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Evaluating Multilevel Factors that Predict Physical Activity Among Latinos with Chronic Spine Pain: A Mixed-Methods Study

Award Number: F31MD018535
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS
PERIOD OF PERFORMANCE START DATE: 07/05/2023
PERIOD OF PERFORMANCE END DATE: 06/06/2025

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Evaluating Multilevel Factors that Predict Physical Activity Among Latinos with Chronic Spine Pain: A Mixed-Methods Study - PROJECT SUMMARY Latinos are at an elevated risk for medical undertreatment of chronic spine pain (CSP) due to having a lower socioeconomic status, inconsistent access to healthcare, limited English proficiency, comorbid conditions, high prevalence of occupational injuries, and systemic prejudicial discrimination. Physical activity (PA) has been widely accepted as an effective non-pharmacological pain management strategy, yet many Latinos with pain do not engage in PA. Latinos with CSP face distinct challenges to engaging in PA that may be influenced by multiple levels of the socioecological model including intrapersonal (e.g., social identities, pain or PA-related beliefs), interpersonal (e.g., social support), and environmental factors (e.g., neighborhood walkability). These multilevel factors may also intersect to influence PA engagement in Latinos with CSP. Considering the complexity of PA behavior, integrating the socioecological model and intersectional framework support the assessment of how predictors intersect to influence PA. Furthermore, there are time-varying elements of PA (e.g., pain, social support, and environment) among Latinos with CSP that can be triggered by a specific event or at random. Thus, assessing momentary fluctuations in the relationships between multilevel factors with PA and identifying specific environmental contexts that facilitate or impede PA engagement is warranted. The proposed study aims to conduct a secondary analysis of baseline data from an ongoing clinical trial near the US-Mexico border to assess how multilevel factors intersect to influence PA (Aim 1). A mixed methods approach will then be conducted to first explore what multilevel factors have the potential to influence momentary PA and second, use Ecological Momentary Assessment (EMA) to assess how these real-time factors intersect to form person-specific networks predicting free-living PA among Latinos with CSP (Aim 2). Both aims will conduct an intersectional sub-analysis that evaluates subgroups that may be at a greater disadvantage for physical activity opportunities. Findings from this study are expected to shed light on PA disparities among Latinos with CSP while setting the foundation for the applicant’s future research goals of developing momentary and personalized behavioral interventions targeting this population. Through this F31 mechanism, the applicant will gain advanced interdisciplinary training in the fields of physical activity, pain, and digital health that will significantly contribute to the applicant’s long-term goal of being an independent, public health researcher.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = -$2,194 )
2026	2024	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	000	2	2/12/2026	OTHER REVISION	-$2,194
														Subtotal = -$2,194

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	002	2	7/15/2025	OTHER REVISION	$0
2025	2024	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	001	2	6/6/2025	TERMINATION	$0
2025	2024	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	000	2	4/29/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $38,716 )
2024	2024	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	001	2	7/8/2024	NON-COMPETING CONTINUATION	$38,716
2024	2024	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	002	2	9/23/2024	NON-COMPETING CONTINUATION	$0
2024	2023	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	000	1	6/23/2024	NEW	$0
														Subtotal = $38,716

Issue Date FY: 2023 ( Subtotal = $37,436 )
2023	2023	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR MC1947	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	001	1	6/29/2023	NEW	$0
2023	2023	SAN DIEGO STATE UNIVERSITY FOUNDATION	5250 CAMPANILE DR MC1947	SAN DIEGO	CA	92182	SAN DIEGO	USA	Minority Health and Health Disparities Research	000	1	6/29/2023	NEW	$37,436
														Subtotal = $37,436

Grand Total All Awards = $73,958

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Evaluating Multilevel Factors that Predict Physical Activity Among Latinos with Chronic Spine Pain: A Mixed-Methods Study

Award Number: F31MD018535

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: FELLOWSHIP/SCHOLARSHIP/STUDENT LOANS

PERIOD OF PERFORMANCE START DATE: 07/05/2023

PERIOD OF PERFORMANCE END DATE: 06/06/2025

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