The community-based healthy-lifestyle intervention for rural preschools (CHIRP) study: design and methods.

The community-based healthy-lifestyle intervention for rural preschools (CHIRP) study: design and methods.
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农村学前班社区健康生活方式干预 (CHIRP) 研究:设计和方法。

DOI:
10.1016/j.cct.2012.11.004
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发表时间:
2013
影响因子:
2.2
通讯作者:
Brumback,BabetteA
Brumback,BabetteA
中科院分区:
医学4区
文献类型:
--
作者:
Janicke,DavidM;Lim,CrystalS;Mathews,AnneE;Shelnutt,KarlaP;Boggs,StephenR;Silverstein,JanetH;Brumback,BabetteA

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CHIRP研究是一项两组随机对照试验,评估行为家庭体重管理干预在重要和高危人群中的有效性,超重幼儿,3至6岁,以及他们的父母来自服务不足的农村县。参与者将包括居住在佛罗里达州中北部农村县的96对亲子。家庭将被随机分配到以下两种情况之一:(a)基于行为家庭的干预或(b)候补名单控制。儿童和家长参与者将在基线(第0个月)、治疗后(第4个月)和随访(第10个月)进行评估。评估和干预会议将在每个参与的农村县的合作社推广办事处举行。主要结局指标是儿童体重指数(BMI) z-score的变化。其他关键结果指标包括儿童饮食摄入量、身体活动和父母体重指数。这项研究的独特之处在于:(1)它是为数不多的随机对照试验之一,研究了行为家庭干预,以解决年轻超重和肥胖儿童的健康习惯和改善体重状况,(2)解决了农村环境中的健康促进问题,(3)通过合作推广服务办公室检查了现实世界社区环境中的干预交付情况。如果成功,这项研究将对医疗服务不足的农村社区和幼儿及其家庭的预防性卫生服务产生潜在影响。
The CHIRP study is a two-arm, pilot randomized controlled trial assessing the effectiveness of a behavioral family weight management intervention in an important and at-risk population, overweight young children, 3 to 6years of age, and their parents from underserved rural counties. Participants will include 96 parent–child dyads living in rural counties in north central Florida. Families will be randomized to one of two conditions: (a) behavioral family based intervention or (b) a waitlist control. Child and parent participants will be assessed at baseline (month 0), post-treatment (month 4), and follow-up (month 10). Assessments and intervention sessions will be held at the Cooperative Extension office in each participating rural county. The primary outcome measure is change in child body mass index (BMI) z-score. Additional key outcome measures include child dietary intake, physical activity, and parent BMI. This study is unique because (1) it is one of the few randomized controlled trails examining a behavioral family intervention to address healthy habits and improved weight status in young overweight and obese children, (2) addresses health promotion in rural settings, and (3) examines intervention delivery in real world community settings through the Cooperative Extension Service offices. If successful, this research has potential implications for medically underserved rural communities and preventative health services for young children and their families.
DOI: 10.1080/15374417809532835
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