The Early Childhood Obesity Prevention Program (ECHO): an ecologically-based intervention delivered by home visitors for newborns and their mothers.
The Early Childhood Obesity Prevention Program (ECHO): an ecologically-based intervention delivered by home visitors for newborns and their mothers.
复制标题
DOI：
10.1186/s12889-015-1897-9
复制
发表时间：
2015-06-24
影响因子：
4.5
通讯作者：
Gorin AA
中科院分区：
文献类型：
--
作者：
Cloutier MM;Wiley J;Wang Z;Grant A;Gorin AA
肥胖是美国的一个主要问题，特别是在社会经济上处于不利地位的拉丁裔和黑人儿童中。需要采取有效的干预措施，向大量面临风险的儿童及其家庭传播。儿童早期肥胖预防计划（ECHO）的目标是检查针对生命第一年的主要肥胖预防计划的12个月疗效，该计划由家庭访客提供，并使母亲作为改变的代理人，通过营养，体育活动和健康方面的教育和技能建设来改变自己的行为和婴儿的行为，然后通过与社区项目和资源的联系来“回应”她的培训。位于哈特福德，CT低收入社区的六个家庭中心被随机分为对照组和干预组。57名母亲在产前或分娩后不久被招募到养育家庭网络家访计划中; 27名母亲住在对照社区并接受标准家访计划，30名母亲住在干预社区并接受标准家访计划和ECHO干预。干预措施提高了母亲在目标设定、刺激控制和解决问题方面的技能，使家庭成员参与支持变革，将母亲与社区资源联系起来，并嵌入标准家访方案。ECHO的目标包括母乳喂养，固体，果汁和含糖饮料，睡眠和对婴儿暗示的反应，电视/屏幕时间，以及母亲的饮食和身体活动。我们假设ECHO中的婴儿将接受更长时间的纯母乳喂养，将延迟固体和果汁的引入，睡眠时间更长，电视/屏幕时间减少，12个月时的体重长度z评分更低，他们的母亲将有更多的水果和蔬菜消费以及更高水平的体力活动。ECHO将提供有关增强的行为改变课程是否整合到现有的家访计划中的重要信息，重点关注母亲作为变化的代理人，并与邻里资源相联系，有效地改变婴儿和母亲的能量平衡行为。如果有效，干预措施可以广泛传播，以防止幼儿肥胖。ClinicalTrials.gov NCT 02052518 2014年1月30日。
Obesity is a major problem in the United States, particularly among socio-economically disadvantaged Latino and Black children. Effective interventions that can be disseminated to large numbers of at-risk children and their families are needed. The goals of the Early Childhood Obesity Prevention Program (ECHO) are to examine the 12-month efficacy of a primary obesity prevention program targeting the first year of life that is delivered by home visitors and that engages mothers as agents of change to modify their own behavior and their infant’s behavior through education and skill-building around nutrition, physical activity, and wellness, and then “echoes” her training with linkages to neighborhood programs and resources. Six family centers located in low-income neighborhoods in Hartford, CT were randomized into control and intervention neighborhoods. Fifty-seven mothers were recruited either prenatally or shortly after delivery into the Nurturing Families Network home visitation program; 27 lived in a control neighborhood and received the standard home visitation program and 30 lived in an intervention neighborhood and received both the standard home visitation program and the ECHO intervention. The intervention increases maternal skills in goal-setting, stimulus control and problem-solving, engages family members to support changes, links mothers to neighborhood resources and is embedded in the standard home visitation program. ECHO targets include breastfeeding, solids, juice and sugar-sweetened beverages, routines for sleep and responding to infant cues, television/screen time, and maternal diet and physical activity. We hypothesize that infants in ECHO will have been breastfed longer and exclusively, will have delayed introduction of solids and juice, have longer sleep duration, decreased television/screen time and a lower weight for length z-score at 12 months, and their mothers will have greater fruit and vegetable consumption and higher levels of physical activity. ECHO will provide important information about whether an enhanced behavior change curriculum integrated into an existing home visitation program, focused on the mother as the agent of change and linked to neighborhood resources is effective in changing energy balance behaviors in the infant and in the mother. If effective, the intervention could be widely disseminated to prevent obesity in young children. ClinicalTrials.gov NCT02052518 January 30, 2014.
登录
查看更多内容
影响因子：
12.7
作者：
Glasgow, RE;Vogt, TM;Boles, SM
通讯作者：
Boles, SM
影响因子：
5
作者：
COHEN, S;KAMARCK, T;MERMELSTEIN, R
通讯作者：
MERMELSTEIN, R
影响因子：
5.1
作者：
Cloutier, MM;Hall, CB;Bailit, H
通讯作者：
Bailit, H
影响因子：
2.1
作者：
Deutscher, Barbara;Fewell, Rebecca R.;Gross, Michelle
通讯作者：
Gross, Michelle
DOI：
10.1001/archpediatrics.2009.240
发表时间：
2010-01-01
影响因子：
--
作者：
Eckenrode, John;Campa, Mary;Olds, David
通讯作者：
Olds, David