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。美国儿童肥胖症的患病率在1970年至2000年间增加了130%（106）。目前的估计表明，15.3%的6-11岁奥尔兹和15.5%的12-19岁奥尔兹超重（106，133），非洲裔美国人和西班牙裔青少年的超重率甚至更高（23%）。最终控制青年肥胖症需要全社会采取多种干预措施，以产生累积和协同效应，从而形成可持续的健康做法。这种方法的一个步骤是鼓励所有专业的临床医生在日常办公室访问期间向患者提供适当的健康促进建议和咨询。牙医和牙科保健师处于一个独特的地位，在日常牙科保健的背景下提供这样的建议。这似乎特别有前途的作用，糖消费在龋齿和体重增加2。此外，持续接触食品广告，特别是在电视（TV）观看期间，可能导致儿童和青少年中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，牙科诊所提供了一个很好的渠道来进行这种干预。这项R21应用的目的是开发和测试牙科诊所干预的可行性，以减少9-14岁青少年的含糖饮料和零食消费以及电视观看。我们相信这些改变将减少龋齿的风险，过量的热量摄入导致体重增加，以及接触鼓励消费含糖饮料和零食的电视广告和信息。一旦我们完成R21，我们将能够提交R 01以全面评估干预措施。考虑到这一点，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（牙医和牙科医生）的焦点小组，以获得有关拟议干预材料和招募和保留策略的反馈。根据社会认知理论（SCT），并以牙科诊所进行的成功烟草控制干预为模型，使用干预开发方法，与牙科医生和牙科医师开发重复接触咨询干预。(2)使用调查开发方法。

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.