Addressing Health Literacy and Numeracy to Prevent Childhood Obesity

提高健康素养和算术能力以预防儿童肥胖

基本信息

  • 批准号:
    7559948
  • 负责人:
  • 金额:
    $ 62.13万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2009
  • 资助国家:
    美国
  • 起止时间:
    2009-01-05 至 2013-12-31
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (provided by applicant): In 2003, Surgeon General Richard Carmona stated that low health literacy was "one of the largest contributors to our nation's epidemic of overweight and obesity." This assertion is supported by recent studies which have found that low health literacy or numeracy is associated with poorer caregiver breastfeeding knowledge, incorrect mixing of infant formula, difficulty understanding food labels and portion sizes, and higher Body Mass Index (BMI) in adults and children. Of particular concern is the impact of the obesity epidemic on our youngest children. Over 26 percent of preschool children are now overweight (BMI>85 percent) or obese (BMI>95 percent) (based on 2007 HHS/CDC Expert Panel definitions). Rates of obesity in preschool children have doubled over the past decade, with the highest increases among low income and minority children-- the same communities most affected by low health literacy. To date, clinical efforts to prevent or treat childhood obesity have had limited efficacy. Efforts need to start early, because children who are overweight by age two are five times as likely to become overweight adolescents, and subsequently at higher risk for obesity-related complications including early-onset Type-2 Diabetes and cardiovascular disease. No published clinical studies have rigorously addressed obesity prevention prior to age 2 with a specific low-literacy and numeracy focus. Addressing caregiver health literacy in early childhood is an innovative strategy to promote healthy nutrition and activity among these families and prevent unhealthy weight gain across the child's life, which would have great public health significance by preventing both child and adult chronic illness. The proposed study is a multi-site randomized, controlled trial to assess the efficacy of a low- literacy/numeracy-oriented intervention designed to promote healthy family lifestyles and to prevent early childhood obesity. The intervention will be delivered through pediatric resident physicians in primary care settings in under-resourced communities. Four academic medical centers will be randomized: Vanderbilt University, the University of Miami, the University of North Carolina at Chapel Hill, and New York University. Two centers will receive the intervention, while the other two centers will receive an active control. At each site, a cohort of 250 English- or Spanish-speaking caregiver-child dyads will be enrolled and followed from the child's 4-6 month well-child visit through the 24-month well-child visit. The intervention will include a low- literacy-oriented toolkit for pediatric residents to use with families and clear health communication training for the pediatric residents. At control sites, pediatric residents will provide "usual care" with respect to lifestyle counseling, but they will also receive an injury-prevention education program to act as an attention control. The primary hypotheses are that the intervention will improve family dietary and physical activity behaviors and that it will reduce the rate of childhood overweight (BMI > 85 percent) at age 24 months. PUBLIC HEALTH RELEVANCE: In 2003, Surgeon General Richard Carmona suggested that low health literacy is "one of the largest contributors to our nation's epidemic of overweight and obesity." Over 26 percent of preschool children are now overweight or obese, and children who are overweight by age 24 months are five times as likely as non- overweight children to become overweight adolescents. The aim of the study is to assess the efficacy of a low- literacy/numeracy-oriented intervention aimed at teaching pediatric resident physicians to promote healthy family lifestyles and prevent overweight among young children (age 0-2) and their families in under-resourced communities.
描述(申请人提供):2003年,卫生局局长理查德·卡莫纳说,低健康素养是“我国超重和肥胖流行的最大原因之一”。这一断言得到了最近研究的支持,这些研究发现,健康素养或算术能力低与照顾者母乳喂养知识较差、婴儿配方奶粉的不正确混合、难以理解食品标签和分量大小以及成人和儿童的身体质量指数(BMI)较高有关。特别令人担忧的是肥胖症流行对我们最小的孩子的影响。超过26%的学龄前儿童现在超重(BMI&>85%)或肥胖(BMI&>95%)(根据2007年HHS/CDC专家小组的定义)。在过去的十年里,学龄前儿童的肥胖率翻了一番,其中低收入和少数族裔儿童的肥胖率增幅最高--这也是受健康素养低下影响最大的群体。到目前为止,预防或治疗儿童肥胖症的临床努力效果有限。需要及早开始努力,因为两岁前超重的儿童成为超重青少年的可能性是青少年的五倍,随后患肥胖症相关并发症的风险也更高,包括早发性2型糖尿病和心血管疾病。没有已发表的临床研究严格地解决了2岁之前肥胖预防的具体低识字和算术重点。解决儿童早期照顾者的健康素养是一项创新战略,旨在促进这些家庭的健康营养和活动,并防止儿童一生中不健康的体重增加,这将对预防儿童和成人慢性病具有重大的公共卫生意义。这项拟议的研究是一项多点随机对照试验,旨在评估旨在促进健康家庭生活方式和预防儿童早期肥胖的低识字率/以算术为导向的干预措施的有效性。干预措施将通过资源不足社区初级保健环境中的儿科住院医生进行。四个学术医疗中心将被随机分配:范德比尔特大学、迈阿密大学、北卡罗来纳大学教堂山分校和纽约大学。两个中心将接受干预,另外两个中心将接受主动控制。在每个地点,将登记250名说英语或西班牙语的照顾者-儿童夫妇,并从孩子4-6个月的健康儿童访问到24个月的健康儿童访问。干预措施将包括为儿科住院医生提供面向低识字率的工具包,供家庭使用,并为儿科住院医生提供明确的健康沟通培训。在控制点,儿科住院医生将提供生活方式咨询方面的“日常护理”,但他们也将接受预防伤害的教育计划,以作为注意力控制。主要假设是,干预将改善家庭的饮食和体育活动行为,并将降低24个月大时儿童超重率(BMI>85%)。与公共健康相关:2003年,卫生局局长理查德·卡莫纳表示,低健康素养是“我国超重和肥胖流行的最大原因之一”。超过26%的学龄前儿童现在超重或肥胖,24个月前超重的儿童成为超重青少年的可能性是非超重儿童的五倍。这项研究的目的是评估低识字率/注重算术的干预措施的效果,该干预措施旨在教导儿科住院医生在资源不足的社区促进健康的家庭生活方式和防止幼儿(0-2岁)及其家庭超重。

项目成果

期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

ELIANA M. PERRIN其他文献

ELIANA M. PERRIN的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('ELIANA M. PERRIN', 18)}}的其他基金

Pass the Popcorn: Children's perceptions of 'obesogenic' culture in movies
传递爆米花:孩子们对电影中“致胖”文化的看法
  • 批准号:
    8737825
  • 财政年份:
    2013
  • 资助金额:
    $ 62.13万
  • 项目类别:
Pass the Popcorn: Children's perceptions of 'obesogenic' culture in movies
传递爆米花:孩子们对电影中“致胖”文化的看法
  • 批准号:
    8599500
  • 财政年份:
    2013
  • 资助金额:
    $ 62.13万
  • 项目类别:
Addressing Health Literacy and Numeracy to Prevent Childhood Obesity
提高健康素养和算术能力以预防儿童肥胖
  • 批准号:
    8054016
  • 财政年份:
    2010
  • 资助金额:
    $ 62.13万
  • 项目类别:
Addressing Health Literacy and Numeracy to Prevent Childhood Obesity
提高健康素养和算术能力以预防儿童肥胖
  • 批准号:
    8479459
  • 财政年份:
    2009
  • 资助金额:
    $ 62.13万
  • 项目类别:
Learning How To Keep TABS (Talking about BMI Screening)
学习如何保持 TABS(谈论 BMI 筛查)
  • 批准号:
    7863939
  • 财政年份:
    2009
  • 资助金额:
    $ 62.13万
  • 项目类别:
Addressing Health Literacy and Numeracy to Prevent Childhood Obesity
提高健康素养和算术能力以预防儿童肥胖
  • 批准号:
    8403591
  • 财政年份:
    2009
  • 资助金额:
    $ 62.13万
  • 项目类别:
Addressing Health Literacy and Numeracy to Prevent Childhood Obesity
提高健康素养和算术能力以预防儿童肥胖
  • 批准号:
    8011424
  • 财政年份:
    2009
  • 资助金额:
    $ 62.13万
  • 项目类别:
Addressing Health Literacy and Numeracy to Prevent Childhood Obesity
提高健康素养和算术能力以预防儿童肥胖
  • 批准号:
    8460178
  • 财政年份:
    2009
  • 资助金额:
    $ 62.13万
  • 项目类别:
Addressing Health Literacy and Numeracy to Prevent Childhood Obesity
提高健康素养和算术能力以预防儿童肥胖
  • 批准号:
    7847073
  • 财政年份:
    2009
  • 资助金额:
    $ 62.13万
  • 项目类别:
Addressing Health Literacy and Numeracy to Prevent Childhood Obesity
提高健康素养和算术能力以预防儿童肥胖
  • 批准号:
    8207253
  • 财政年份:
    2009
  • 资助金额:
    $ 62.13万
  • 项目类别:

相似海外基金

Building a Systems Approach to Community Health and Health Equity for Academic Medical Centers
为学术医疗中心建立社区健康和健康公平的系统方法
  • 批准号:
    9348616
  • 财政年份:
    2016
  • 资助金额:
    $ 62.13万
  • 项目类别:
Building a Systems Approach to Community Health and Health Equity for Academic Medical Centers
为学术医疗中心建立社区健康和健康公平的系统方法
  • 批准号:
    9212055
  • 财政年份:
    2016
  • 资助金额:
    $ 62.13万
  • 项目类别:
A CONFERENCE ON THE 'CRISIS' OF ACADEMIC MEDICAL CENTERS
关于学术医疗中心“危机”的会议
  • 批准号:
    6335654
  • 财政年份:
    2000
  • 资助金额:
    $ 62.13万
  • 项目类别:
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了