Enhanced Community-Based Health Promotion Program for Overweight Children

描述(由申请人提供)： 这项K23指导的以患者为导向的研究奖提案旨在为候选人提供必要的学术培训、指导和支持，使其成为一名独立的临床调查员，专注于社区环境中儿童肥胖的预防和治疗。这位候选人的长期目标是提高儿童超重预防和治疗干预计划的有效性，特别是针对服务不足人群的社区计划。为了实现这一目标，候选人将在三个特定领域进行教学和经验培训：1)定性研究技术，以检查潜在干预参与者和利益相关者的需求、偏好和参与动机和障碍；2)健康促进行为变化模型和预防科学的应用，以及社区参与式研究(CBPR)原则的使用；3)社区干预试验的设计、实施和评估的分析技能。候选人已经确定了两个在儿童超重治疗的行为疗法和坚持慢性病护理方面具有互补专业知识的共同赞助者，以在五年培训计划期间提供指导。其他辅导将由在定性方法和基于社区的研究方面有专长的顾问提供。拟议的三项相互关联的研究建立在培训目标的基础上，每项研究都将有助于更好地理解帮助超重儿童和父母采取并维持健康行为的有效方法。具体目标是：1)了解参与和保留的主要动机和障碍，并确定利益相关者的建议，以提高现有基于社区的超重儿童健康促进计划(Strong Kids)的有效性和可持续性，使用综合行为理论，2)在与社区利益相关者的合作研究过程中，使用在目标1中收集的数据以及关于体重相关行为变化的公开证据，系统地加强Strong Kids，并测试在增强干预中培训YMCA教练的可行性。以及3)与社区合作伙伴合作进行一项受控干预试验，与等待名单对照相比，测量增强的Strong Kids计划中与体重相关的行为和健康结果的变化。在通过K23奖项获得培训、经验和技能后，候选人将准备为超重儿童设计、获得资金和进行大规模的社区健康生活方式干预试验。

DESCRIPTION (provided by applicant): This K23 Mentored Patient-Oriented Research award proposal is designed to provide the scholarly training, mentorship, and support necessary for the candidate to develop into an independent clinical investigator focused on child obesity prevention and treatment in community settings. The candidate's long-term objective is to improve the effectiveness of intervention programs for child overweight prevention and treatment, particularly community programs for underserved populations. To achieve this objective, the candidate will pursue didactic and experiential training in three specific areas: 1) qualitative research techniques to examine the needs, preferences, and participation motivations and barriers among potential intervention participants and stakeholders, 2) application of health promotion behavior change models and prevention science and use of community-based participatory research (CBPR) principles, and 3) analytic skills for the design, implementation, and assessment of community-based intervention trials. The candidate has identified two co-sponsors with complementary expertise in behavioral therapy for child overweight treatment and adherence to care in chronic disease to provide mentorship during the five-year training plan. Additional mentoring will be provided by consultants with expertise in qualitative methods and community-based research. The three inter-related studies proposed build on the training objectives and will each contribute to an improved understanding of effective approaches to help overweight children and parents adopt and sustain healthy behaviors. The specific aims are: 1) to understand primary motivations and barriers to participation and retention and to determine stakeholder recommendations for enhanced efficacy and sustainability of an existing community-based health promotion program (Strong Kids) for overweight children using the Integrative Theory of Behavior, 2) to use data gathered in Aim 1 along with published evidence regarding weight-related behavior change in a collaborative research process with community stakeholders to systematically enhance Strong Kids and to test the feasibility of training YMCA coaches in the enhanced intervention, and 3) to conduct a controlled intervention trial in collaboration with the community partners that measures change in weight-related behavior and health outcomes in an enhanced Strong Kids program compared to a wait-list control. After obtaining the training, experience and skills through this K23 Award, the candidate will be prepared to design, obtain funding for, and to conduct a large-scale trial of a community-based healthy lifestyle intervention for overweight children.