UCLA/RAND CENTER FOR ADOLESCENT HEALTH PROMOTION-CATEGORY 1

加州大学洛杉矶分校/兰德青少年健康促进中心 - 1 类

• 批准号: 7701169
• 负责人: Robert M Kaplan
• 金额: $ 109万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7701169
• 关键词: UCLA; RAND; CENTER; ADOLESCENT; HEALTH

DESCRIPTION (provided by applicant): The UCLA/RAND Center for Adolescent Health Promotion's mission is to conduct prevention research that (1) addresses the needs of children, adolescents, young adults, and their families; (2) builds empowering relationships with community partners in Los Angeles and beyond; and (3) directly benefits communities and/or transforms local, state, and national policies. For ten years, our partner community has been LA's large, diverse South Bay region. Our core research project, Parents and Students for Nutrition and eXercise (P-SNaX), is a community-based participatory research (CBPR) project to develop and test a parent-focused intervention to improve childhood nutrition and exercise in homes and neighborhoods. P-SNaX builds on one of our existing successful CBPR projects (SNaX), a child-focused intervention to improve student nutrition and exercise in middle schools. Together, SNaX and P-SNaX may offer a sustainable comprehensive approach to childhood obesity prevention that, although recommended, has been elusive in practice. In Year 1, we will conduct surveys assessing parent needs with respect to their child's nutrition and exercise. We will then work closely with communities, parents, students, and schools to develop P-SNaX to increase parent self-efficacy and to stimulate change in homes and neighborhoods. In Years 2-5, we will test the intervention in four South Bay schools (SNaX + P-SNaX vs. SNaX-only), disseminate preliminary and final results, and prepare for a large-scale cluster-randomized trial. Our specific aims are: (1) To assess parents' needs, self- efficacy, and behaviors with respect to childhood obesity prevention in their homes, schools, and neighborhoods; (2) To develop a school-based, parent-focused CBPR intervention (P-SNaX), administered in conjunction with SNaX, to increase parent self-efficacy and improve child and parent behaviors with respect to childhood obesity prevention; (3) To conduct a four-school controlled trial (P-SNaX + SNaX vs. SNaX only) to examine the incremental effects of P-SNaX on healthy eating and physical activity among students; and (4) To disseminate results of the combined parent and student-focused intervention to community stakeholders, and to develop plans for broad program dissemination and additional research. RELEVANCE (See instructions): Childhood obesity is a national public health concern. Comprehensive approaches to childhood obesity prevention involving children, parents, schools, and communities are widely recommended, but the ability to deliver and sustain such programs has been lacking. Participatory research among researchers, families, schools, and communities may be able to find new, effective solutions.

描述（由申请人提供）： UCLA/兰德青少年健康促进中心的使命是开展预防研究，（1）满足儿童，青少年，年轻人及其家庭的需求;（2）与洛杉矶及其他地区的社区合作伙伴建立授权关系;（3）直接使社区受益和/或改变地方，州和国家政策。十年来，我们的合作伙伴社区一直是洛杉矶的大型，多样化的南湾地区。我们的核心研究项目，家长和学生的营养和锻炼（P-SNaX），是一个以社区为基础的参与式研究（CBPR）项目，以开发和测试以家长为中心的干预措施，以改善儿童的营养和家庭和社区的锻炼。P-SNaX建立在我们现有的成功的CBPR项目（SNaX），以儿童为中心的干预措施，以改善学生的营养和锻炼在中学之一。SNaX和P-SNaX可以共同提供一种可持续的综合方法来预防儿童肥胖，虽然建议，但在实践中一直难以捉摸。在第一年，我们将进行调查，评估父母在孩子营养和锻炼方面的需求。然后，我们将与社区，家长，学生和学校密切合作，开发P-SNaX，以提高家长的自我效能，并刺激家庭和社区的变化。在第2-5年，我们将在四所南湾学校测试干预措施（SNaX + P-SNaX与SNaX），传播初步和最终结果，并准备进行大规模的随机分组试验。我们的具体目标是：（1）评估家长在家庭、学校和社区预防儿童肥胖的需求、自我效能和行为;（2）开发以学校为基础、以家长为中心的CBPR干预措施（P-SNaX），与SNaX联合实施，以提高家长的自我效能并改善儿童和家长在预防儿童肥胖方面的行为;（3）开展四校对照试验（P-SNaX + SNaX对比仅SNaX），以检验P-SNaX对学生健康饮食和体育活动的增量效应;及（4）向社区持份者宣传家长和学生共同参与的结果，并为广泛的项目传播和额外的研究制定计划。相关性（见说明）：儿童肥胖是一个国家公共卫生问题。广泛建议采取综合方法预防儿童肥胖，包括儿童，家长，学校和社区，但缺乏提供和维持此类计划的能力。在研究人员、家庭、学校和社区之间进行的前瞻性研究可能会找到新的有效解决方案。