TransCommunity Approach to Pediatric Obesity Prevention and Treatment

跨社区儿童肥胖预防和治疗方法

• 批准号: 7229814
• 负责人: Scott B Going
• 金额: $ 14.66万
• 依托单位: UNIVERSITY OF ARIZONA
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-25 至 2008-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7229814
• 关键词: Abate; Address; Adolescence; Affect; Arizona; Attitude; Awareness; Behavior; Behavior Control; Belief; Body Composition; Caregivers; Caring; Child; Childhood; Collaborations; Communities; Comorbidity; Consumption; County; Daily; Development; Diet; Drops; Effectiveness of Interventions; Environment; Epidemic; Ethnic Origin; Evaluation; Expectancy; Family; Fatty acid glycerol esters; Focus Groups; Food; Future; Gender; Habits; Height; Home environment; Incidence; Institute of Medicine (U.S.); Intervention; Interview; Measures; Medical Research; Mexican Americans; Numbers; Nutritional; Obesity; Outcome; Overweight; Parents; Physical activity; Population; Prevention approach; Prevention program; Prevention strategy; Process; Psychological reinforcement; Psychosocial Factor; Race; Randomized; Rate; Recruitment Activity; Reporting; Research; Research Personnel; Resources; Risk; Sample Size; Schools; Self Concept; Self Efficacy; Societies; Standards of Weights and Measures; Students; Testing; Time; Universities; Weight; Weight Gain; Work; base; behavior change; community organizations; comparison group; cost; demographics; design; elementary school; ethnic minority population; fast food; follow-up; food consumption; fruits and vegetables; nutrition; nutrition education; obesity prevention; prevent; programs; research study; sedentary; size; skills; social; success; sugar; therapy design

DESCRIPTION (provided by applicant): In this developmental application (R21), we propose to develop and test the impact of a trans-community approach to the prevention of weight-gain in a predominantly Mexican-American population. We will recruit at-risk and overweight (BMI >85th percentile) 3rd and 4th grade children, and their parents/primary caregivers, from 3 elementary schools to participate in the program and undergo assessments (baseline, 6, 9,12, and 18 months) of BMI, body composition, physical activity, diet and psychosocial factors related to behavior change and weight. The 3 schools, matched on student demographics, will be randomly assigned to 1 of the following 3 interventions: Level 1 - a school-based program that meets state mandated standards for nutrition and physical activity; Level 2 - the school-based program plus an after- school physical activity and nutrition program; and Level 3 - the school-based and after-school programs plus a family-based physical activity and nutrition program. The Level 1 program represents the minimal requirement of nutrition and physical activity programs for Arizona schools and is the equivalent of the "standard of care" in medical research. The Level 1 school will serve as the comparison group. Building on the "standard of care" by adding an after-school program (Level 2) and a family component (Level 3) will allow us to assess the contribution that each added component (i.e., after-school program and family intervention) makes to a typical school-based program. Furthermore, integrating the Level 1 and Level 2 programs into the Level 3 program will allow assessment of the contribution of the family component to these programs. The interventions will incorporate existing programs that have been developed by our research team and capitalize on existing relationships between our team, the schools and the community. Moreover, the trans-community approach is not only reflected in the design of the interventions but in the collaborations between the University of Arizona, Pima County (via the Expanded Food and Nutrition Education Program), the Sunnyside School District and the YMCA to reduce and prevent childhood obesity. Building on existing programs and collaborations with widespread organizations (Cooperative Extension and YMCA) is expected to promote sustainability and rapid dissemination.

描述（由申请人提供）：在此发育应用程序（R21）中，我们建议开发和测试跨社区方法对预防体重获得的影响，以预防墨西哥裔美国人人口。我们将招募三年级和4年级的孩子（BMI> 85％）三年级和4年级的儿童，以及他们的父母/小学，从3所小学开始参加该计划，并接受评估（基线，6、9,12和18个月）BMI，BMI，身体成分，饮食，饮食，饮食和心理社会的体现，身体和心理因素与行为变化和体重变化有关。与学生人口统计相匹配的3所学校将随机分配给以下3个干预措施中的1所：1级 - 基于学校的计划，符合州规定的营养和体育锻炼标准； 2级 - 基于学校的计划以及学校的体育锻炼和营养计划；和第3级 - 基于学校和课后计划以及基于家庭的体育活动和营养计划。 1级计划代表了亚利桑那学校的营养和体育活动计划的最低要求，并且相当于医学研究中的“护理标准”。 1级学校将作为比较小组。通过添加课后计划（2级）和家庭组件（第3级）来建立“护理标准”，这将使我们能够评估每个添加的组件（即，课后计划和家庭干预）对典型的基于学校的计划所做的贡献。此外，将1级和第2级计划集成到第3级程序中将允许评估家庭组成部分对这些计划的贡献。这些干预措施将结合我们的研究团队开发的现有计划，并利用我们的团队，学校和社区之间的现有关系。此外，跨社区的方法不仅反映在干预措施的设计中，而且反映了亚利桑那大学，皮马县（通过扩大的食品和营养教育计划），桑尼赛德学区和基督教青年会的合作，以减少和预防儿童肥胖。在现有计划和与广泛组织（合作扩展和基督教青年会）的合作的基础上，预计将促进可持续性和快速传播。