Design of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Study
Design of the Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Study
复制标题
DOI：
10.1089/chi.2014.0031
复制
发表时间：
2015-02-01
影响因子：
2.5
通讯作者：
Smith, Lauren
中科院分区：
文献类型：
--
作者：
Taveras, Elsie M.;Blaine, Rachel E.;Smith, Lauren
背景资料：儿童肥胖症非常普遍，与短期和长期不良后果有关，不成比例地影响种族/族裔少数和经济贫困儿童，并对公共健康构成重大威胁。其中最有前途的方法，其预防和管理是多层次的，多部门的strategy.Methods/Design：马萨诸塞州儿童肥胖研究示范（MA-CORD）研究是一个全面的，系统的干预措施，以预防和减少儿童肥胖的低收入儿童年龄在2-12岁，在两个选定的城市在马萨诸塞州。在肥胖慢性病护理模式的基础上，MA-CORD扩大了州公共卫生部门社区一级肥胖预防计划，该计划将循证干预措施纳入初级医疗保健，妇女，婴儿和儿童计划，早期护理和教育，学校/课后计划以及社区范围的计划，以改善食品，饮料，体育活动（PA）和信息环境。该研究使用了前后时间序列和准实验设计的组合，以检查干预导致BMI变化的程度，个人水平的生活方式行为，对医疗服务的满意度和儿童生活质量，以及与对照城市相比，两个干预城市的卫生政策，计划和环境的变化。干预期为2 years.Conclusions：MA-CORD将确定在何种程度上多设置，多层次的干预活动，整合在初级保健与更广泛的公共卫生干预措施，在学校，早期护理和教育，以及整个社区可以改善儿童的饮食和PA行为，并最终减少肥胖的低收入儿童。
Background: Childhood obesity is highly prevalent, is associated with both short- and long-term adverse outcomes, disproportionately affects racial/ethnic minority and economically deprived children, and represents a major threat to public health. Among the most promising approaches for its prevention and management are multilevel, multisector strategies.Methods/Design: The Massachusetts Childhood Obesity Research Demonstration (MA-CORD) Study was a comprehensive, systematic intervention to prevent and reduce childhood obesity among low-income children ages 2-12 years in two selected cities in Massachusetts. Building on the Obesity Chronic Care Model, MA-CORD expanded a state public health department community-level obesity prevention initiative that incorporated evidence-based interventions in primary healthcare, the Women, Infants, and Children program, early care and education, schools/afterschool programs, as well as community-wide programs to improve food, beverage, physical activity (PA), and messaging environments. The study used a combination of pre- and post-time series and quasi-experimental designs to examine the extent to which the intervention resulted in changes in BMI, individual-level lifestyle behaviors, satisfaction with healthcare services, and quality of life among children, as well as changes in health policies, programs, and environments in the two intervention cities, compared to a comparison city. The intervention period was 2 years.Conclusions: MA-CORD will determine the extent to which a multisetting, multilevel intervention that integrates activities in primary care with broader public health interventions in schools, early care and education, and the community at large can improve children's dietary and PA behaviors and ultimately reduce obesity in low-income children.