The Impact of Negative Familial Weight Talk on Weight Bias Internalization and Preliminary Efficacy of Intervention in Early Adolescents

负性家庭体重谈话对青少年早期体重偏差内化的影响及干预的初步效果

• 批准号: 10254279
• 负责人: Katherine Marie Rancaño
• 金额: $ 3.31万
• 依托单位: TUFTS UNIVERSITY BOSTON
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-01-01 至 2022-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10254279
• 关键词: Address; Adolescent; Adopted; Adoption; Adult; Adverse effects; Area; Behavior; Behavior Control; Body Image; Body Weight decreased; Boston; Characteristics; Child; Competence; Data; Development; Diet; Eating Disorders; Environment; Exercise; Exposure to; Family; Family member; Fellowship; Focus Groups; Frequencies; Funding; Future; Goals; Habits; Health; Health behavior change; Individual; Intervention; Knowledge; Lead; Literature; Mental Health; Mentorship; Nutritional Science; Obesity; Outcome; Overweight; Parents; Participant; Pattern; Personal Satisfaction; Public Health; Published Comment; Quality of life; Questionnaires; Randomized; Randomized Controlled Trials; Reporting; Research; Research Design; Resources; Risk; Schools; Science Policy; Self-Direction; Shapes; Statistical Methods; Stereotyping; Stigmatization; Teenagers; Training; Treatment Efficacy; Universities; Weight; Weight Gain; Weight maintenance regimen; Youth; adverse outcome; age group; arm; base; behavioral health; body dissatisfaction; career; cohort; comparison group; design; early adolescence; group intervention; improved; innovation; intervention effect; medical schools; novel; operation; peer; physical conditioning; post intervention; prevent; preventive intervention; randomized trial; role model; self esteem; social stigma; substance misuse prevention; substance use; therapy design; tool; treatment arm; treatment group; universal prevention; vulnerable adolescent

PROJECT SUMMARY Weight stigma undermines the health and quality of life of early adolescents. Negative familial weight talk, which refers to weight teasing and critical comments about weight from family members, is a significant contributor to adolescent weight stigma. An unexplored consequence of negative familial weight talk in early adolescents is weight bias internalization (WBI), a type of self-directed stigma associated with body dissatisfaction, poor self- esteem, and unhealthy weight control behaviors. Given these serious consequences, it is critical to elucidate the determinants of WBI, especially during early stages of development. Moreover, no intervention, to the best of our knowledge, has been designed to reduce the occurrence of negative weight talk within the context of the family environment. The proposed research seeks to expand our understanding of negative familial weight talk and examine the preliminary efficacy of an innovative intervention designed to reduce negative familial weight talk. Furthermore, as a brief, universal prevention intervention, the approach holds promise for significant public health impact because it is resource efficient, a critical characteristic for future adoption and dissemination. The specific research aims are: to evaluate the association between negative familial weight talk and WBI in a diverse cohort of early adolescents, 5th-7th graders, (Aim 1), to implement and examine the preliminary efficacy of a brief, universal prevention intervention on the frequency of negative familial weight talk from the participant parent (Aim 2), and improvements in the content of parent-child conversations about weight (Aim 3). All research aims will be addressed using data from the SUPPER Project (R01 DA045073), an ongoing universal prevention intervention for parents of early adolescents in the Greater Boston Area. SUPPER is a randomized-control trial with clustering wherein the intervention group focuses on substance use and the comparison group on negative familial weight talk. For the proposed research, the negative familial weight talk condition serves as the treatment group. Baseline questionnaire data will be used to cross-sectionally examine the association between negative familial weight talk from all family members and WBI in early adolescents (Aim 1). Questionnaire data and audio- recorded parent-child conversation at baseline, 3-, and 6-months post-randomization will respectively be used to examine the effect of the intervention on the frequency of negative familial weight talk (Aim 2) and improvements in parent-child conversations about weight (Aim 3). This research addresses an important gap in expanding our understanding of WBI in youth. If effective, the intervention has the potential to reduce adolescent weight stigma and may prevent associated adverse outcomes and support the long-term well-being of youth. The goals of the fellowship training plan are to provide mentorship and practical training in 1) weight stigma and WBI, 2) advanced statistical methods, 3) study design, implementation, and operations, and 4) provide opportunities to build competencies central to long-term career goals. Training will be provided by a Sponsor Team lead by Dr. Must (Primary Sponsor) at Tufts University School of Medicine and Friedman School of Nutrition Science and Policy.

项目摘要 体重污名破坏了早期青少年的健康和生活质量。负家庭体重谈话，这 指的是体重的挑逗和对家庭成员体重的批判性评论，是对 青少年体重污名。早期青少年的负面家庭体重谈话的尚未探索的结果是 体重偏置（WBI），一种与身体不满相关的一种自我指导的污名，自我不良 尊重和不健康的体重控制行为。考虑到这些严重的后果，阐明 WBI的决定因素，尤其是在发展的早期。此外，没有干预措施 我们的知识旨在减少在 家庭环境。拟议的研究旨在扩大我们对负面家庭体重谈话的理解 并检查旨在减轻负面体重的创新干预的初步疗效 讲话。此外，作为一种简短的普遍预防干预，该方法对大型公众有望 健康影响是因为它是资源效率的，这是未来采用和传播的关键特征。这 具体的研究目的是：评估负面家庭体重谈话与WBI之间的关联 早期青少年的队列，五至7年级的学生（AIM 1），以实施和检查简短的初步疗效， 对参与者父母负面家庭体重谈话频率的通用预防干预 （AIM 2），并改善有关体重的亲子对话的内容（AIM 3）。所有研究的目的 将使用Supper项目（R01 DA0450​​73）的数据来解决，这是一种持续的通用预防 大波士顿地区早期青少年父母的干预。晚餐是一项随机控制试验 通过聚类，其中的干预组侧重于物质使用和负面的比较组 家族体重谈话。对于拟议的研究，负性家庭体重谈话条件可作为治疗 团体。基线问卷数据将用于横截面检查负面的关联 所有家庭成员和WBI早期青少年的家庭体重谈话（AIM 1）。问卷数据和音频 - 在基线，3个月和6个月的录制的亲子对话将分别使用 检查干预对负性家庭体重谈话频率的影响（AIM 2）和 关于体重的亲子对话的改善（AIM 3）。这项研究解决了一个重要的差距 扩展我们对青年WBI的理解。如果有效，干预措施有可能减少青少年 体重污名并可能阻止相关的不良后果并支持青年的长期福祉。 奖学金培训计划的目标是在1）体重污名和实用培训中提供指导和实践培训 WBI，2）高级统计方法，3）研究设计，实施和操作，4）提供 建立长期职业目标核心的能力的机会。培训将由赞助商提供 塔夫茨大学医学院和弗里德曼学校的Must Dr.（主要赞助商）的团队 营养科学与政策。