A Home-Based Parent-Child Intervention to Promote Children's Energy Balance

家庭亲子干预促进儿童能量平衡

• 批准号: 7496957
• 负责人: CHRISTINE JACKSON
• 金额: $ 21.81万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-15 至 2010-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7496957
• 关键词: 7 year old; Active Learning; Address; Affect; Age; Attention; Behavior; Behavioral; Biological; Child; Childhood; Chronic Disease; Concept Review; Condition; Consultations; Critiques; Data Collection; Diet; Disease regression; Eating; Effectiveness of Interventions; Energy Intake; Ensure; Ethnic Origin; Exploratory/Developmental Grant; Family; Female; Fostering; Health Benefit; Health behavior; Home environment; Informal Social Control; Intervention; Investigation; Knowledge; Measures; Methods; Modeling; Mothers; North Carolina; Obesity; Outcome; Overweight; Parent-Child Relations; Parenting behavior; Parents; Participant; Pattern; Physical activity; Pilot Projects; Prevention strategy; Principal Investigator; Process; Program Development; Protocols documentation; Randomized; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Sampling; Screening procedure; Series; Site; Smoking Prevention; Socialization; Source; Telephone Interviews; Testing; Universities; Weight Gain; anti-smoking; base; boys; concept; design; efficacy evaluation; energy balance; expectation; experience; follow-up; girls; innovation; method development; nutrition; programs; prototype; psychologic; sex; skills; sound; therapy development; tool

DESCRIPTION (provided by applicant): This investigation will develop and pilot test a home-based intervention to modify parenting practices that influence children's eating patterns, physical activity, and media use behaviors and thereby influence children's risk of unhealthy weight gain. Aim 1: Develop a home-based intervention to modify parenting practices that influence children's risk of unhealthy weight gain. During program development the investigators will apply a successful model of a home-based parenting program for smoking prevention developed by the Principal Investigator in prior research, they will involve parents and children in screening the intervention concepts and field testing intervention prototypes, and they will utilize expert consultation on nutrition and physical activity intervention and assessment. The complete intervention will be a six month series of intervention activity guides that rely on interactive games and other forms of experiential learning to engage parents and children jointly in modifying diet, physical activity, and media use practices that promote unhealthy weight gain. Aim 2: Conduct a small sample pilot study to measure the effects of the intervention on parenting practices and on children's dietary, physical activity, and media use behaviors. At baseline, 240 dyads of mothers and seven year old children will be recruited. Mothers will be biological mothers, step- mothers, foster mothers, or other female guardians of any racial/ethnicity group; children will be boys or girls who are at-risk or nearly-at-risk of becoming overweight (defined as sex-specific BMI-for-age = 80th and < 95th percentile). Following baseline assessments completed by mothers and children on site (at Principal InvestigatorRE), participants will be randomly assigned to a 6-month treatment or to a delayed treatment control condition (controls will receive intervention materials after follow-up). Intervention exposure and fidelity will be measured using telephone interviews conducted monthly with random subsets of treatment group parents. Follow-up data collection will repeat the baseline assessment protocol for mothers and children. Regression models will be used to test the hypothesis that parents exposed to the intervention will be significantly more likely than controls to use parenting practices that promote healthy weight gain. Regression models will also test whether children in the treatment group are significantly more likely than controls to report recommended dietary, physical activity, and media use behaviors. Pediatric obesity has become increasingly prevalent and is associated with increased risk of multiple chronic diseases. Children whose diet, physical activity, and media use behaviors promote energy balance could experience long-term health benefits. For children to benefit, parents must have the knowledge, basic skills, and socialization tools they need to modify relevant socialization processes. The proposed research aims to develop a program that will meet this need.

描述（由申请人提供）：这项调查将开发和试点测试以家庭为基础的干预措施，以修改影响儿童饮食模式，体育活动和媒体使用行为的父母行为，从而影响儿童不健康的体重增加的风险。目标1：制定一项以家庭为基础的干预措施，以改变影响儿童不健康体重增加风险的养育做法。在项目开发过程中，研究人员将应用主要研究者在先前研究中开发的成功的家庭育儿计划模型，他们将让父母和儿童参与筛选干预概念和现场测试干预原型，他们将利用营养和身体活动干预和评估的专家咨询。完整的干预将是一个为期六个月的系列干预活动指南，依靠互动游戏和其他形式的体验式学习，让父母和孩子共同改变饮食，体育活动和促进不健康体重增加的媒体使用习惯。目标二：进行一项小样本试点研究，以衡量干预措施对父母的做法和儿童的饮食，体育活动和媒体使用行为的影响。在基线时，将招募240对母亲和7岁儿童。母亲将是亲生母亲、继母、养母或任何种族/民族群体的其他女性监护人;儿童将是有超重风险或接近超重风险的男孩或女孩（定义为年龄别性别BMI =第80百分位数且<第95百分位数）。母亲和儿童在研究中心（在Principal InvestigatorRE）完成基线评估后，将受试者随机分配至6个月治疗或延迟治疗对照组（对照组将在随访后接受干预材料）。干预暴露和忠诚度将通过每月与治疗组父母的随机子集进行电话访谈来测量。随访数据收集将重复母亲和儿童的基线评估方案。回归模型将被用来测试的假设，即父母暴露于干预将显着更有可能比对照组使用育儿的做法，促进健康的体重增加。回归模型还将测试治疗组的儿童是否比对照组更有可能报告推荐的饮食，体育活动和媒体使用行为。儿童肥胖症已变得越来越普遍，并与多种慢性疾病的风险增加有关。饮食、体育活动和媒体使用行为促进能量平衡的儿童可以获得长期的健康益处。为了使儿童受益，父母必须掌握必要的知识、基本技能和社会化工具，以改变相关的社会化过程。拟议的研究旨在制定一项计划，以满足这一需求。