Comprehensive Approach to Family Weight Management

家庭体重管理的综合方法

• 批准号: 7999973
• 负责人: JUDITH WYLIE-ROSETT
• 金额: $ 10万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-01-01 至 2011-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7999973
• 关键词: 12 year old; Address; Adoption; Adult; Affect; Age; American; Behavior; Behavioral Model; Biological Markers; Body mass index; Child; Childhood; Clinic; Collaborations; Community Health; Computerized Medical Record; Consult; Counseling; Data; Dietary intake; Effectiveness; Enrollment; Environment; Evaluation; Evaluation Studies; Family; Family member; Food; Goals; Health; Healthy People 2010; High Prevalence; Hispanics; Hospitals; Individual; Intervention; Life Style; Maintenance; Managed Care; Measures; Medicaid; Medical; Medical Staff; Metabolic; Modeling; Motivation; New York City; Newsletter; Obesity; Overweight; Parents; Participant; Physical activity; Poverty; Prevalence; Prevention strategy; Primary Health Care; Process Measure; Professional Education; Quality Control; Randomized; Randomized Controlled Clinical Trials; Readiness; Role; Schools; Services; Social Marketing; Students; Surveys; Target Populations; Techniques; Testing; Training Support; Weight; Weight maintenance regimen; Youth; arm; base; cost; cost effectiveness; follow-up; improved; intervention effect; obesity prevention; post intervention; programs; sedentary; sex; skills; social; staff intervention; theories

DESCRIPTION (provided by applicant): Project Summary: The purpose of this study is to address the Healthy People 2010 obesity prevention objective. This study will test the effects of a comprehensive family weight management program on the BMI z-score of 7-12 year-old children with a BMI > 85th percentile who receive primary care in a large municipal Bronx hospital. The intervention framework will draw on social marketing theory and the transtheoretical model of behavioral change to incorporate successful obesity prevention strategies. A two-arm randomized controlled clinical trial (RCT), which will enroll (n =506) 7-12 year old children with a = 85th BMI percentile, will compare the Experimental Intensive Intervention to a Standard (Control) Intervention. The Standard Intervention will receive: 1) an initial consult, which includes an overview of lifestyle goals, 2) quarterly follow-up, 3) and a monthly newsletter. The Intensive Intervention will add: 1)12 core group modules for parents (to address roles and skills) and for children (to enhance motivation and skills and to provide physical activity), 3) Tailored support using a }toolbox} approach from community health workers as extensions of the Family Weight Management professional education staff, and 4) monthly after-core follow-up groups. The study will determine if children randomized to the Experimental Intensive Intervention will have greater improvement in BMI change (z-scores) than those randomized to the Control Standard Intervention. The study will also evaluate the effects on the Experimental Intervention on lifestyle variables and assess intervention costs. The RE-AIM evaluation will address: Reach: How many of the eligible children/ families were referred and how many of those referred actually enrolled? We will use BMI data in the computerized medical records to evaluate the proportion and the appropriateness of the referrals. Efficacy/Effectiveness: How did the Experimental intervention affect BMI (changes in z-score), and key biomarkers when followed as planned? Adoption: How acceptable were the intervention(s) to the primary care medical team and the children/families in the pediatric clinics etc? (from process measures and post intervention surveys) Implementation: How many of the intervention activities were provided as planned? Quality control measures will be used to evaluate the integrity of the intervention(s). Maintenance: How much of the intervention effect is sustainable? Individual effects will be evaluated based on the 24 month follow data. Institutional effects evaluation will include the potential to maintain services using third-party coverage. Project Narrative The purpose of this study is to address the Healthy People 2010 obesity prevention objective and to test a comprehensive family weight management program in 7-12 year- old Bronx children who are overweight. The study will randomize 506 children to the Experimental (Intensive) Intervention or to a Standard (Control) Intervention. The Standard Intervention will receive: 1) an initial consult, which includes an overview of lifestyle goals, 2) quarterly follow-up, 3) and a monthly newsletter. The Intensive Intervention will add: 1)12 core group modules for parents (to address roles and skills) and for children (to enhance motivation and skills and to provide physical activity), 3) tailored support using a "toolbox" approach from community health workers as extensions of the Family Weight Management professional education staff, and 4) Monthly after-core follow-up groups.

描述（由申请人提供）： 项目摘要：本研究的目的是解决2010年健康人的肥胖预防目标。这项研究将测试一项全面的家庭体重管理计划对拥有BMI> 85％的7-12岁儿童的BMI Z评分的影响，他们在大型市政布朗克斯医院获得初级保健。干预框架将借鉴社会营销理论和行为改变的跨理论模型，以纳入成功的肥胖预防策略。一项两臂随机对照临床试验（RCT）将招募（n = 506）7-12岁的患有A = 85 bmi百分位的儿童，将将实验强度干预与标准（对照）干预进行比较。标准干预将收到：1）初步咨询，其中包括生活方式目标的概述，2）季度随访，3）和每月的新闻通讯。密集的干预措施将补充：1）父母的12个核心小组模块（以解决角色和技能）和孩子（以增强动力和技能并提供体育锻炼），3）3）使用社区卫生工作者的量身定制的支持，作为家庭体重管理专业教育人员的扩展和4个工具箱的量身定制支持。该研究将确定与随机分配给对照标准干预措施的儿童是否随机分配到实验性密集型干预措施（Z分数）是否会更大。该研究还将评估对实验干预对生活方式变量的影响并评估干预成本。重新评估将解决：覆盖范围：转介了多少合格的儿童/家庭，以及实际参考的人中有多少？我们将在计算机化病历中使用BMI数据来评估转介的比例和适当性。功效/有效性：实验干预措施在按计划遵循时如何影响BMI（Z得分的变化）和关键的生物标志物？收养：对小儿诊所中的初级保健医疗团队和儿童/家庭的干预措施有多可接受？ （从过程措施和干预后调查）实施：按计划提供了多少个干预活动？质量控制措施将用于评估干预措施的完整性。维护：多少干预效果是可持续的？将根据24个月的数据进行评估个人效果。机构效果评估将包括使用第三方覆盖范围维护服务的潜力。 项目叙述本研究的目的是解决健康的2010年肥胖症预防目标，并在超重的7-12岁的布朗克斯儿童中测试全面的家庭体重管理计划。该研究将将506名儿童随机进行实验（密集）干预或标准（对照）干预。标准干预将收到：1）初步咨询，其中包括生活方式目标的概述，2）季度随访，3）和每月的新闻通讯。密集的干预措施将补充：1）父母的12个核心小组模块（以解决角色和技能）和儿童（以增强动力和技能并提供体育锻炼），3）3）使用社区卫生工作者的“工具箱”方法量身定制支持，作为家庭体重管理专业教育人员的扩展和4个每月的核心后随访小组。