FITShop: Promoting Physical Activity in Black Barbershops
关键词
抽象
描述
Black men suffer disproportionately higher rates of nearly all disease categories, including cancer --the leading cause of death in North Carolina. An estimated 50% of cancer is preventable with lifestyle modifications such as increasing physical activity (PA), eliminating tobacco use/exposure and maintaining a healthy weight. Evidence suggests that physical activity can reduce risk to several types of cancer. Innovative ways to reach Black men with effective health promotion interventions are needed. Barbershops represent one place where Black men can be reached, but have not been utilized as settings for intervening to promote physical activity. An experienced, interdisciplinary, partnership between community members (barbershop owners, barbers and their customers) and researchers from UNC Chapel Hill/Lineberger Comprehensive Cancer Center and the Gillings School of Global Public Health, and North Carolina Central University are conducting a two-phase outreach study to bridge this gap. Phase 1 is a series of inter-related formative research studies (in-depth interviews with barbers/owners; observations in shops; focus groups with customers) leading to the development of a theory and evidence-guided, multi-level physical activity intervention (FITShop) designed to increase PA among Black men in barbershops. Using Phase 1 results, Phase 2 is a two-arm, group randomized, initial efficacy trial of the FITShop intervention in 14 Black barbershops with 40 customers per shop (n=560 total). Customers in Arm 1 (7 shops, 280 customers) will receive the FITShop intervention which includes barber training, PA contest in the shop, use of pedometers, community connections and personal feedback plus recommendations for PA. Customers in Arm 2 (7 shops, 280 customers) will receive a Financial Empowerment (FE) attention-control intervention that mimics exposure amount without influencing the primary outcome. Consistent with community-based participatory research principles, an Advisory Board will guide all aspects of the study planning, development, implementation and analysis of results. The primary outcome (physical activity) will be measured via accelerometer using a 7-day protocol and with self-report questionnaires at baseline and 6 months using a previously tested protocol with Black men recruited from barbershops. All primary/secondary outcomes will be measured on all customers at an assessment event/via questionnaire prior to randomization (and at 6 mo) using standardized, previously tested protocols. Process evaluation will assess dose of intervention delivered, received, fidelity, as well as reach, adoption and representativeness at the customer, barber and barbershop levels. Since barbershops are located in all communities, if effective, this intervention has promise for dissemination & sustainability.
日期
最后验证: | 05/31/2015 |
首次提交: | 09/30/2012 |
提交的预估入学人数: | 10/01/2012 |
首次发布: | 10/02/2012 |
上次提交的更新: | 06/14/2015 |
最近更新发布: | 06/15/2015 |
实际学习开始日期: | 06/30/2012 |
预计主要完成日期: | 08/31/2013 |
预计完成日期: | 07/31/2014 |
状况或疾病
干预/治疗
Behavioral: Your Move (physical activity)
Other: Your Money (financial empowerment)
相
手臂组
臂 | 干预/治疗 |
---|---|
Experimental: Your Move (physical activity) The Your Move intervention is a multi-level, theory and evidence-based intervention that will include the following components: monthly handbills with community resources, newsletters, contests (shop and customer level), tailored health feedback report, and monthly phone calls from the research team. | Behavioral: Your Move (physical activity) Materials that are provided will aim to increase a participant's minutes of physical activity. |
Other: Your Money (financial empowerment) The Your Money program is an attention control intervention. Owners and barbers will receive 3 workshops that focus on financial health. Customers will receive monthly handbills and newsletters about different financial health topics. | Other: Your Money (financial empowerment) Materials that are provided to participants will direct them to resources for financial health. |
资格标准
有资格学习的年龄 | 18 Years 至 18 Years |
有资格学习的性别 | Male |
接受健康志愿者 | 是 |
标准 | Inclusion Criteria: - 18+ years of age - African American - Male - Regular customer of the barbershop Exclusion Criteria: |
结果
主要结果指标
1. Change in physical activity measures [Baseline and 6 months]
次要成果指标
1. Change in smoking status [Baseline and 6 months]
2. Change in weight/BMI [Baseline and 6 months]
3. Change in waist circumference [Baseline and 6 months]
4. Change in resting heart rate [Baseline and 6 months]
5. Change in blood pressure [Baseline and 6 months]
6. Change in aerobic fitness level [Baseline and 6 months]
7. Change in psycho-social variables [Baseline and 6 months]
8. Change in barber-customer interactions [Baseline and 6 months]
9. Change in barbershop characteristics [Baseline and 6 months]