Resources for health: A primary-care-based diet and physical activity intervention targeting urban Latinos with multiple chronic conditions

被引:49
作者
Eakin, Elizabeth G.
Bull, Sheana S.
Riley, Kimberley M.
Reeves, Marina M.
McLaughlin, Patty
Gutierrez, Silvia
机构
[1] Queensland Canc Fund, Viertel Canc Res Canc Control, Brisbane, Qld, Australia
[2] Queensland Univ Technol, Ctr Hlth Res Publ Hlth, Brisbane, Qld, Australia
[3] Univ Colorado, Ctr Res Strategies, Denver, CO 80202 USA
[4] Clin Campesina Family Hlth Serv, Denver, CO USA
关键词
RCT; self-management; health disparities; comorbidity; RE-AIM;
D O I
10.1037/0278-6133.26.4.392
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
Objective: The Resources for Health trial evaluates a social-ecologically based lifestyle (physical activity and diet) intervention targeting low-income, largely Spanish-speaking patients with multiple chronic conditions. Design: A randomized controlled trial was conducted with 200 patients recruited from an urban community health center and assigned to intervention and usual care conditions. Intervention involved 2 face-to-face, self-management support and community linkage sessions with a health educator, 3 follow-up phone calls, and 3 tailored newsletters. Main Outcome Measures: Primary outcomes measured at 6-months were changes in dietary behavior and physical activity. Changes in multilevel support for healthy living were evaluated as a secondary outcome. Results: After adjustment for age, sex, language, and number of chronic conditions, significant intervention effects were observed for dietary behavior and multilevel support for healthy lifestyles but not for physical activity. Conclusion: The Resources for Health intervention provides an effective and practical model for improving health behavior among low-income, Spanish-speaking patients with multiple chronic conditions.
引用
收藏
页码:392 / 400
页数:9
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