OPREVENT2: Design of a multi-institutional intervention for obesity control and prevention for American Indian adults
Tóm tắt
Obesity and other nutrition-related chronic disease rates are high in American Indian (AI) populations, and an urgent need exists to identify evidence-based strategies for prevention and treatment. Multi-level, multi-component (MLMC) interventions are needed, but there are significant knowledge gaps on how to deliver these types of interventions in low-income rural AI communities. OPREVENT2 is a MLMC intervention targeting AI adults living in six rural reservations in New Mexico and Wisconsin. Aiming to prevent and reduce obesity in adults by working at multiple levels of the food and physical activity (PA) environments, OPREVENT2 focuses on evidence-based strategies known to increase access to, demand for, and consumption of healthier foods and beverages, and increase worksite and home-based opportunities for PA. OPREVENT2 works to create systems-level change by partnering with tribal stakeholders, multiple levels of the food and PA environment (food stores, worksites, schools), and the social environment (children as change agents, families, social media). Extensive evaluation will be conducted at each level of the intervention to assess effectiveness via process and impact measures. Novel aspects of OPREVENT2 include: active engagement with stakeholders at many levels (policy, institutional, and at multiple levels of the food and PA system); use of community-based strategies to engage policymakers and other key stakeholders (community workshops, action committees); emphasis on both the built environment (intervening with retail food sources) and the social environment. This paper describes the design of the intervention and the evaluation plan of the OPREVENT2. Clinical Trial Registration:
NCT02803853
(June 10, 2016)
Tài liệu tham khảo
National Center for Health Statistics. Health, United States, 2011: With Special Feature on Socioeconomic Status and Health. Hyattsville; 2012.
Schiller JS, Lucas JW, Peregoy JA. Summary Health Statistics for U.S. Adults: National Health Interview Survey, 2011. Vital Health Stat. 2012.
Singh GK, Siahpush M, Hiatt RA, Timsina LR. Dramatic increases in obesity and overweight prevalence and body mass index among ethnic-immigrant and social class groups in the United States, 1976–2008. J Community Health. 2011;36(1):94–110.
Yu CH, Zinman B. Type 2 diabetes and impaired glucose tolerance in aboriginal populations: a global perspective. Diabetes Res Clin Pract. 2007;78(2):159–70.
Barnes PM, Adams PF, Powell-Griner E. Health Characteristics of the American Indian or Alaska Native Adult Population: United States, 2004–2008. Hyattsville: US Department of Health and Human Services, Centers for Disease Control and Prevention; 2010. 1–23.
Harris R, Nelson LA, Muller C, Buchwald D. Stroke in American Indians and Alaska Natives: A Systematic Review. Am J Public Health. 2015;105(8):e16–26. doi:10.2105/AJPH.2015.302698.
U.S. Census Bureau. American Community Survey, 2014 American Community Survey 1-Year Estimates. 2014. https://factfinder.census.gov/faces/tableservices/jsf/pages/productview.xhtml?src=bkmk. Accessed 17 Jan 2017.
Gittelsohn J, Rowan M. Preventing diabetes and obesity in American Indian communities: the potential of environmental interventions. Am J Clin Nutr. 2011;93(5):1179S–83.
Kumar G, Jim-Martin S, Piltch E, Onufrak S, McNeil C, Adams L, et al. Healthful nutrition of foods in Navajo Nation stores: Availability and pricing. Am J Health Promot. 2015 [Epub ahead of print].
Lee T. 7 foods that cost more on the rez, and one junk food that costs less. Indian County Media Network. 2016. https://indiancountrymedianetwork.com/culture/health-wellness/7-foods-that-cost-more-on-the-rez-and-one-junk-food-that-costs-less/. Accessed 17 Jan 2017.
Does the Built Environment Influence Physical Activity? Washington, D.C. 2005. http://onlinepubs.trb.org/onlinepubs/sr/sr282.pdf. Accessed 29 Aug 2016.
Foulds HJ1, Warburton DE, Bredin SS. A systematic review of physical activity levels in Native American populations in Canada and the United States in the last 50 years. Obes Rev. 2013;14(7):593–603. doi:10.1111/obr.12032. Epub 2013 Apr 11.
Yurgalevitch SM, Kriska AM, Welty TK, Go O, Robbins DC, Howard BV. Physical activity and lipids and lipoproteins in American Indians ages 45–74. Med Sci Sports Exerc. 1998;30(4):543–9.
Ho L, Gittelsohn J, Sharma S, et al. Food-related behavior, physical activity, and dietary intake in First Nations– a population at high risk for diabetes. Ethn Health. 2008;13(4):335–49.
Bowen DJ, Barrington WE, Beresford SA. Identifying the effects of environmental and policy change interventions on healthy eating. Annu Rev Public Health. 2015;36:289–306.
Kumanyika SK, Swank M, Stachecki J, Whitt-Glover MC, Brennan LK. Examining the evidence for policy and environmental strategies to prevent childhood obesity in black communities: new directions and next steps. Obes Rev. 2014;15 Suppl 4:177–203.
Fleischhacker S, Byrd RR, Ramachandran G, Vu M, Ries A, Bell RA, Evenson KR. Tools for healthy tribes: improving access to healthy foods in Indian country. Am J Prev Med. 2012;43(3 Suppl 2):S123–9.
Davis SM, Going SB, Helitzer DL, Teufel NI, Snyder P, Gittelsohn J, et al. Pathways: a culturally appropriate obesity-prevention program for American Indian schoolchildren. Am J Clin Nutr. 1999;69(4 Suppl):796S–802.
Ritenbaugh C, Teufel-Shone NI, Aickin MG, Joe JR, Poirier S, et al. A lifestyle interventions improves plasma insulin levels among Native American high school youth. Prev Med. 2003;36(3):309–19.
Saksvig BI, Gittelsohn J, Harris SB, Hanley AJG, Valente TW, Zinman B. A pilot school-based health eating and physical activity intervention improves diet, food knowledge, and self-efficacy for native Canadian children. J Nutr. 2005;135(10):2392–8.
Gittelsohn J, Kumar MB. Preventing childhood obesity and diabetes: Is it time to move out of the school? Pediatr Diabetes. 2007;8 Suppl 9:55–69.
Fleischhacker S, Roberts E, Camplain R, Evenson KR, Gittelsohn J. Promoting Physical Activity Among Native American Youth: a Systematic Review of the Methodology and Current Evidence of Physical Activity Interventions and Community-wide Initiatives. J Racial Ethn Health Disparities. 2015 [Epub ahead of print].
Gittelsohn J, Davis SM, Steckler A, Ethelbah B, Clay T, Metcalfe L, Rock BH. Pathways: lessons learned and future directions for school-based interventions among American Indians. Prev Med. 2003;37 Suppl 1:S107–12.
Gittelsohn J, Merkle S, Story M, Stone EJ, Steckler A, Noel JB. School climate and implementation of the Pathways study. Prev Med. 2003;37 Suppl 1:S97–106.
Shin AH, Surkan PJ, Coutinho AJ, Suratkar S, Kramer RF, Rowan MT, et al. Impact of Baltimore Healthy Eating Zones: An environmental intervention to reduce obesity and obesity-related factors among African-American youth. Health Educ Behav. 2015;42(1 Suppl):97S–105.
Economics CD, Hyatt RR, Must A, Goldberg JP, Kuder J, Naumova EN, et al. Shape Up Somerville two-year results: a community-based environmental change intervention sustains weight reduction in children. Prev Med. 2013;57(4):322–7.
Bandura A. Social foundations in thought and action. Englewood Cliffs, NJ: Prentice Hall; 1986.
Bronfenbrenner U. Ecology of the Family as a Context for Human Development: Research Perspectives. Dev Psychol. 1986;22(6):723–42.
Fleischhacker S, Vu M, Ries A, McPhail A. Engaging tribal leaders in an American Indian healthy eating project through modified talking circles. Fam Community Health. 2011;34(3):202–10.
CARE. Embracing Participation in Development: Worldwide experience from CARE’s Reproductive Health Programs with a step-by-step field guide to participatory tools and techniques. Atlanta: CARE/Health and Population Unit; 1999.
Gittelsohn J, Kim EM, He S, Pardilla M. A food-store based environmental intervention is associated with reduced BMI and improved psychosocial factors and food-related behaviors on the Navajo Nation. J Nutr. 2003;143(9):1494–500.
Gittelsohn J, Vijayadeva V, Davison N, Ramirez V, Cheung LWK, Murphy S, Novotny R. A food store intervention trial improves caregiver and child food-related psychosocial factors and behaviors in Hawaii. Obesity. 2010;18(1suppl):S84–90.
Feltz DL, Kerr NL, Irwin BC. Buddy up: the Köhler effect applied to health games. J Sport Exerc Physiol. 2011;33(4):506–26.
Feltz DL, Irwin B, Kerr N. Two-player partnered exergame for obesity prevention: using discrepancy in players’ abilities as a strategy to motivate physical activity. J Diabetes Sci Technol. 2012;6(4):820–7.
Irwin BC, Scorniaenchi J, Kerr NL, Eisenmann JC, Feltz DL. Aerobic exercise is promoted when individual performance affects the group: a test of the Köhler motivation gain affect. Ann Behav Med. 2012;44(2):151–9.
Gadhoke P. Structure, culture, and agency: Framing a child as change agent approach for adult obesity prevention in American Indian households. Baltimore: The Johns Hopkins University; 2012. ProQuest, UMI Dissertations Publishing. (Publication No. 3536107).
Borys JM, Lafay L. Nutritional information for children to modify the food habits of the whole family. Rev Med Suisse Romande. 2000;92(11):918–23.
Davis M, Baranowski T, Hughes M. Using children as change agents in increased fruit and vegetable consumption among lower-income African American adults: Process evaluation results of the Bringing It Home Program. In: Steckler A, Linnan, editors. Process Evaluation in Public Health Interventions. San Francisco: Jossey-Bass; 2002.
Laroche HH, Davis MM, Forman J, Palmisano G, Reisinger HS, Tannas C, et al. Children’s roles in parents’ diabetes self-management. Am J Prev Med. 2009;37(6 Suppl1):S251–61.
Laroche HH, Hofer TP, Davis MM. Adult fat intake associated with the presence of children in households. Findings from NHANES III. J Am Board Fam Med. 2007;20(1):9–15.
Gadhoke P, Christiansen K, Schwartz J, Gittelsohn J. ‘Cause it’s family talking to you”: Children as change agents for adult nutrition and physical activity in American Indian households in semi-rural Upper Midwestern United States. Childhood. 2014;22(3):1–16.
Cunningham-Sabo L, Lohse B. Impact of a school-based cooking curriculum for fourth-grade students on attitudes and behaviors is influenced by gender and prior cooking experience. J Nutr Educ Behav. 2014;46(2):110–20.
Cobb NK, Graham AL, Byron MJ, Abrams DB, Workshop Participants. Online Social Networks and Smoking Cessation: A Scientific Research Agenda. J Med Internet Res. 2011;13(4):e119.
Li JS, Barnett TA, Goodman E, Wasserman RC, Kemper AR. Approaches to the prevention and management of childhood obesity: The role of social networks and the use of social media and related electronic technologies: A scientific statement from the American heart association. Circulation. 2013;127(2):260–7.
Berg CJ, Daley CM, Nazir N, Kinlacheeny JB, Ashley A, Ahluwalia JS, et al. Physical activity and fruit and vegetable intake among American Indians. J Community Health. 2012;37(1):65–71.
Donner A, Klar N. Statistical considerations in the design and analysis of community intervention trials. J Clin Epidemiol. 1996;49(4):435–9.
Feng Z, Grizzle JE. Correlated binomial variates: properties of estimator of intraclass correlation and its effect on sample size calculation. Stat Med. 1992;11(12):1607–14.
Bates D, Maechler M, Bolker B, Walker S. Fitting Linear Mixed-Effects Models Using lme4. J Stat Softw. 2015;67(1):1–48.