SCALE: Small Changes and Lasting Effects

康奈尔行为干预发展中心的目标是将基本的行为 社会科学发现有效的行为干预措施可以减少黑人和拉丁裔的肥胖 社区。为了实现这一目标，我们汇聚了一支经验丰富的跨学科团队 拥有在有色人种社区进行翻译研究的专业知识的科学家。 主要目标：在居住在哈莱姆区或南布朗克斯区的超重或肥胖黑人或拉丁裔成年人中， 目标是：1)建立将基础科学和社会科学发现转化为发展的基础设施 以预防和治疗肥胖为目标的有效行为干预；以及2)进一步发展和 改进有意识的饮食干预措施，以实现患者内部体重通过小剂量的 饮食行为的持续变化加上生活方式体力活动的持续增加。 第一阶段定义干预我们将通过以下方式进一步发展和完善我们的正念饮食干预 三种不同环境下的焦点小组：个人、家庭和基于信仰。然后进行了小规模的试点测试 在有和没有积极情绪/自我肯定的情况下进行有意识的饮食干预。 第二阶段描述干预效果：在三个平行的“概念验证”随机试验中， 精致的正念饮食干预将在每种情况下与教育干预进行比较。在这些 试验中，正念饮食干预将与积极的情感/自我肯定干预相结合， 我们最近完成的随机试验表明，在 超重/肥胖患者。在12个月时，主要结果将是体重变化百分比。 第三阶段评估可行性和改进干预措施：第二阶段概念验证试验将 分析并对干预措施进行细化。对那些表现最好和最差的人进行的形成性研究 每项设置都将完成。将计划进行大规模试验，以测试优化后的 干预。 长期目标：中心将确定在哪种环境下进行哪种正念饮食干预(个人、 家庭或信仰)加上积极的情感/自我肯定，以增加生活方式的体力活动 在创造可持续饮食和体力活动方面更有效的潜力行为改变和 在黑人和拉丁裔社区以可扩展的方式减肥。

The goal of the Cornell Center for Behavioral Intervention Development is to translate basic behavioral and social science discoveries into effective behavioral interventions that reduce obesity in Black and Latino communities. To achieve this goal, we have brought together an accomplished interdisciplinary team of scientists who have expertise in conducting translational research in communities of color. Primary aim: Among overweight or obese Black or Latino adults who live in Harlem or the South Bronx, the objectives are: 1) to establish an infrastructure for translating basic and social science discoveries to develop effective behavioral interventions targeted at preventing and treating obesity; and 2) to further develop and refine mindful eating interventions in order to achieve a >7% within-patient reduction in weight through small sustained changes in eating behavior coupled with sustained increases in lifestyle physical activity. Phase I Defining the intervention We will further develop and refine our mindful eating intervention through focus groups in three different settings: individual, family and faith-based. Then small pilot tests of the mindful eating intervention with and without a positive affect/self affirmation intervention will be done. Phase II Characterizing the intervention effects: In three parallel 'proof of concept' randomized trials, the refined mindful eating intervention will be compared in each setting to a education intervention. In these trials, the mindful eating intervention will be coupled with a positive affect/self affirmation intervention which our recently completed randomized trial has shown to significantly increase physical activity in overweight/obese patients. At 12 months, the primary outcome will be % change in weight. Phase III Assessing feasibility and refining the intervention: The phase II proof of concept trials will be analyzed and the intervention will be refined. A formative study of those who fared the best and the worst in each of the settings will be done. A large scale trial will be planned to test the effectiveness of the optimized intervention. Long term objective: The Center will identify which mindful eating intervention in which setting (individual, family or faith-based) coupled with positive affect/self affirmation to increase lifestyle physical activity have the potential to be more effective in creating sustainable eating and physical activity behavior change and weight loss in a scalable way in Black and Latino communities.