An integrated nutrition intervention through the Part C Early Intervention Services to promote healthy eating habits for children with ASD

通过 C 部分早期干预服务进行综合营养干预，以促进自闭症儿童的健康饮食习惯

• 批准号: 10288161
• 负责人: Heewon L. Gray
• 金额: $ 21.6万
• 依托单位: UNIVERSITY OF SOUTH FLORIDA
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-08-10 至 2023-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10288161
• 关键词: Address; Behavior; Behavioral; Benchmarking; Birth; Categories; Centers for Disease Control and Prevention (U.S.); Child; Child Behavior; Chronic; Chronic Disease; Consumption; Data; Development; Diet; Diet Habits; Dietary Intervention; Dietary intake; Disabled Persons; Disease; Early Intervention; Eating; Eating Behavior; Education; Enrollment; Ensure; Evaluation; Extinction (Psychology); Feedback; Florida; Food; Food Chain; Future; Goals; Growth; Health; Healthy Eating; Height; High Prevalence; Hispanics; Hyperlipidemia; Hypertension; Intervention; Interview; Latino; Length; Manuals; Measures; National Institute of Child Health and Human Development; Obesity; Outcome; Parents; Participant; Pattern; Persons; Pharmaceutical Preparations; Population; Prevalence; Problem behavior; Process; Provider; Randomized; Randomized Controlled Trials; Research; Risk; Service setting; Suggestion; Testing; Vision; Weight; Work; autism spectrum disorder; autistic children; base; disorder risk; early childhood; feasibility testing; feeding; follow up assessment; follow-up; fruits and vegetables; improved; individuals with autism spectrum disorder; innovation; intervention program; novel; nutrition; post intervention; preference; prevent; provider intervention; public health relevance; service intervention; sex; social media; sugar; sweetened beverage; telehealth; treatment as usual

PROJECT SUMMARY There is an unmet need for nutrition interventions that address both autism spectrum disorder (ASD) specific feeding challenges and unbalanced eating habits among children with ASD to prevent future chronic health conditions. Children with ASD tend to consume few fruit and vegetables and mainly high-energy dense foods, including sugar-sweetened beverages and processed snacks. Obesity prevalence in children with ASD is up to 40% higher than in typically developing children, and recent studies show significantly elevated risks of hyperlipidemia and hypertension among individuals with ASD, regardless of using psychotropic medications. Our interdisciplinary team conducted a preliminary study to examine diet quality and mealtime behaviors among diverse children with ASD in Florida (34% Hispanic/Latino) and parental preferences for nutrition interventions. Based on the study findings, we developed the manual for our nutrition intervention, Autism Eats, for children with ASD enrolled in the Part C of Individuals with Disabilities Education Act (IDEA) Early Intervention (EI) services. Our Autism Eats manual and parent materials are based on ASD-specific feeding strategies such as escape extinction and food chaining combined with behaviorally-focused nutrition intervention strategies such as goal setting and weekly meal planning to promote healthy eating. We pilot-tested the intervention with a small number of EI providers and parent-child dyads (n=5) to examine how intervention components fit with the Part C service setting. Preliminary fidelity and provider interview data indicated that the intervention manual was easy to follow and has potential to be widely implemented in the EI services, indicating a good fit. Participants further suggested innovative ways to improve the intervention such as adding more hands-on activities, booster sessions, and social media components. Based on these suggestions, we will refine our intervention materials (Aim 1) and conduct a pilot randomized controlled trial (RCT) to test the feasibility and preliminary efficacy of this innovative nutrition intervention program, Autism Eats, to prevent problematic mealtime behaviors and promote development of healthy eating habits among children with ASD enrolled in Part C EI services in Florida (Aim 2). We expect that Autism Eats will be feasible and well-received by EI providers and parent-child dyads. We will examine differences in children’s food intakes (fruit and vegetables), food variety, diet quality, and problematic mealtime behaviors between children in Autism Eats and those in the EUC groups at post-intervention and 5-month follow-up from baseline.

项目摘要 对营养干预措施的需求未满足，可以解决自闭症谱系障碍 （ASD）ASD儿童的特定喂养挑战和不平衡的饮食习惯 防止未来的慢性健康状况。 ASD的儿童倾向于消耗很少的水果和 蔬菜和主要是高能密集的食物，包括糖甜的卧室和 加工的小吃。 ASD儿童的肥胖症患病率比通常高40％ 发育中的儿童和最近的研究表明，高脂血症的风险显着升高 无论使用精神药物如何，ASD患者之间的高血压。我们的 跨学科团队进行了初步研究，以检查饮食质量和进餐时间 佛罗里达州ASD儿童的行为（34％的西班牙裔/拉丁裔）和父母 营养干预的偏好。根据研究结果，我们制定了手册 为了我们的营养干预，自闭症食用，适用于ASD参加的儿童 残疾人教育法（IDE）早期干预（EI）服务。我们的自闭症 EATS手册和家长材料基于ASD特定的喂养策略，例如Escape 扩展和食物链式结合以行为为重点的营养干预策略 例如目标设定和每周膳食计划以促进健康饮食。我们进行了测试 与少数EI提供者和亲子二元组（n = 5）进行干预，以检查如何 干预组件符合C部分服务设置。初步忠诚和提供者 访谈数据表明，该干预手册很容易遵循，并且有可能 在EI服务中广泛实施，表明非常合适。参与者进一步建议 改善干预措施的创新方法，例如添加更多动手活动，助推器 会议和社交媒体组件。基于这些建议，我们将完善我们的 干预材料（AIM 1）并进行试点随机对照试验（RCT）以测试 这种创新营养干预计划的可行性和初步效率，自闭症食品， 防止有问题的进餐时间行为并促进健康饮食习惯的发展 在ASD的儿童中，在佛罗里达州参加了C部分服务（AIM 2）。我们期望这一点 EI提供者和亲子二元组将是可行的，并且会良好。我们将 检查儿童食物摄入量（水果和蔬菜），食物品种，饮食质量的差异， 自闭症儿童和EUC中的儿童中有问题的进餐时间行为 干预后的组和基线的5个月随访。