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在一家基于信仰的社区诊所开展健康赋权项目。

Offering a Health Empowerment Program in a Faith-Based Community Clinic.

作者信息

McGrane Minton Heather, Lytle Megan C, Coleman Renee, Briody Sheila, Kristoffersen Margaret, Sörensen Silvia

机构信息

St John Fisher College, Wegmans School of Nursing, Rochester, New York (HMM).

Department of Psychiatry, University of Rochester Medical Center Rochester, New York (MCL).

出版信息

Am J Lifestyle Med. 2019 Mar 27;15(3):293-304. doi: 10.1177/1559827619836088. eCollection 2021 May-Jun.

Abstract

. Given the excess burden of overweight/obesity in low-income communities, the objective of this pilot study was to examine the feasibility and effectiveness of a healthy living program (Health Empowerment Program) for improving physical activity, eating habits, and mental health outcomes. Adapted from the Diabetes Prevention Program (DPP), a 7-week biopsychosocial intervention that included spirituality was created. . Participants (n = 153) recruited from a faith-based neighborhood health center were assessed using self-report measures for depressive and anxiety symptoms, self-regulation, physical activity, and eating habits at baseline, postintervention, and 3-month follow-up. . Participants had significant decreases in depressive symptoms ( = -1.21; SE = 0.27; P < .001) and anxiety symptoms ( = -0.69; SE = 0.24; P = .005) and significant increases in self-regulation ( = 2.42; SE = 0.82; P = .003), time spent in physical activity (; = 3.56; SE = 1.48; P = .016), and total healthy eating habits ( = 0.97; SE = 0.16; P < .001). Although including spirituality in a healthy living program is feasible and is associated with improvements in outcomes, future research needs to consider how best to incorporate a modified DPP into community settings allowing access to all community members.

摘要

鉴于低收入社区超重/肥胖的负担过重,这项试点研究的目的是检验一项健康生活计划(健康赋权计划)在改善身体活动、饮食习惯和心理健康结果方面的可行性和有效性。该计划改编自糖尿病预防计划(DPP),创建了一个为期7周的生物心理社会干预措施,其中包括精神层面的内容。从一个基于信仰的社区健康中心招募了153名参与者,在基线、干预后和3个月随访时,使用自我报告措施对他们的抑郁和焦虑症状、自我调节、身体活动和饮食习惯进行评估。参与者的抑郁症状(= -1.21;标准误 = 0.27;P <.001)和焦虑症状(= -0.69;标准误 = 0.24;P =.005)显著降低,自我调节(= 2.42;标准误 = 0.82;P =.003)、身体活动时间(;= 3.56;标准误 = 1.48;P =.016)和总体健康饮食习惯(= 0.97;标准误 = 0.16;P <.001)显著增加。虽然将精神层面的内容纳入健康生活计划是可行的,并且与结果的改善相关,但未来的研究需要考虑如何最好地将改良后的DPP纳入社区环境,以便所有社区成员都能参与。

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Offering a Health Empowerment Program in a Faith-Based Community Clinic.在一家基于信仰的社区诊所开展健康赋权项目。
Am J Lifestyle Med. 2019 Mar 27;15(3):293-304. doi: 10.1177/1559827619836088. eCollection 2021 May-Jun.

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