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首页> 外文期刊>Health education & behavior: the official publication of the Society for Public Health Education >“She Gave Me the Confidence to Open Up”: Bridging Communication by Promotoras in a Childhood Obesity Intervention for Latino Families
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“She Gave Me the Confidence to Open Up”: Bridging Communication by Promotoras in a Childhood Obesity Intervention for Latino Families

机译：“她给了我开放的信心”：促进促进沟通在儿童时期的肥胖干预对拉丁裔家庭的干预

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Childhood obesity is a public health threat that disproportionally affects Latino youth in the United States. Active and Healthy Families (AHF) is a culturally tailored, family-based program for addressing obesity disparities in a predominantly immigrant Latino population. AHF was the first primary care, culturally tailored intervention for Latino children to significantly reduce BMI in a randomized controlled trial. The 10-week AHF intervention reduced BMI (kg/m 2 ) among overweight or obese children by 0.5, compared with an increase of 0.3 in the control group, yielding a 0.8 difference ( p .01). A unique aspect of the program is its provider team: a physician, dietitian, and promotora . Because early feedback from families highlighted the importance of promotoras specifically, we sought to understand the unique mechanisms of promotora effectiveness in AHF. We conducted in-depth, semistructured interviews with the AHF providers ( n = 5) and parent participants ( n = 23) by phone between November 2012 and May 2013. In a grounded theory analysis, three main categories encompassing five themes emerged: (a) bridging communication by promotoras; (b) promotoras personal qualities, including themes of kindness and caring and shared experiences with patients; and (c) impactful task performance, including themes of motivation, positive environment, and self-efficacy. Together, the themes serve as the basis of a conceptual model illustrating the process through which promotoras may enhance the impact of team-based obesity programs for the Latino community. Because this study identifies the specific ways through which promotoras can bridge cultural, linguistic, and other divides, it may inform development and dissemination of evidence-based approaches for obesity prevention in the Latino community. ]]>
机译：儿童肥胖是一种对美国的拉丁裔青年不成比例地影响的公共卫生威胁。活跃和健康的家庭（AHF）是一个文化量身定制的基于家庭的计划，用于解决主要是移民拉丁裔人群的肥胖差异。 AHF是第一个初级保健，文化量身定制干预拉丁裔儿童，在随机对照试验中显着降低BMI。在对照组增加0.5的增量或肥胖儿童中，10周的AHF干预减少了BMI（kg / m 2），其比对照组增加0.3，产生0.8差（P <.01）。该计划的一个独特方面是其提供商团队：医生，营养师和促进者。由于家庭的早期反馈特别强调了促进者的重要性，我们试图了解AHF在AHF中的启动效果的独特机制。我们在2012年11月和2013年11月之间使用AHF提供商（N = 5）和家长参与者（N = 5）和家长参与者（N = 23）进行了深入的。 ）通过促进者弥合沟通; （b）促进人身品质，包括善良和关怀和与患者共享经验的主题; （c）遭受影响的任务表现，包括动机，积极环境和自我效能的主题。这些主题作为一个概念模型的基础，说明了促进程序可以增强基于团队的肥胖计划对拉丁裔社区的影响。因为这项研究确定了促进者可以弥合文化，语言和其他分裂的具体方式，可能会使发展和传播在拉丁裔社区中的肥胖预防措辞的肥胖预防方法。 ]]>

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