Reducing Maternal Stress to Improve Obesity-related Parenting Practices

项目摘要 母亲的压力与儿童肥胖的风险有关控制社会经济地位，但标准 儿童肥胖预防计划的重点并不是减轻母亲的压力。该协会 母亲压力和儿童肥胖之间的关系在拉丁裔家庭中尤其强烈，他们的孩子也有 肥胖率是美国最高的。一个有意识的育儿计划可能会减少拉丁裔母亲的 心理压力，并导致改善育儿实践和能力，创造一个更健康的环境。 拟议研究的主要目标是评估干预措施的可行性和可接受性。 这将基于正念的压力缓解和正念育儿结合在一起，在孩子们 肥胖风险最高的人群：拉丁裔母亲。研究的第一阶段涉及开发和提炼一个综合性的 干预手册，标题为ATIENDE(影响饮食、营养、决策和 练习)，并将其翻译成西班牙语。第二阶段包括进行一项随机临床试验，比较 对50名拉丁裔小学适龄儿童母亲的主动控制状况进行干预。 参与者的满意率和定性访谈将为项目的可接受性提供证据。 可行性将通过检查招聘率、留职率和待遇保真度来确定。 该项目的完成将为开展全面的疗效试验奠定基础。这位接受指导的病人- 面向研究的职业发展奖建立在候选人的经验和兴趣之上 开展以家长为中心的肥胖预防研究。拟议的研究和培训活动将 为候选人提供以下领域的基本技能：(1)干预开发；(2)试验设计和 行为；(3)先进的统计方法。这些领域的培训将为候选人成为 在发展和评估父母正念干预措施方面的独立调查员，以改进 减少与儿童肥胖相关的结果，减少健康差距。

Project Summary Maternal stress is associated with children’s risk for obesity controlling for socioeconomic status, yet standard of care child obesity prevention programs have not focused on maternal stress reduction. The association between maternal stress and child obesity is particularly strong in Latino families, whose children also have the highest rates of obesity in the United States. A mindful parenting program might reduce Latina mothers’ psychological stress and lead to improved parenting practices and ability to create a healthier environment. The primary objective of the proposed research is to evaluate the feasibility and acceptability of an intervention that integrates mindfulness-based stress reduction and mindful parenting in a population whose children are at highest risk for obesity: Latina mothers. Phase 1 of the research involves developing and refining an integrative intervention manual, titled ATIENDE (Awareness Training to Influence Eating, Nutrition, Decision-making, and Exercise) and translating it into Spanish. Phase 2 involves conducting a randomized clinical trial comparing the ATIENDE intervention to an active control condition in 50 Latina mothers of elementary-school age children. Participant satisfaction rates and qualitative interviews will provide evidence of the program’s acceptability. Feasibility will be determined by examining recruitment rates, retention rates, and treatment fidelity. Completion of this project will inform the development of a full-scale efficacy trial. This Mentored Patient- Oriented Research Career Development Award builds upon the candidate’s experience and interest in conducting parent-focused obesity prevention research. The proposed research and training activities will provide the candidate with essential skills in the areas of: (1) intervention development; (2) trial design and conduct; and (3) advanced statistical methods. Training in these domains will prepare the candidate to be an independent investigator in the development and evaluation of parent mindfulness interventions to improve child obesity-related outcomes and reduce health disparities.