The Active Balance Childhood program for improving coping and quality of life in Chinese American children.
The Active Balance Childhood program for improving coping and quality of life in Chinese American children.
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DOI：
10.1097/nnr.0b013e3181e507c7
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发表时间：
2010-07
期刊：
影响因子：
2.5
通讯作者：
Lustig RH
中科院分区：
文献类型：
--
作者：
Chen JL;Weiss SJ;Heyman MB;Cooper B;Lustig RH
教育儿童健康和有效应对技能的干预措施可能有助于降低他们超重的风险。然而，很少有研究探讨是否干预，教导体重管理的应对策略可以影响儿童的应对行为和心理健康。研究以儿童为中心、以家庭为基础的互动式项目在促进华裔儿童有效应对、行为健康和生活质量方面的有效性。对67名美籍华人儿童（8-10岁，正常体重和超重）及其家庭进行行为干预的随机对照研究。在基线和基线后2、6和8个月，儿童进行人体测量，并完成与应对技能和生活质量相关的问卷，父母完成儿童行为检查表。在为期8个月的研究中，干预组的儿童报告说，他们使用了更积极的应对策略，在身体和情绪健康领域的生活质量高于对照组的儿童。儿童的行为问题在干预组和对照组之间没有差异。在整个组中，应对和心理社会健康的变化与体重指数（BMI）的变化无关，除了BMI增加与生活质量的情绪下降有关。这种文化上适当的行为干预对促进华裔儿童健康应对和提高生活质量是有效的。其效用的最佳体重和超重的儿童表明潜在的应用范围广泛的人群的干预。
Interventions to teach children healthy and effective coping skills could help reduce their risk for overweight. However, few studies have examined whether an intervention that teaches coping strategies in weight management can influence children’s coping behavior and psychosocial well-being. To examine the efficacy of an interactive, child-centered, and family-based program in promoting effective coping, behavioral health, and quality of life in Chinese American children. A randomized, controlled study of behavioral intervention in 67 Chinese American children (ages 8–10 years, normal weight and overweight) and their families. At baseline and 2, 6, and 8 months after baseline, children had anthropometric measurements and completed questionnaires related to coping skills and quality of life, and parents completed the Child Behavior Checklist. Children in the intervention group reported using more active coping strategies and having a higher quality of life in the physical and emotional health domains than did children in the control group during the 8-month study. Children’s behavioral problems did not differ between the intervention and control groups. Changes in coping and psychosocial well-being were not related to change in body mass index (BMI) in the entire group, except increased BMI is associated with decreased emotional quality of life. This culturally appropriate behavioral intervention was effective in promoting healthy coping and improving quality of life in Chinese American children. Its utility for both optimal weight and overweight children suggests potential application of the intervention in a broad range of populations.