

目的

描述一项两组随机试验的两种情况,一组促进身体活动,另一组促进癌症筛查,对象为经常去教堂的拉丁裔女性。该试验涉及社区健康工作者(promotoras)针对生态模型的多个层面开展工作。此试验基于前期的形成性研究和试点研究结果。

设计

16所教堂被随机分配到身体活动干预组或癌症筛查对照组(每所教堂约27名女性)。在两种情况下,各教堂的社区健康工作者都在个体层面(如信念)、人际层面(如社会支持)和环境层面(如公园设施和医疗保健可及性)进行干预,以促使目标行为发生改变。

测量

该研究的主要结果是在基线以及干预活动实施后的12个月和24个月时,每周进行中等至剧烈身体活动(MVPA)的分钟数。我们招募了436名拉丁裔女性(年龄在18 - 65岁之间),根据加速度计评估,她们在基线时每周进行MVPA的时间少于250分钟,每月至少去教堂四次,居住在教堂附近,且没有可能妨碍她们参与身体活动的健康状况。要求参与者在12个月和24个月时完成评估身体活动、癌症筛查及其相关因素的测量。

总结

本研究的结果将通过展示基于信仰的多层次干预措施在促进拉丁裔社区身体活动和癌症筛查方面的长期有效性,填补研究空白。

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