Design and rationale for ADAPT+: Optimizing an intervention to promote healthy behaviors in rural, Latino youth with obesity and their parents, using mindfulness strategies.
Design and rationale for ADAPT+: Optimizing an intervention to promote healthy behaviors in rural, Latino youth with obesity and their parents, using mindfulness strategies.
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ADAPT+的设计和原理：优化干预措施，以促进农村，拉丁裔肥胖青年及其父母的健康行为，使用正念策略。
DOI：
10.1016/j.cct.2020.106243
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发表时间：
2021-03
影响因子：
2.2
通讯作者：
Bailey R
中科院分区：
文献类型：
--
作者：
Stern M;Redwine L;Soca Lozano S;Rancourt D;Rodriguez C;Gray HL;Lock S;Bailey R
生活在农村地区的拉丁裔青年是种族和地理上的少数群体，肥胖和肥胖相关并发症的风险增加。我们之前将儿童肥胖干预措施修改为多家庭行为干预措施，即 Adaptando Dieta y Acción Para Todos (ADAPT)，以更好地满足我们的目标人群、患有肥胖症的农村拉丁裔青少年（8-12 岁）及其父母的需求。认识到父母压力对肥胖的影响，本研究的主要目标是 1) 进一步完善和优化最初的 ADAPT 多家庭行为肥胖干预方案，包括正念父母压力减轻策略（现在称为 ADAPT+），然后 2) 通过针对农村拉丁裔家庭的小型随机对照试验 (RCT) 评估 ADAPT+ 实施的可行性。有两个目标指导这项研究。对于目标 1，我们与利益相关者和家长进行了一系列焦点小组讨论，然后与家长及其孩子进行单臂试验，以获得反馈，以进一步完善我们的八个综合 ADAPT+ 课程中的每一个课程。目标 2 在随机试点试验（ADAPT+ 与增强型日常护理 [EUC] 比较）中测试我们对两个农村社区的拉丁裔多家庭群体进行干预的可接受性和可行性（干预前、干预后、3 个月随访）。本研究旨在为更大规模的临床试验奠定基础，以测试 ADAPT+ 改善农村拉丁裔家庭饮食和身体活动行为的功效。
Latino youth living in rural areas represent an ethnic and geographical minority population at increased risk for obesity and obesity-related complications. We previously modified our child obesity intervention to be a multi-family behavioral intervention, Adaptando Dieta y Acción Para Todos (ADAPT), to better meet the needs of our target population, rural Latino youth with obesity (8–12 years old) and their parents. Recognizing the role of parent stress on obesity, the main goal of this study is to 1) further refine and optimize the original ADAPT multi-family behavioral obesity intervention protocol to include mindfulness parent stress reduction strategies (now called ADAPT+) and then 2) assess the feasibility of ADAPT+ implementation via a small randomized control trial (RCT) with rural Latino families. Two aims guide the study. For Aim 1 we conduct a series of focus groups with stakeholders and parents, and then conduct a one-arm trial with both parents and their children to obtain feedback for further refining each of our eight integrated ADAPT+ sessions. Aim 2 tests the acceptability and feasibility of our intervention with multi-family groups of Latinos in two rural communities over time (pre-intervention, post-intervention, 3-month follow-up) in a randomized pilot trial (ADAPT+ vs. Enhanced Usual Care [EUC] comparison). This study is intended to set the groundwork for a larger clinical trial to test ADAPT+’s efficacy to improve rural Latino families’ eating and physical activity behaviors.
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影响因子：
3.2
作者：
Jilcott, Stephanie B.;Wade, Scott;Moore, Justin B.
通讯作者：
Moore, Justin B.
影响因子：
2.5
作者：
Isasi, Carmen R.;Hua, Simin;Gallo, Linda C.
通讯作者：
Gallo, Linda C.
影响因子：
7.1
作者：
Butte, Nancy F.;Cai, Guowen;Comuzzie, Anthony G.
通讯作者：
Comuzzie, Anthony G.
影响因子：
2.8
作者：
Gonzalez, Giulliana
通讯作者：
Gonzalez, Giulliana
影响因子：
4.2
作者：
Dobkin BH
通讯作者：
Dobkin BH