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King's research focuses on the development, evaluation, and translation of public health interventions to reduce chronic disease in the US and globally. Her current research focuses on expanding the reach and generalizability of evidence-based interventions through use of state-of-the-art communication technologies; community-based participatory research perspectives to address health disparities among disadvantaged populations; and policy-level approaches to health promotion.
She has served on a of government taskforces in the U. In the physical activity and aging field, I am interested in the study of physical activity as a link to other health-promoting behaviors; and the relationship of physical activity and other health-related behaviors to day-to-day functioning, stress and coping, and sleep quality, particularly in chronically stressed as well as underserved populations. In pursuing the development of behavioral interventions for chronic disease prevention with broad applicability to the population at large, I have investigated channels of delivery e.
We have found that mediated interventions can provide a useful alternative to more intensive face-to-face approaches to health behavior change and, in some cases, such as in the physical activity field, may actually produce better long term i. Finally, we are applying "citizen science" perspectives in harnessing the power of residents to change their local environments to improve their health. The goal of this applied community-based research is to provide all residents, regardless of language, culture, or sociodemographic circumstances, with a means of identifying and working with other residents, community organizations, governments, and other decision makers to improve their local environments to promote health and wellbeing.
The Our Voice program teaches residents to use a simple mobile application to individually and collectively identify neighborhood barriers to daily PA. They then convey this information to local stakeholders and decision-makers in ways that can facilitate potentially sustainable neighborhood-level improvements in support of regular PA. The NEAAT initiative encompasses a variety of research, environmental and policy-oriented projects aimed at empowering residents as "citizen scientists" to gather relevant information about their environments, build consensus around key issues impacting healthy lifestyles, and advocate effectively for change with local decision makers.
Application of interactive technology to physical activity promotion in Latino midlife and older adults in the South San Francisco Bay area. Testing of a novel food literacy intervention for adults, including Latino midlife and older adults.
Impact of built environment on physical activity, obesity, and other health behaviors. Understanding how to optimize the health and well-being of Latinxs is crucial and will aid in informing actions to address inequities. We compared overall and domain-specific well-being and their socio-demographic correlates among two samples of Latinxs and a sample of non-Latinx Whites.
Propensity score matching and mixed effect regressions were employed to compare well-being between samples. Overall well-being levels did not differ between groups.
However, when examining constituent domains of well-being, several differences were found. Both Latinx samples reported experiencing more stress, having worse physical health, and being more religious than did the matched non-Latinx White sample.
However, on four other well-being domains, only one of the Latinx samples differed from the non-Latinx White sample. Moreover, the two Latinx samples differed from each other in four out of nine domains examined. This approach can better inform future research and the tailoring of public health efforts by furthering our understanding of the nature of group well-being differences.
Our methods offer a blueprint for similar studies examining well-being in multi-ethnic groups. View details for DOI View details for PubMedID While low-income midlife and older adults are disproportionately affected by non-communicable diseases that can be alleviated by regular physical activity, few physical activity programs have been developed specifically with their needs in mind.
Those programs that are available typically do not address the recognized local environmental factors that can impact physical activity. The specific aim of the Steps for Change cluster-randomized controlled trial is to compare systematically the initial one-year and sustained two-year multi-level impacts of an evidence-based person-level physical activity intervention Active Living Every Day [ALED] and age-relevant health education informationversus the ALED program in combination with a novel neighborhood-level citizen science intervention called Our Voice.
The primary outcome is month change in walking, and secondary outcomes include other forms of physical activity, assessed via validated self-report measures supported by accelerometry, and physical function and well-being variables. Potential mediators and moderators of intervention success will be explored to better determine which subgroups do best with which type of intervention. Here we present the study de and methods, including recruitment strategies and yields.
Currently, the most successful prevention interventions against sexual violence SV on United States college campuses target modifications at the individual and interpersonal levels. Community-level interventions have been under-developed for college campuses.
To address this gap, we employ a citizen science model for understanding campus community factors affecting SV risk. The model, called Our Voice, starts by engaging groups of college students to collect data in their own communities, identifying factors they view as increasing the risk of SV. In facilitated meetings, participants then review and analyze their collective data and use it to generate actionable community-level solutions and advocate for them with local decision-makers.
We share findings from a first-generation study of the Our Voice model applied to SV prevention on one college campus, and include recommendations for further research. Nature underpins human well-being in critical ways, especially in health. Nature provides pollination of nutritious crops, purification of drinking water, protection from floods, and climate security, among other well-studied health benefits. A crucial, yet challenging, research frontier is clarifying how nature promotes physical activity for its many mental and physical health benefits, particularly in densely populated cities with scarce and dwindling access to nature.
Here we frame this frontier by conceptually developing a spatial decision-support tool that shows where, how, and for whom urban nature promotes physical activity, to inform urban greening efforts and broader health assessments. We synthesize what is known, present a model framework, and detail the model steps and data needs that can yield generalizable spatial models and an effective tool for assessing the urban nature-physical activity relationship. Current knowledge supports an initial model that can distinguish broad trends and enrich urban planning, spatial policy, and public health decisions.
New, iterative research and application will reveal the importance of different types of urban nature, the different subpopulations who will benefit from it, and nature's potential contribution to creating more equitable, green, livable cities with active inhabitants. METHODS: This protocol describes the planned processes for implementing community-driven participatory research, using a citizen science method to explore CVD risk perceptions and to develop community-specific advocacy and prevention strategies in the rural and urban SSA settings.
Multi-disciplinary research teams in four selected African countries will engage with and train community members living in rural and urban communities as citizen scientists to facilitate conceptualization, co-deing of research, data gathering, and co-creation of knowledge that can lead to a shared agenda to support collaborative participation in community-engaged science.
The emphasis is on robust community engagement, using mobile technology to support data gathering, participatory learning, and co-creation of knowledge and disease prevention advocacy. Growing socioeconomic and structural disparities within and between nations have created unprecedented health inequities that have been felt most keenly among the world's youth.
While policy approaches can help to mitigate such inequities, they are often challenging to enact in under-resourced and marginalized communities. Community-engaged participatory action research provides an alternative or complementary means for addressing the physical and social environmental contexts that can impact health inequities. The purpose of this article is to describe the application of a particular form of technology-enabled participatory action research, called the Our Voice citizen science research model, with youth. An overview of 20 Our Voice studies occurring across five continents indicates that youth and young adults from varied backgrounds and with interests in diverse issues affecting their communities can participate successfully in multiple contributory research processes, including those representing the full scientific endeavor.
These activities can, in turn, lead to changes in physical and social environments of relevance to health, wellbeing, and, at times, climate stabilization. The article ends with future directions for the advancement of this type of community-engaged citizen science among young people across the socioeconomic spectrum. The physical and social environment of school settings are important for health promotion among children and adolescents. Efforts to create supportive environments at the school level can benefit from including community engagement and empowerment processes to advocate for health promotion.
The Our Voice model presents a unique opportunity for Latin American students to improve their school environments. The objective of this study was to engage and empower students years from five schools in Bogota, Colombia to use the Our Voice model to assess and seek to improve their local school environments. This study employed Our Voice's 'citizen science by the people' method using a mobile application for data collection. The Our Voice initiative included the following four phases: 1 De, planning and recruitment; 2 Data collection; 3 Community meetings for thematic analysis, priority setting and initial de of feasible solutions; and 4 Community meetings with decision-makers to advocate for changes.
The citizen scientists identified and advocated for safer physical activity-supportive environments and healthier food and drinks availability. This study allowed children and adolescent citizen scientists to make their voices heard by policymakers and empowered them as agents of change in the process of building healthier schools.
View details for Web of Science ID The availability of parks and urban green spaces has been associated with a of benefits, including increased physical activity, improvements in mental health, increases in social interactions, improvements to the environment, and increases in property values. The installation of temporary pop-up parks in urban areas is one way for urban communities to obtain these benefits.
In this mixed-methods study, quantitative and qualitative data were gathered by researchers, the city council, a local investment company, and community residents that informed the initiation, iteration, and incremental expansion of a series of temporary, summer pop-up parks in the downtown business district of the City of Los Altos in Northern California over a 4-year period showed that the parks were visited by a large, multigenerational group of users who engaged in leisure-time physical activity, shopped at local stores, attended programed events, and socialized with others.
City sales tax data indicated increases in year-on-year sales tax revenue in the summer quarter of and compared with the year when there was no downtown pop-up park. Perspectives of community residents collected before, during, and after the installation of the pop-up parks indicated that the pop-up park created a vibrant space in an otherwise underutilized area that was enjoyed by a variety of people in a host of ways e. These informed a of discussions and meetings between key stakeholders about the pop-up parks, culminating in a temporary park that was held in a new location in that was substantially larger in size, installed for a longer time period, cost more, and had more scheduled park events.
from this prospective investigation of the initial impacts of pop-up parks in this urban location provide insights regarding the potential benefits and viability of such temporary parks for residents and businesses alike. The trajectory of aging is profoundly impacted by the physical and social environmental contexts in which we live.
While "top-down" policy activities can have potentially wide impacts on such contexts, they often take time, resources, and political will, and therefore can be less accessible to underserved communities. This article describes a "bottom-up", resident-engaged method to advance local environmental and policy change, called Our Voice, that can complement policy-level strategies for improving the health, function, and well-being of older adults.
Using the World Health Organization's age-friendly cities global strategy, we describe the Our Voice citizen science program of research that has specifically targeted older adults as environmental change agents to improve their own health and well-being as well as that of their communities.
from 14 Our Voice studies that have occurred across five continents demonstrate that older adults can learn to use mobile technology to systematically capture and collectively analyze their own data. They can then successfully build consensus around high-priority issues that can be realistically changed and work effectively with local stakeholders to enact meaningful environmental and policy changes that can help to promote healthy aging.
The article ends with recommended next steps for growing the resident-engaged citizen science field to advance the health and welfare of all older adults. Despite the numerous successful behavioral interventions that have been published in the behavioral medicine field over a of decades, surprisingly few have been translated and adapted for real-world settings using participatory research methods.
The purpose of this commentary is to highlight the advances in participatory behavioral medicine reflected in the articles contained in the Diabetes special section. The articles contained in the Diabetes special section were reviewed, with a focus on the advances made with this type of research and the challenges that came to light. Numerous strengths of the large-scale translational studies were identified. The studies also highlighted important areas meriting further attention, including exploration of additional dissemination pathways, and further piloting and refinement of program components for different population segments.
The articles in this special section represent major advances in implementing successful, impactful programs for diabetes prevention and control in low- and middle-income countries. The study's objective was to assess the feasibility of using citizen science to identify and address physical activity PA barriers in a low-income South African community. We purposively selected as citizen scientists, eleven participants years from a cohort study who expressed interest in becoming physically active or were already active.
They used the Stanford Neighborhood Discovery Tool mobile application to take photos and provide audio narratives of factors in their community that were barriers to or facilitated PA. Thereafter, in a facilitated workshop, citizen scientists thematically reviewed their findings, prioritised issues and proffered potential solutions. Researchers also thematically coded these data. PA levels were measured using standard questionnaires. None of the citizen scientists owned a car, and their PA was either work- or transport-related. Themes identified as priorities that hindered citizen scientists' PA were dirt, sidewalks appropriated by vendors or homeowners, parks and gym vandalisation, and personal safety fears.
Access to stadiums and parks enabled PA. Citizen scientists identified their local councillors and street committee chairpersons as fundamental for advocacy for a PA-friendly environment. Low-income community members can be empowered to gather meaningful data using mobile technology and work together to identify potential solutions for promoting PA-friendly environments. Effective and practical treatments are needed to increase physical activity among those at heightened risk from inactivity. Walking represents a popular physical activity that can produce a range of desirable health effects, particularly as people age.
To test the hypothesis that counseling by a computer-based virtual advisor is no worse than ie, noninferior to counseling by trained human advisors for increasing month walking levels among inactive adults. A cluster-randomized, noninferiority parallel trial enrolled adults between July 21,and July 29,with follow-up through September 15, Data analysis was performed from March 15 to December 20, The evidence-derived noninferiority margin was 30 minutes of walking per week.
Participants included inactive adults aged 50 years and older, primarily of Latin American descent and capable of walking without ificant limitations, from 10 community centers in Santa Clara and San Mateo counties, California. All participants received similar evidence-based, month physical activity counseling at their local community center, with the 10 centers randomized to a computerized virtual advisor program virtual or a ly validated peer advisor program human. The primary outcome was change in walking minutes per week over 12 months using validated interview assessment corroborated with accelerometry.
Both per-protocol and intention-to-treat analysis was performed. Among the participants randomized, were women Mean SD age wasOnline sex chat Stanford Montana rica
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