Parent-Perceived Important Topics for Childhood Obesity (PPITCH)

家长认为的儿童肥胖重要话题 (PPITCH)

• 批准号: 10180049
• 负责人: Davene Renee Wright
• 金额: $ 9.69万
• 依托单位: HARVARD PILGRIM HEALTH CARE, INC.
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-07-01 至 2023-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10180049
• 关键词: Acute; Address; Adult; Behavior; Caregivers; Caring; Characteristics; Child; Child Health; Childhood; Chronic Disease; Clinic; Communication; Counseling; Data; Development; Elements; Ethnic group; Family; Future; Goals; Grant; Habits; Health; Health behavior; Healthcare; Heterogeneity; Hispanics; Interview; Long-Term Effects; Low income; Methods; Minority; Not Hispanic or Latino; Nutrition Assessment; Obesity; Online Systems; Parents; Patient Preferences; Patients; Penetrance; Physical activity; Primary Health Care; Provider; Randomized Controlled Trials; Research; Respondent; Risk; Sampling; Social Desirability; Socioeconomic Status; Structure; Surveys; Testing; Vaccination; Visit; Weight; Well Child Visits; Work; base; behavior change; care seeking; caregiving; cost; design; disorder prevention; efficacy evaluation; health communication; health literacy; high risk; improved; injury prevention; low socioeconomic status; motivational enhancement therapy; obesity in children; obesity risk; parental influence; preference; racial and ethnic; racial minority; response; socioeconomics; treatment program; willingness

PROJECT ABSTRACT It is recommended that obesity counseling happen during pediatric primary care visits, but it is often infeasible to address all recommended health and wellness topics (e.g. assessment of nutrition and physical activity habits, motivational interviewing, setting goals) in the context of a 20-minute well child visit. Moreover, brief counseling is unlikely to engage high-risk families who are particularly unlikely to engage in behavior change due to cultural norms, low health literacy, and competing caregiving priorities. Best-worst scaling (BWS) is a structured, survey-based approach that has been used to efficiently quantify patient preferences and priorities regarding healthcare decisions while avoiding extreme response and social desirability biases. In this study, we propose developing and fielding a best-worst scaling survey to identify and prioritize the characteristics of obesity that parents care most about. We can therefore weed out lower priority issues that would not influence a decision from health communication messaging. We hypothesize that focusing risk communication on the specific obesity-related issues that are important to parents may catalyze more parents of children with obesity to engage in behavior change to address their child’s weight status and when indicated, to engage in childhood obesity treatment programs.

项目摘要 建议肥胖咨询发生在儿科初级保健访问，但它往往是不可行的 处理所有建议的健康和保健主题（例如营养和体力活动评估 习惯，动机访谈，设定目标）的背景下，20分钟的健康儿童访问。此外，简短 咨询不太可能涉及那些特别不可能参与行为改变的高危家庭 由于文化规范、低健康素养和竞争性的优先事项。最佳-最差缩放（BWS）是一种 一种结构化的、基于调查的方法，用于有效量化患者偏好和优先级 同时避免极端反应和社会期望偏差。在本研究中， 我们建议开展一项最佳-最差比例调查，以确定以下特征并对其进行优先排序： 家长最关心的肥胖问题。因此，我们可以剔除那些不会影响 一个来自健康传播信息的决定。我们假设，将风险沟通集中在 对父母来说重要的特定肥胖相关问题可能会促使更多的肥胖儿童父母 参与行为改变，以解决他们的孩子的体重状况，并在指示时， 肥胖症治疗计划。