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OPREVENT (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans): Design of a Multilevel, Multicomponent Obesity Intervention for Native American Adults and Households

Obesity prevalence is high in Native American (NA) adults, and there is a critical need to establish and implement evidence-based social, behavioral, and policy interventions that are theoretically informed. The use of multilevel, multicomponent (MLMC) interventions has been shown to be an effective...

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Autores principales: Redmond, Leslie C, Jock, Brittany, Gadhoke, Preety, Chiu, Dorothy T, Christiansen, Karina, Pardilla, Marla, Swartz, Jacqueline, Platero, Harrison, Caulfield, Laura E, Gittelsohn, Joel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700458/
https://www.ncbi.nlm.nih.gov/pubmed/31453430
http://dx.doi.org/10.1093/cdn/nzz009
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author Redmond, Leslie C
Jock, Brittany
Gadhoke, Preety
Chiu, Dorothy T
Christiansen, Karina
Pardilla, Marla
Swartz, Jacqueline
Platero, Harrison
Caulfield, Laura E
Gittelsohn, Joel
author_facet Redmond, Leslie C
Jock, Brittany
Gadhoke, Preety
Chiu, Dorothy T
Christiansen, Karina
Pardilla, Marla
Swartz, Jacqueline
Platero, Harrison
Caulfield, Laura E
Gittelsohn, Joel
author_sort Redmond, Leslie C
collection PubMed
description Obesity prevalence is high in Native American (NA) adults, and there is a critical need to establish and implement evidence-based social, behavioral, and policy interventions that are theoretically informed. The use of multilevel, multicomponent (MLMC) interventions has been shown to be an effective strategy for comprehensive health behavior change; however, there is little guidance available in the literature to facilitate implementation in this underserved and understudied population. To decrease obesity and related comorbidities in NA adults, an MLMC intervention called OPREVENT (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans) was implemented in 5 rural NA communities to modify the food-purchasing environment, improve diet, and increase physical activity (PA). Five NA communities across the Upper Midwest and Southwest United States were randomly assigned to Immediate (n = 3) or Delayed (n = 2) Intervention. OPREVENT was implemented in Immediate Intervention community food stores, worksites, schools, and media over 1 y. A community-randomized controlled trial was used to evaluate intervention impact in adults at the individual and institutional levels, with individual-level data being collected on diet, PA, and psychosocial variables at baseline and follow-up; and institutional-level data being collected on food stores, worksites, and schools, media, and process measures. The OPREVENT intervention was one of the first MLMC obesity interventions in this population and provides evidence-based practices for future program development. The purpose of this article is to describe the design, implementation, and evaluation of OPREVENT. This trial was registered at isrctn.com as ISRCTN76144389.
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spelling pubmed-67004582019-08-26 OPREVENT (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans): Design of a Multilevel, Multicomponent Obesity Intervention for Native American Adults and Households Redmond, Leslie C Jock, Brittany Gadhoke, Preety Chiu, Dorothy T Christiansen, Karina Pardilla, Marla Swartz, Jacqueline Platero, Harrison Caulfield, Laura E Gittelsohn, Joel Curr Dev Nutr Supplements & Symposia Obesity prevalence is high in Native American (NA) adults, and there is a critical need to establish and implement evidence-based social, behavioral, and policy interventions that are theoretically informed. The use of multilevel, multicomponent (MLMC) interventions has been shown to be an effective strategy for comprehensive health behavior change; however, there is little guidance available in the literature to facilitate implementation in this underserved and understudied population. To decrease obesity and related comorbidities in NA adults, an MLMC intervention called OPREVENT (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans) was implemented in 5 rural NA communities to modify the food-purchasing environment, improve diet, and increase physical activity (PA). Five NA communities across the Upper Midwest and Southwest United States were randomly assigned to Immediate (n = 3) or Delayed (n = 2) Intervention. OPREVENT was implemented in Immediate Intervention community food stores, worksites, schools, and media over 1 y. A community-randomized controlled trial was used to evaluate intervention impact in adults at the individual and institutional levels, with individual-level data being collected on diet, PA, and psychosocial variables at baseline and follow-up; and institutional-level data being collected on food stores, worksites, and schools, media, and process measures. The OPREVENT intervention was one of the first MLMC obesity interventions in this population and provides evidence-based practices for future program development. The purpose of this article is to describe the design, implementation, and evaluation of OPREVENT. This trial was registered at isrctn.com as ISRCTN76144389. Oxford University Press 2019-02-13 /pmc/articles/PMC6700458/ /pubmed/31453430 http://dx.doi.org/10.1093/cdn/nzz009 Text en Copyright © American Society for Nutrition 2019. http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Supplements & Symposia
Redmond, Leslie C
Jock, Brittany
Gadhoke, Preety
Chiu, Dorothy T
Christiansen, Karina
Pardilla, Marla
Swartz, Jacqueline
Platero, Harrison
Caulfield, Laura E
Gittelsohn, Joel
OPREVENT (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans): Design of a Multilevel, Multicomponent Obesity Intervention for Native American Adults and Households
title OPREVENT (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans): Design of a Multilevel, Multicomponent Obesity Intervention for Native American Adults and Households
title_full OPREVENT (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans): Design of a Multilevel, Multicomponent Obesity Intervention for Native American Adults and Households
title_fullStr OPREVENT (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans): Design of a Multilevel, Multicomponent Obesity Intervention for Native American Adults and Households
title_full_unstemmed OPREVENT (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans): Design of a Multilevel, Multicomponent Obesity Intervention for Native American Adults and Households
title_short OPREVENT (Obesity Prevention and Evaluation of InterVention Effectiveness in NaTive North Americans): Design of a Multilevel, Multicomponent Obesity Intervention for Native American Adults and Households
title_sort oprevent (obesity prevention and evaluation of intervention effectiveness in native north americans): design of a multilevel, multicomponent obesity intervention for native american adults and households
topic Supplements & Symposia
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6700458/
https://www.ncbi.nlm.nih.gov/pubmed/31453430
http://dx.doi.org/10.1093/cdn/nzz009
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