TY - JOUR
T1 - Home Visit Intervention Promotes Lifestyle Changes
T2 - Results of an RCT in Mexican Americans
AU - Vidoni, Michelle L.
AU - Lee, Min Jae
AU - Mitchell-Bennett, Lisa
AU - Reininger, Belinda M.
N1 - Funding Information:
The authors of this manuscript would like to acknowledge the participants who so willingly participated in this study, our community partners, and Community Action Board members who are dedicated to eliminating health disparities. We would also like to acknowledge our Tu Salud ¡Si Cuenta! professional intervention team, including Vanessa Saldana, Marcelina Martinez, Angelica Muniz, Silvia Garcia, Arisve Ramirez, and others. We thank the cohort team, led by Drs. Susan Fisher-Hoch and Joseph McCormick and Ms. Rocio Uribe and her team, who recruited and documented the participants. We also thank Marcela Morris and other laboratory staff for their contributions, and Christina Villarreal for administrative support. We thank Valley Baptist Medical Center, Brownsville, TX for providing us space for our Center for Clinical and Translational Science Clinical Research Unit. We acknowledge the support provided by the Biostatistics/Epidemiology/Research Design component of the Center for Clinical and Translational Sciences for this project. The research presented in this paper is that of the authors and does not reflect the official policy of the NIH. The intervention and analysis work described in the manuscript was partially supported by the Clinical and Translational Science Award (UL1TR000371) from the NIH's National Center for Advancing Translational Sciences . This research was also partially funded by the Cancer Prevention & Research Institute of Texas award PP110163. This study was reviewed and approved by the UTHealth IRB. HSC-SPH-10-0015.
Funding Information:
The authors of this manuscript would like to acknowledge the participants who so willingly participated in this study, our community partners, and Community Action Board members who are dedicated to eliminating health disparities. We would also like to acknowledge our Tu Salud ¡Si Cuenta! professional intervention team, including Vanessa Saldana, Marcelina Martinez, Angelica Muniz, Silvia Garcia, Arisve Ramirez, and others. We thank the cohort team, led by Drs. Susan Fisher-Hoch and Joseph McCormick and Ms. Rocio Uribe and her team, who recruited and documented the participants. We also thank Marcela Morris and other laboratory staff for their contributions, and Christina Villarreal for administrative support. We thank Valley Baptist Medical Center, Brownsville, TX for providing us space for our Center for Clinical and Translational Science Clinical Research Unit. We acknowledge the support provided by the Biostatistics/Epidemiology/Research Design component of the Center for Clinical and Translational Sciences for this project. The research presented in this paper is that of the authors and does not reflect the official policy of the NIH. The intervention and analysis work described in the manuscript was partially supported by the Clinical and Translational Science Award (UL1TR000371) from the NIH's National Center for Advancing Translational Sciences. This research was also partially funded by the Cancer Prevention & Research Institute of Texas award PP110163. This study was reviewed and approved by the UTHealth IRB. HSC-SPH-10-0015. BR, LMB, ML designed intervention study and managed the data collection. MV and ML conducted analysis. MV, ML BR, and LMB drafted and edited the manuscript. No financial disclosures were reported by the authors of this paper.
Publisher Copyright:
© 2019 American Journal of Preventive Medicine
PY - 2019/11
Y1 - 2019/11
N2 - Introduction: Hispanic populations are less likely that other ethnicities to meet physical activity guidelines. Community health worker (CHW) outreach is an effective delivery method for behavior change messages owing to shared culture, language, and life experience. This study examined the efficacy of a CHW-delivered intervention, Tu Salud ¡Si Cuenta! (Your Health Matters!) at Home Intervention, to promote physical activity among Mexican Americans. Study design: RCT. Setting and participants: Mexican Americans living along the Texas–Mexico border from June 2010 to April 2013. Intervention: Eligible adults were randomized into intervention (n=250) or standard care (n=250). Intervention participants received 6 monthly CHW visits that included education, motivation, and support for lifestyle changes. Standard care was potentially exposed to a community-wide health promotion campaign. Data were collected at baseline and 6- and 12-month follow-ups. Main outcome measures: Meeting physical activity guidelines was defined as ≥600 MET–adjusted minutes of moderate and vigorous exercise. Results: Intervention participants were more likely to meet physical activity guidelines at 6 months (AOR=2.02, 95% CI=1.25, 3.26) than standard care, but the significance was not maintained at 12 months (AOR=1.53, 95% CI=0.92, 2.53). The results were similar in the as-treated and obesity-stratified analyses. The secondary analysis corroborated the primary results. Conclusions: This study shows increases in physical activity among those exposed to a CHW intervention, including participants with obesity. It also indicates that the removal of CHW contact tapers the effect at 12 months. Trial registration: NCT01168765.
AB - Introduction: Hispanic populations are less likely that other ethnicities to meet physical activity guidelines. Community health worker (CHW) outreach is an effective delivery method for behavior change messages owing to shared culture, language, and life experience. This study examined the efficacy of a CHW-delivered intervention, Tu Salud ¡Si Cuenta! (Your Health Matters!) at Home Intervention, to promote physical activity among Mexican Americans. Study design: RCT. Setting and participants: Mexican Americans living along the Texas–Mexico border from June 2010 to April 2013. Intervention: Eligible adults were randomized into intervention (n=250) or standard care (n=250). Intervention participants received 6 monthly CHW visits that included education, motivation, and support for lifestyle changes. Standard care was potentially exposed to a community-wide health promotion campaign. Data were collected at baseline and 6- and 12-month follow-ups. Main outcome measures: Meeting physical activity guidelines was defined as ≥600 MET–adjusted minutes of moderate and vigorous exercise. Results: Intervention participants were more likely to meet physical activity guidelines at 6 months (AOR=2.02, 95% CI=1.25, 3.26) than standard care, but the significance was not maintained at 12 months (AOR=1.53, 95% CI=0.92, 2.53). The results were similar in the as-treated and obesity-stratified analyses. The secondary analysis corroborated the primary results. Conclusions: This study shows increases in physical activity among those exposed to a CHW intervention, including participants with obesity. It also indicates that the removal of CHW contact tapers the effect at 12 months. Trial registration: NCT01168765.
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U2 - 10.1016/j.amepre.2019.06.020
DO - 10.1016/j.amepre.2019.06.020
M3 - Article
C2 - 31564601
AN - SCOPUS:85072706916
SN - 0749-3797
VL - 57
SP - 611
EP - 620
JO - American Journal of Preventive Medicine
JF - American Journal of Preventive Medicine
IS - 5
ER -