Obesity Prevention in Youth Using Dental Settings

描述（由申请人提供）：本申请是根据NIDCR PA#-03-107提交的。1970年至2000年间，美国儿童肥胖患病率增加了130%（106）。目前的估计表明，15.3%的6-11岁儿童和15.5%的12-19岁儿童超重（106133），非裔美国人和西班牙裔青少年的超重率更高（23%）（106）。最终控制青少年肥胖将需要全社会的多种干预措施，以提供累积和协同效应，从而导致持续的保健做法。该方法的一个步骤是鼓励所有专业的临床医生在日常就诊期间向患者提供适当的健康促进建议和咨询。牙医和牙科保健师在提供常规牙科护理建议方面处于独特的地位。考虑到糖在蛀牙和体重增加中的作用，这似乎特别有希望。此外，持续接触食品广告，特别是在电视观看期间，可能导致儿童和青少年对含糖饮料和零食的消费增加（28,43,49,54,61,118）。需要有效的行为干预来减少这些行为，而牙科诊所提供了进行此类干预的绝佳渠道。本R21应用程序的目的是开发和测试牙科诊所干预的可行性，以减少9-14岁青少年含糖饮料和零食的消费以及看电视的时间。我们相信这些改变将会降低龋齿的风险，减少过量热量摄入导致体重增加的风险，减少电视广告和鼓励消费含糖饮料和零食的信息。一旦完成R21，我们就可以提交R01来全面评估干预措施。考虑到这一点，本R21的具体目标是：(1)使用形成性评估方法，包括与9-14岁的青少年、父母和牙科专业人员（牙医和牙科卫生员）进行焦点小组讨论，以获得有关拟议干预材料和招聘和保留策略的反馈。利用干预发展方法，以社会认知理论（SCT）为基础，模仿在牙科诊所成功实施的烟草控制干预措施，与牙医和牙科保健员制定重复接触咨询干预措施。(2)运用调查开发方法。

DESCRIPTION (provided by applicant): This application is submitted in response to NIDCR PA#-03-107. The prevalence of obesity among children in the U.S. increased 130% between 1970 and 2000 (106). Current estimates indicate that 15.3% of 6-11 year olds and 15.5% of 12-19 year olds are overweight (106,133), with even higher rates (23%) among African American and Hispanic adolescents (106). The ultimate control of obesity among youth will require multiple interventions society-wide in order to provide cumulative and synergistic effects that can result in sustained health practices. One step in this approach is to encourage clinicians of all specialties to provide appropriate health promotion advice and counseling to their patients during routine office visits. Dentists and dental hygienists are in a unique position to provide such advice in the context of routine dental care. This seems particularly promising in light of the role of sugar consumption in both dental caries and weight gain2. Further, consistent exposure to food advertising, particularly during television (TV) viewing, can lead to increased consumption of sugar-sweetened beverages and snacks among children and adolescents (28,43,49,54,61,118). Effective behavioral interventions are needed to reduce these behaviors and dental offices offer an excellent channel in which to conduct such interventions. The objective of this R21 application is to develop and test the feasibility of a dental office intervention to reduce the consumption of sugar-sweetened beverages and snacks and TV viewing among youth ages 9-14. We believe these changes will decrease the risk of dental caries, excessive caloric intake leading to weight gain, and exposure to TV advertisements and messages that encourage the consumption of sugar-sweetened beverages and snacks. Once we complete the R21, we will be well-positioned to submit an R01 to fully evaluate the intervention. With this in mind, the specific aims of this R21 are to: (1) Use formative assessment methods including focus groups with youth 9-14 years of age, parents, and dental professionals (dentists and dental hygienists) to obtain feedback regarding the proposed intervention materials and recruitment and retention strategies. Use intervention development methods to develop a repeated contact counseling intervention with dentists and dental hygienists based on Social Cognitive Theory (SCT) and modeled after successful tobacco control interventions conducted in dental offices. (2) Use survey development methods to.