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首页> 外文期刊>Progress in community health partnerships: research, education, and action >Results from an intervention to improve rural home food and physical activity environments.
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Results from an intervention to improve rural home food and physical activity environments.

机译：改善农村家庭食物和体育锻炼环境的干预措施的结果。

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Ecological models of healthy eating and physical activity emphasize the influence of behavioral settings such as homes and worksites in shaping behavior. Research on home environments suggests that both social and physical aspects of the home may impact physical activity and healthy eating.Using a community-based participatory research (CBPR) approach, the Emory Prevention Research Center (EPRC), Cancer Coalition of South Georgia, and the EPRC's Community Advisory Board (CAB) designed and tested a coach-based intervention to make the home environment more supportive of healthy eating and physical activity for rural adults.The 6-week intervention consisted of a tailored home environment profile, goal-setting, and behavioral contracting delivered through two home visits and two telephone calls. The study used a quasi-experimental design with data collected via telephone interviews at baseline, 2 and 4 months post-baseline. Ninety households (n = 90) completed all three telephone interviews.Multilevel models indicated that intervention households reported significant improvements in household food inventories, purchasing of fruit and vegetables, healthier meal preparation, meals with the TV off, and family support for healthy eating, relative to comparison households. Intervention households also reported increased exercise equipment and family support for physical activity relative to comparison households. Percent of fat intake decreased significantly, but no changes were observed for fruit and vegetable intake, physical activity, or weight among intervention relative to comparison households, although trends were generally in a positive direction.Coaching combined with a focus on the home environment may be a promising strategy for weight gain prevention in adults.
机译：健康饮食和体育锻炼的生态模型强调了行为环境（如家庭和工作场所）对塑造行为的影响。对家庭环境的研究表明，家庭的社会和身体方面都可能影响身体活动和健康饮食。使用基于社区的参与性研究（CBPR）方法，埃默里预防研究中心（EPRC），南乔治亚州癌症联盟和EPRC的社区咨询委员会（CAB）设计并测试了基于教练的干预措施，以使家庭环境更加支持农村成年人的健康饮食和体育锻炼。为期6周的干预措施包括量身定制的家庭环境概况，目标设定，以及通过两次上门拜访和两次电话沟通来达成行为契约。该研究采用了准实验设计，在基线后，基线后2个月和4个月通过电话访问收集了数据。九十个家庭（n = 90）完成了所有三个电话采访。多层次模型表明，干预家庭报告了家庭食物清单，水果和蔬菜的购买，更健康的膳食准备，关闭电视的膳食以及家庭对健康饮食的支持等方面的显着改善，相对于比较家庭。相对于比较家庭，干预家庭还报告了锻炼设备和家庭对体育锻炼的支持增加。脂肪摄入百分比显着下降，但相对于比较家庭而言，干预措施中水果和蔬菜的摄入量，体力活动或体重没有变化，尽管趋势总体上是朝着积极的方向发展。成人预防体重增加的一种有前途的策略。

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