Role of parenting skills, style, and family functioning in pediatric weight loss

描述（由申请人提供）：这个指导患者为导向的研究职业奖（K23）的目标是让李博士成为儿科体重管理领域的独立研究人员。该培训计划通过教学和直接指导培训经验的结合，为她提供了在以下方面发展额外技能和专业知识的机会：1）儿童超重的行为管理，2）亲子互动，养育方式和养育干预的研究，这可能会影响儿科体重控制计划的有效性，和3）方法，儿童肥胖症临床研究的统计学和伦理学。Miriam医院/布朗医学院的资源以及与她的专家指导团队（Wing，Dickstein，Jelalian和Seifer博士）的密切联系将为Rhee博士提供理想的环境，以实现她的培训和研究目标。儿童肥胖仍然是一个严重的公共卫生问题。以家庭为基础的行为治疗方案可以取得成功，但在疗效上有很大的差异。有几个因素可能会影响这些方案的成功：采用育儿技巧和育儿方式对家庭行为变化的影响。本提案的目的是更好地了解育儿技巧/风格在儿童行为体重控制成功中的作用。我们将首先开发一个编码模式的育儿技巧，发生在一个家庭吃饭。在第二阶段，当我们实施一个以家庭为基础的行为体重控制计划，我们将使用这个和其他现有的直接观察措施，以评估育儿技巧和风格在录像家庭用餐。父母和孩子完成的其他自我报告措施将补充录像带中收集的信息。然后，我们将确定育儿技巧和育儿方式对儿童体重状况变化的作用，以及目前以家庭为基础的计划是否可以改变这些父母水平的因素。作为第二个目标，我们将研究是否有超重和正常体重儿童的家庭之间的父母的技能或风格的差异。 公共卫生相关性：这项研究的结果将为制定一个增强或修改的儿童行为治疗计划提供信息，该计划将解决父母层面的因素。最终，该提案的目标是为超重儿童开发更全面和有效的治疗方法。

DESCRIPTION (provided by applicant): The goal of this Mentored Patient-Oriented Research Career Award (K23) is to allow Dr. Rhee to become an independent researcher in the area of pediatric weight management. This training plan, through a combination of didactic and direct mentored training experiences, provides her with the opportunity to develop additional skills and expertise in: 1) the behavioral management of child overweight, 2) the study of parent-child interactions, parenting style, and parenting interventions, which may impact the efficacy of pediatric weight control programs, and 3) the methodology, statistics and ethics of clinical research in childhood obesity. The resources at The Miriam Hospital/ Brown Medical School and close contact with her expert mentoring team (Drs. Wing, Dickstein, Jelalian, and Seifer) will provide Dr. Rhee with the ideal environment to achieve her training and research goals. Childhood obesity continues to be a serious public health concern. Family-based behavioral treatment programs can be successful, but have great variability in efficacy. Several factors may impact the success of these programs: the adoption of parenting skills and the impact of parenting style on the implementation of behavioral changes in the home. The goal of this proposal is to better understand the role of parenting skills/style in the success of behavioral weight control for children. We will first develop a coding schema for parenting skills that occur during a family meal. During phase II, when we implement a family-based behavioral weight control program, we will use this and other existing direct observation measures to evaluate parenting skills and style during a videotaped family meal. Additional self-report measures completed by the parent and child will supplement the information gathered in the videotapes. We will then determine the role of parenting skills and parenting style on change in child weight status and whether or not current family-based programs can change these parent level factors. As a secondary aim, we will examine whether there are differences in parenting skills or style between families of overweight and normal weight children. PUBLIC HEALTH RELEVANCE: The results of this study will inform the development of an enhanced or modified behavioral treatment program for children that addresses the parent level factors found to be significant. Ultimately, the goal of this proposal is to develop a more comprehensive and effective treatment for overweight children.