The Proyecto Bienestar Laredo: Translating Knowledge and Experience Into Practice

Proyecto Bienestar Laredo：将知识和经验转化为实践

• 批准号: 7015478
• 负责人: Roberto Treviño-Peña
• 金额: $ 101.42万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-01 至 2011-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7015478
• 关键词: behavioral /social science research tag; body physical activity; children; clinical research; cost effectiveness; culture; diabetes education; dietary carbohydrates; dietary fiber; dietary lipid; eating; education evaluation /planning; elementary school; health behavior; health service demonstration project; human subject; nutrition education; nutrition related tag

DESCRIPTION (provided by applicant): We are proposing a school-based translation study to test the effectiveness of the Proyecto (Project) Bienestar Laredo (PBL)-a diabetes prevention program in elementary schools in Laredo TX, a highly impoverished Texas-Mexico border region. The PBL is built on 2 NIDDK-funded nutrition and PA (PA) research projects: the Bienestar Health Program (DK59213) and the Medical College of Georgia FitKid Project (DK63391) that have demonstrated great promise in reducing risks for diabetes and obesity in children. The PBL is a coordinated health promotion campaign with 4 components-1) health and physical education, 2) school food service intervention, 3) parental education and 4) an after-school health club. It is designed as a culturally appropriate, health promotion program wjth 5 key foci: 1) eat less dietary saturated fat, 2) consume less dietary sugar, 3) eat more dietary fiber, 4) be more physically active and 5) view less T.V. Program implementation and evaluation data collection will be conducted by Laredo school districts and health department staffs, respectively. The study subjects will be 3,344 third grade students in 38 elementary schools, which will be randomly assigned to intervention (18 schools) and control (18 schools) conditions. The primary aim of the proposed study is to test the effectiveness of the PBL using translational research framework. The primary hypothesis is that children participating in the PBL intervention will have significantly lower fasting capillary glucose and percent body fat than children in schools receiving another state-approved health curriculum. We will also study the effectiveness on targeted behaviors, diffusion processes and organizational factors influencing the adoption and institutionalization, and the cost- effectiveness of the PBL. Proven the effectiveness of this program, we can translate this project to other communities along the Texas-Mexico border

描述（由申请人提供）：我们正在提议一项基于学校的翻译研究，以测试Bienestar Laredo （PBL）项目的有效性——这是一个在德克萨斯州Laredo（一个高度贫困的德克萨斯州-墨西哥边境地区）小学开展的糖尿病预防项目。PBL建立在2个niddk资助的营养和PA （PA）研究项目上：Bienestar健康计划（DK59213）和乔治亚医学院FitKid项目（DK63391），这两个项目在降低儿童糖尿病和肥胖风险方面表现出了巨大的希望。PBL是一个协调的健康促进运动，有四个组成部分：1)健康和体育教育，2)学校食品服务干预，3)家长教育和4)课后健康俱乐部。它被设计为一个文化上合适的健康促进计划，有5个重点：1)少吃饱和脂肪，2)少吃糖，3)多吃膳食纤维，4)多运动，5)少看电视。计划的实施和评估数据的收集将分别由拉雷多学区和卫生部门的工作人员进行。研究对象为38所小学的3344名三年级学生，随机分为干预组（18所学校）和对照组（18所学校）。本研究的主要目的是利用翻译研究框架来检验PBL的有效性。主要假设是，参加PBL干预的儿童的空腹毛细血管血糖和体脂百分比明显低于接受另一种国家批准的健康课程的学校的儿童。本文还将研究目标行为的有效性、影响PBL采用和制度化的扩散过程和组织因素，以及PBL的成本效益。证明了这个项目的有效性后，我们可以将这个项目推广到德克萨斯州和墨西哥边境的其他社区