B'More healthy communities for kids: design of a multi-level intervention for obesity prevention for low-income African American children
B'More healthy communities for kids: design of a multi-level intervention for obesity prevention for low-income African American children
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DOI：
10.1186/1471-2458-14-942
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发表时间：
2014-09-11
影响因子：
4.5
通讯作者：
Dennis, Donna
中科院分区：
文献类型：
--
作者：
Gittelsohn, Joel;Steeves, Elizabeth Anderson;Dennis, Donna
背景资料：美国儿童肥胖率已达到流行病的比例，迫切需要确定以证据为基础的预防和治疗策略。由于肥胖的多因素性质及其与社会和建筑环境的联系，需要多层次，多成分的干预措施。然而，有巨大的差距，在文献中有关做这些种类的干预低收入，城市，少数groups.Methods：B '更多的健康社区的儿童（BHCK）干预是一个多层次，多组件的干预，针对低收入的非洲裔美国青年年龄在10-14岁和他们的家庭在巴尔的摩，马里兰州。这种干预措施通过在食品和社会环境的多个层面上工作来预防儿童肥胖，以增加对健康食品的获取，需求和消费。BHCK致力于通过与城市政策制定者、多层次的食品环境（批发商、街角商店、外卖餐馆）和社会环境（同龄人和家庭）合作，创造系统级的变革。此外，还将在干预的每个层面进行广泛的评估，通过过程和影响措施来评估干预的有效性。讨论：该项目在多个方面都是新颖的，包括：在多个层面纳入利益相关者（政策、体制和粮食系统的多个层面）;它使用新的计算建模方法来吸引政策制定者，并指导干预有效性的知情决策;它强调建筑环境（干预食物来源）和社会环境（干预家庭和同伴）。干预措施的设计和BHCK项目的评估计划记录在这里。
Background: Childhood obesity rates in the U.S. have reached epidemic proportions, and an urgent need remains to identify evidence-based strategies for prevention and treatment. Multi-level, multi-component interventions are needed due to the multi-factorial nature of obesity, and its proven links to both the social and built environment. However, there are huge gaps in the literature related to doing these kinds of interventions among low-income, urban, minority groups.Methods: The B'More Healthy Communities for Kids (BHCK) intervention is a multi-level, multi-component intervention, targeting low-income African American youth ages 10-14 and their families in Baltimore, Maryland. This intervention prevents childhood obesity by working at multiple levels of the food and social environments to increase access to, demand for, and consumption of healthier foods. BHCK works to create systems-level change by partnering with city policy-makers, multiple levels of the food environment (wholesalers, corner stores, carryout restaurants), and the social environment (peers and families). In addition, extensive evaluation will be conducted at each level of the intervention to assess intervention effectiveness via both process and impact measures.Discussion: This project is novel in multiple ways, including: the inclusion of stakeholders at multiple levels (policy, institutional, and at multiple levels of the food system); that it uses novel computational modeling methodologies to engage policy makers and guide informed decisions of intervention effectiveness; it emphasizes both the built environment (intervening with food sources) and the social environment (intervening with families and peers). The design of the intervention and the evaluation plan of the BHCK project are documented here.