A home-based intervention to improve adherence to the 24-Hour Movement Guidelines in young children

以家庭为基础的干预措施，以提高幼儿对 24 小时运动指南的遵守程度

• 批准号: 10350481
• 负责人: Chelsea L Kracht
• 金额: $ 10.63万
• 依托单位: LSU PENNINGTON BIOMEDICAL RESEARCH CTR
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-03-01 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10350481
• 关键词: Accelerometer; Address; Adherence; Adopted; Age; Applied Research; Area; Award; Behavior; Behavior Therapy; Child; Child Behavior; Child Mental Health; Cognition; Cognitive; Complement; Control Groups; Data; Development; Device Removal; Ecological momentary assessment; Effectiveness; Equilibrium; Event; Family; Feedback; Focus Groups; Future; Goals; Grant; Growth; Guideline Adherence; Guidelines; Habits; Health; Health behavior; Home; Home environment; Hour; Household; Intervention; Intervention Studies; Interview; Life Style; Literature; Low income; Mentors; Mentorship; Methods; Modality; Motor Skills; Movement; National Institute of Child Health and Human Development; Obesity; Outcome; Parent-Child Relations; Parents; Pathway interactions; Pattern; Physical activity; Pilot Projects; Population; Positioning Attribute; Problem behavior; Process; Randomized; Recommendation; Reporting; Research; Research Methodology; Research Training; Risk; Seasons; Siblings; Sleep; Structure; Surveys; Technology; Testing; Theory of Change; Time; Training; Waiting Lists; World Health Organization; Writing; base; behavior change; career; career development; cognitive development; cognitive performance; control trial; design; evidence base; experience; feasibility testing; improved; innovation; mHealth; meetings; mental development; minority children; mobile application; moderate-to-vigorous physical activity; neglect; novel; obesity in children; physical conditioning; pilot test; preference; programs; sedentary; sedentary activity; sedentary lifestyle; tool; tv watching

PROJECT SUMMARY Few behaviors inadequate development, are Pitfalls behaviors this movement child and Behavior of Finally, randomized Hour didactic, populations (Training and these and candidate ultimately young children meet the recently adopted World Health Organization recommendations for movement (physica activity, sleep, and screen-time), known as the 24-Hour Movement Guidelines. This balance of movement behaviors places children at risk for more behavioral problems, poor cognitive delayed motor skills, and obesity. Minority children and children who live in low-income household at increased risk of meeting ew recommendations, and consequently these long-term health outcomes. of current literature include focusing on one behavior at a time and neglecting the context in which these occur. Ecological momentary assessment (EMA) and mHealth tools are ideally positioned to address gap, by assessing and addressing movement behaviors in real-time and within the home, where all three behaviors occur. Using mixed methods, this study aims to identify patterns (amount and context) of movement behaviors within the home via EMA paired with a child-worn accelerometer and identify barriers facilitators to changing these behaviors within the home via semi-structured interviews (Research Aim 1). change theory, previous literature, and an iterative process using parent feedback will inform the design a movement behavior intervention delivered through a mHealth modality e.g., mobile app, Research Aim 2). this study will then pilot test the preliminary effectiveness and feasibility of this intervention n a control trial with the goal of meeting all three movement behavior recommendations, t hus the 24- Movement Guidelines (Research Aim 3). To complement these research aims, the candidate will receive hands-on, and applied research training i n EMA, mHealth, and interventional research amongst diverse (Training Aim 1), along with behavior change theory and child behavior and cognitive development Aim 2). The candidate will expand her network and presence, and scientific prowess in writing grants mentoring to propel her into a future career as a 24-Hour Movement expert (Training Aim 3). Experts in respective fields, who are also seasoned mentors, will guide her t hrough these research and training aims, ultimately into an independen position and research career. This experience will culminate in data for the to build her independent research program, with the goal of improving child movement behaviors, and their long-term health. l f ( i t

项目总结 一些 行为 不足 发展， 是 陷阱 行为 这 运动 孩子 和 行为 的 最后， 随机化 小时 说教的， 人口 (培训 和 这些 和 候选人 最终 幼儿符合最近通过的世界卫生组织关于活动的建议 (身体活动、睡眠和屏幕时间)，被称为24小时运动指南。这 运动行为的平衡使儿童面临更多行为问题的风险，认知能力差 运动技能迟缓和肥胖。少数民族儿童和生活在低收入家庭的儿童 增加了达到新建议的风险，从而导致这些长期健康后果。 包括一次只关注一种行为，而忽视了这些行为的背景 发生。生态瞬时评估(EMA)和mHealth工具非常适合解决 差距，通过实时和在家中评估和处理移动行为，这三种行为 行为就会发生。使用混合方法，本研究旨在确定模式(数量和背景) 通过EMA与儿童佩戴的加速度计配对在家中的运动行为，并识别障碍 促进者通过半结构化访谈改变家庭中的这些行为(研究目标1)。 改变理论、以前的文献和使用父母反馈的迭代过程将为设计提供信息 通过移动健康模式提供的运动行为干预，例如移动应用程序，研究目标2)。 然后，这项研究将初步测试这种干预措施的有效性和可行性。 对照试验，目标是满足所有三种运动行为建议，这24- 行动指南(研究目标3)。为了补充这些研究目标，应聘者将获得 在EMA、mHealth和不同领域的干预研究方面的实践和应用研究培训 (培训目标1)，以及行为改变理论和儿童行为和认知发展 目标2)。候选人将扩大她的人脉和存在，并在撰写拨款方面具有科学能力 指导，推动她进入未来的职业生涯，成为一名24小时运动专家(培训目标3)。专家们在 各个领域也是经验丰富的导师，将指导她完成这些研究和培训目标， 最终进入了一个独立的职位和研究生涯。这一经历将在数据中达到顶峰 建立她的独立研究计划，目标是改善儿童的运动行为，以及 他们的长期健康。 L F ( 我 T