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基于社区的参与性研究,以促进有残疾青少年的拉丁裔移民家庭的健康生活方式。

Community-based participatory research to promote healthy lifestyles among Latino immigrant families with youth with disabilities.

作者信息

Suarez-Balcazar Yolanda, Early Amy, Maldonado Ashley, Garcia Claudia P, Arias Dalmina, Zeidman Amalia, Agudelo-Orozco Alexander

机构信息

a Department of Occupational Therapy, College of Applied Health Sciences , University of Illinois at Chicago , Chicago , IL , USA.

出版信息

Scand J Occup Ther. 2018 Sep;25(5):396-406. doi: 10.1080/11038128.2018.1502348. Epub 2018 Oct 3.

Abstract

BACKGROUND/AIMS: Community-based participatory research (CBPR) is an optimal approach that brings together community stakeholders, researchers and practitioners in an effort to understand and address social issues and health disparities experienced by vulnerable populations. Latino immigrant families in the United States with youth and young families with disabilities have experienced a number of barriers in gaining positive health outcomes. These families face challenges in maintaining a healthy lifestyle, placing them at high risk for obesity, diabetes, and other chronic health conditions. The purpose of this study was to develop a healthy lifestyles intervention in collaboration with Latino immigrant families with youth and young adults with disabilities using a CBPR approach, and to examine the impact of the intervention from participants' perspectives.

METHODS

Grounded in the principles of CBPR, we developed a partnership with community stakeholders to create a healthy lifestyles intervention aimed at meeting the needs of Latino families in the United States. During and following implementation of the intervention, we conducted focus groups with 12 intervention participants to examine the impact of the intervention.

RESULTS

Participants identified the intervention program as meeting a need in the community and reported specific positive aspects related to health behaviors, social learning, inclusion, community participation, and peer advocacy.

DISCUSSION

CBPR healthy lifestyle interventions are relevant to the needs of Latino immigrant families with youth and young adults with disabilities. Health professionals should involve community residents in the design of healthy lifestyles programming to ensure strategies for change are relevant and relatable.

摘要

背景/目的:基于社区的参与性研究(CBPR)是一种理想的方法,它将社区利益相关者、研究人员和从业者聚集在一起,致力于理解和解决弱势群体所面临的社会问题和健康差距。美国的拉丁裔移民家庭以及有残疾青年和年轻家庭的群体在获得积极健康成果方面面临诸多障碍。这些家庭在维持健康生活方式方面面临挑战,使他们面临肥胖、糖尿病和其他慢性健康问题的高风险。本研究的目的是采用CBPR方法与有残疾青年和年轻成年人的拉丁裔移民家庭合作开展一项健康生活方式干预,并从参与者的角度考察该干预的影响。

方法

基于CBPR的原则,我们与社区利益相关者建立了伙伴关系,以创建一项旨在满足美国拉丁裔家庭需求的健康生活方式干预措施。在干预实施期间及之后,我们对12名干预参与者进行了焦点小组访谈,以考察干预的影响。

结果

参与者认为干预项目满足了社区的需求,并报告了与健康行为、社会学习、包容、社区参与和同伴倡导相关的具体积极方面。

讨论

CBPR健康生活方式干预与有残疾青年和年轻成年人的拉丁裔移民家庭的需求相关。卫生专业人员应让社区居民参与健康生活方式项目的设计,以确保变革策略具有相关性和可关联性。

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