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）：在本开发性申请（R21）中，我们建议开发和测试跨社区方法对预防主要墨西哥裔美国人人群体重增加的影响。我们将从3所小学招募高危和超重（BMI > 85 th百分位数）的3年级和4年级儿童及其父母/主要照顾者参加该计划，并进行BMI、身体成分、体力活动、饮食和与行为变化和体重相关的心理社会因素的评估（基线、6、9、12和18个月）。根据学生人口统计数据匹配的3所学校将被随机分配到以下3种干预措施中的一种：1级-符合国家规定的营养和体育活动标准的校本计划; 2级-校本计划加上课后体育活动和营养计划;第三级-以学校为基础的课外活动方案加上以家庭为基础的体育活动和营养方案。1级计划代表了亚利桑那州学校营养和体育活动计划的最低要求，相当于医学研究中的“护理标准”。一级学校将作为对照组。在“护理标准”的基础上，增加课后计划（2级）和家庭部分（3级），将使我们能够评估每个增加的部分（即，课外活动和家庭干预）是一个典型的校本课程。此外，将1级和2级方案纳入3级方案将有助于评估家庭部分对这些方案的贡献。干预措施将纳入我们的研究团队开发的现有项目，并利用我们的团队，学校和社区之间的现有关系。此外，跨社区方法不仅体现在干预措施的设计中，而且体现在亚利桑那大学皮马县分校（通过扩大食品和营养教育方案）、桑尼赛德学区和基督教青年会之间的合作中，以减少和预防儿童肥胖。在现有方案的基础上，与广泛的组织（合作推广和基督教青年会）合作，预计将促进可持续性和快速传播。