Reducing Television Viewing to Prevent Obesity in Hispanic Preschool Children

减少看电视以预防西班牙裔学龄前儿童肥胖

• 批准号: 7532327
• 负责人: Jason A Mendoza
• 金额: $ 13.36万
• 依托单位: BAYLOR COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-08-15 至 2013-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7532327
• 关键词: 5 year old; Academy; Address; Adult; Affect; Age; Age-Years; American; Behavior; Behavior Therapy; Child; Child Care; Childhood; Complement; Crocodylus; Development; Educational Curriculum; Educational process of instructing; Effectiveness; Energy Intake; Enrollment; Environment; Epidemic; Family; Funding; Goals; Guidelines; Head Start Program; Health Promotion; Hispanics; Home environment; Hour; Intervention; Interview; Link; Low income; Malignant Neoplasms; Measures; Medicine; Mentors; Methods; Minority; Modeling; Morbidity - disease rate; Mothers; Neighborhoods; New York; Newsletter; Nursery Schools; Obesity; Parenting behavior; Parents; Pediatrics; Physical activity; Population; Preschool Child; Public Health; Publishing; Qualitative Methods; Questionnaires; Randomized Controlled Trials; Rate; Recommendation; Recruitment Activity; Reporting; Research; Research Methodology; Research Personnel; Research Project Grants; Risk; Risk Factors; Rural; Sampling; Schools; Sleep; Standards of Weights and Measures; Structure; Surveys; Television; Testing; Time; Violence; Weight Gain; base; cancer prevention; cancer risk; career; college; day; design; diaries; ethnic minority population; experience; meter; modifiable risk; mortality; neighborhood safety; obesity prevention; obesity risk; outcome forecast; parent grant; patient oriented; patient oriented research; pediatrician; prevent; professor; programs; size; teacher; tv watching

DESCRIPTION (provided by applicant): Dr. Mendoza is Assistant Professor of Pediatrics at Baylor College of Medicine and a general pediatrician. His long-term goal is to become an independent, patient-oriented investigator focusing on cancer prevention by reducing childhood obesity, with an emphasis on minority and low-income children. The applicant will accomplish this goal through patient-oriented research, formal mentoring by recognized experts, such as Drs. Tom Baranowski and Theresa Nicklas, and advanced, graduate-level coursework in cancer and obesity prevention, health promotion, qualitative methods, and advanced research methods. The applicant's research goal will be to conduct a group randomized controlled trial of a culturally adapted television (TV) reduction curriculum among Hispanic preschool children in order to reduce TV viewing and prevent excess weight gain. This research project addresses Hispanic children's higher rates of obesity and TV viewing, an important modifiable risk factor for obesity. The hypothesis is that decreasing TV viewing in Hispanic preschoolers will decrease excess weight gain. The applicant will test the effectiveness of the TV reduction curriculum, Fit 5 Kids, which has already been shown to decrease TV viewing in a population of predominantly white children from rural, upstate New York. Through separate pilot funding, Dr. Mendoza will have completed the cultural adaptation of the TV reduction curriculum, including a classroom feasibility trial and semi-structured interviews of parents and teachers. The first specific aim is to test the convergent validity of accelerometers, which provide a low burden and objective measure of physical inactivity, with standard parent-reported TV diaries among Hispanic children. The second specific aim is to determine the convergent validity of two neighborhood environment questionnaires among Hispanic children. The third specific aim is to develop a parent questionnaire, based on the Model of Goal Directed Behavior, to assess parents' behaviors to limit their children's TV viewing time. The fourth specific aim is to successfully recruit 144, 3-5 year old Hispanic children from 12 Head Start centers for a group randomized controlled study of the adapted Fit 5 Kids curriculum to evaluate its impact on reducing TV viewing and excess weight gain in Hispanic preschool children. Dr. Mendoza's research and career development activities will advance his goal of becoming a leading independent cancer prevention researcher focused on developing and evaluating programs to prevent childhood obesity and reduce cancer risk in ethnic minority and low-income children, with the aim of reducing lifetime cancer risk.

描述（由申请人提供）：门多萨博士是贝勒医学院的儿科助理教授和普通儿科医生。他的长期目标是成为一名独立的、以患者为导向的研究人员，专注于通过减少儿童肥胖来预防癌症，重点是少数民族和低收入儿童。申请人将通过以患者为导向的研究，由公认的专家，如博士汤姆Baranowski和特里萨尼可拉斯正式指导，并在癌症和肥胖预防，健康促进，定性方法和先进的研究方法先进的，研究生水平的课程来实现这一目标。申请人的研究目标是在西班牙裔学龄前儿童中进行一项文化适应电视（TV）减少课程的分组随机对照试验，以减少电视观看并防止体重过度增加。该研究项目针对西班牙裔儿童的肥胖率和电视观看率较高，这是肥胖的一个重要可改变的风险因素。假设是，减少西班牙裔学龄前儿童的电视观看量将减少体重的过度增加。申请人将测试电视减少课程的有效性，适合5个孩子，这已经被证明可以减少来自农村，纽约北部的主要白色儿童的电视观看。通过单独的试点资金，门多萨博士将完成电视减少课程的文化适应，包括课堂可行性试验和家长和教师的半结构化访谈。第一个具体的目的是测试收敛有效性的加速度计，这提供了一个低负担和客观的措施，身体不活动，与标准的父母报告的电视日记在西班牙裔儿童。第二个具体的目的是确定收敛效度的两个邻里环境问卷西班牙裔儿童。第三个具体目标是根据目标导向行为模式编制一份家长问卷，以评估家长限制孩子看电视时间的行为。第四个具体目标是成功招募144名来自12个Head Start中心的3-5岁西班牙裔儿童，对适应的Fit 5 Kids课程进行分组随机对照研究，以评估其对减少西班牙裔学龄前儿童看电视和体重过度增加的影响。门多萨博士的研究和职业发展活动将推进他成为领先的独立癌症预防研究人员的目标，专注于开发和评估预防儿童肥胖和降低少数民族和低收入儿童癌症风险的计划，目的是降低终身癌症风险。