Communities and Schools Together for Childhood Obesity Prevention

社区和学校共同预防儿童肥胖

• 批准号: 7429021
• 负责人: Deborah Johnson-Shelton
• 金额: $ 63.59万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-01 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7429021
• 关键词: Address; Awareness; Cardiovascular Diseases; Centers for Disease Control and Prevention (U.S.); Child; Child health care; Childhood; Chronic Disease; Collaborations; Communities; Community Health; Community Practice; Complex; County; Data; Development; Educational Curriculum; Effectiveness; Enrollment; Environment; Environmental Health; Environmental Risk Factor; Epidemic; Evaluation; Face; Family; Food; Goals; Health; Health education; Healthy People 2010; Institute of Medicine (U.S.); Institution; Intervention; Investigation; Knowledge; Life Style; Measures; Modeling; Monitor; National Health and Nutrition Examination Survey; Nature; Neighborhoods; Non-Insulin-Dependent Diabetes Mellitus; Nutritional; Obesity; Oregon; Outcome; Overweight; Parenting behavior; Parents; Participant; Phase; Physical activity; Policies; Prevalence; Prevention; Prevention intervention; Process; Program Development; Public Health; Public Health Practice; Rate; Relative (related person); Research; Research Methodology; Research Project Grants; Resources; Risk; Risk Factors; Rural Community; Schools; Social Problems; Solutions; Stress; Students; Surveys; System; Teenagers; Time; Training; Training and Education; Trust; United States; Universities; Work; base; community based participatory research; community organizations; demographics; design; elementary school; experience; food consumption; innovation; interest; intervention program; member; multidisciplinary; nutrition; obesity prevention; obesity risk; programs; psychological outcomes; repository; school health; self esteem; social; systems research; tool

DESCRIPTION (provided by applicant): The growing epidemic of childhood obesity, and increasing awareness about the nature of chronic diseases that persist from childhood into adulthood, has become a major public health concern in the United States. Evidence continues to mount that the two most important influences on childhood obesity are nutrition and physical activity. While schools are often cited as the most capable environment to address childhood obesity and related public health concerns, they face extreme challenges in providing these social interventions alone. At the same time, environmental and social influence beyond the reach of schools are becoming recognized as the major determinants in the development of childhood obesity (Institute of Medicine, 2005). Across this divide and connection between schools and communities, an opportunity exists to transform approaches and community-school relationships to more effectively address this growing national obesity epidemic. Community-Based Participatory Research (CBPR) offers a much needed strategy for organizing local capacity in understanding and responding to these complex, multi-systemic health issues. The Communities and Schools Together (CAST) study seeks to build a collaborative school-community partnership to discover researched solutions to local obesity health risks for children. Partners in this proposed study include an elementary school district with an enrollment of 3,000 students in a suburban/rural community in Oregon. Community partners include a multidisciplinary group of organizational members focused on food system environments, parent training and health education; university academic programs experienced in assessing nutritional policies and practice, community built environments, and physical activity access and supports; and a research organization capable of assisting in measuring and evaluating community-based interventions to support of communities and schools in their efforts to reduce childhood obesity. To assist this CAST CBPR, we propose the development of a community health monitoring system to serve as community-based repository for research on local health needs. This CHMS will help track rates of child obesity, analyzing environmental and social influences of obesity, and developing strategies for effective and timely community-based obesity prevention and intervention programs. CAST partners will conduct research on local social, built environment, and food environment influences and factors related to child health, develop and evaluate a community developed, data driven parent health intervention program, and document program processes and collaboratively developed research methods and findings for ongoing dissemination and replication of the CAST program. PUBLIC HEALTH RELEVANCE: The project will develop a community-school partnership to research environmental factors influencing obesity risk among elementary school children. This project will create a Community-Based Health Monitoring system to serve as a research repository for obesity prevention collaboration and a research tool for use in other communities. The project will also develop and evaluate a collaborative and research-based parenting curriculum to reduce community risks of obesity among children. School neighborhoods will be assessed for children}s health via established built- and food-system research methods, which will measure the relative strengths and challenges of neighborhoods for support of positive child health outcomes.

描述(申请人提供)：儿童肥胖症的日益流行，以及人们对从儿童到成年的慢性疾病性质的日益认识，已经成为美国一个主要的公共卫生问题。越来越多的证据表明，对儿童肥胖最重要的两个影响因素是营养和体力活动。虽然学校经常被认为是解决儿童肥胖症和相关公共卫生问题的最有能力的环境，但它们在单独提供这些社会干预方面面临着极端的挑战。与此同时，学校无法承受的环境和社会影响正逐渐被认为是导致儿童肥胖的主要决定因素(医学研究所，2005年)。在学校和社区之间的这种鸿沟和联系中，存在着改变方法和社区-学校关系的机会，以更有效地应对日益增长的全国肥胖症流行。基于社区的参与性研究(CBPR)为组织当地理解和应对这些复杂的、多系统的卫生问题提供了一个亟需的战略。社区和学校一起(CAST)研究旨在建立一个合作的学校-社区合作伙伴关系，以发现针对当地儿童肥胖健康风险的研究解决方案。这项拟议研究的合作伙伴包括俄勒冈州郊区/农村社区的一个小学学区，该学区有3000名学生。社区合作伙伴包括一个专注于食品系统环境、家长培训和健康教育的多学科组织成员小组；在评估营养政策和实践、社区建设环境以及体育活动机会和支持方面经验丰富的大学学术计划；以及一个能够协助衡量和评估社区干预措施以支持社区和学校减少儿童肥胖努力的研究组织。为了协助这项社区健康政策检讨，我们建议发展一个社区健康监测系统，作为社区为基础的储存库，以研究当地的健康需要。这项社区肥胖管理系统将帮助跟踪儿童肥胖率，分析肥胖对环境和社会的影响，并制定有效和及时的社区肥胖预防和干预计划的战略。CAST合作伙伴将对当地社会、建筑环境和食物环境对儿童健康的影响和相关因素进行研究，开发和评估社区开发的、数据驱动的家长健康干预计划，并记录计划过程和合作开发的研究方法和结果，以便持续传播和复制CAST计划。公共卫生相关性：该项目将发展社区-学校合作伙伴关系，以研究影响小学生肥胖风险的环境因素。该项目将创建一个以社区为基础的健康监测系统，作为肥胖预防协作的研究储存库和供其他社区使用的研究工具。该项目还将开发和评估一个合作和基于研究的育儿课程，以降低社区儿童肥胖的风险。学校社区将通过既定的内置和食物系统研究方法对儿童健康进行评估}S，该方法将衡量社区在支持积极的儿童健康结果方面的相对优势和挑战。