SCHOOL BASED OBESITY PROJECT

学校肥胖项目

• 批准号: 8265569
• 负责人: DHANANJAYA AREKERE
• 金额: $ 30.48万
• 依托单位: TEXAS A&M UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-06-01 至 2012-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8265569
• 关键词: Administrator; Advocacy; Affect; Area; Awareness; Behavior; Behavioral; Child; Child health care; Childhood; Communities; Complex; Control Groups; County; Data; Diet Habits; Disadvantaged; Economic Policy; Education Projects; Effectiveness; Elements; Environment; Epidemic; Evaluation; Face; Focus Groups; Food; Funding; Goals; Grant; Guidelines; Health; Health Knowledge, Attitudes, Practice; Health Status; Home environment; Incentives; Intervention; Knowledge; Maps; Measures; Methods; Minority; Monoclonal Antibody R24; Obesity; Outcome; Overweight; Parents; Participant; Pattern; Phase; Physical activity; Planning Theory; Policies; Population; Process; Public Health; Research; Research Design; Research Project Grants; Rural; Rural Health; Schools; Students; Surveys; Texas; Underrepresented Minority; Universities; Weight; Work; base; behavior change; comparative; comparison group; contextual factors; design; effective intervention; elementary school; evidence base; experience; food consumption; health disparity; improved; infrastructure development; intervention program; minority health; nutrition; obesity in children; prevent; programs; psychosocial; social; social cognition; teacher; theories

Understanding, preventing and reducing childhood obesity remains an important public health concern because of a general lack of effective intervention programs and policies. Efforts to assess economic, policy and social factors contributing to childhood obesity among health disparities populations are yet to be comprehensively undertaken for underserved minority populations and in rural settings and to be included in interventions. Therefore, the overall objective of the School Wellness Assesment and Advocacy Project (SWAAP) is to comprehensively assess the various determinants of childhood obesity in comparative rural and urban settings, and use the information to design, implement and evaluate the efficiency and effectiveness of a tailored intervention. The specific aims of the study are: 1) Assess the awareness and knowledge level about federal and state nutrition and physical activity policies among study participants; 2) Assess the level of physical activities among the study participants; 3) Assess the influence of the school and community policy and environments on dietary and physical activity behaviors among study participants; 4) Evaluate accessibility, availability, and affordability of healthy foods using GIS-based food environment mapping in the study area; 5) Implement a modified CATCH Texas intervention program tailored on the baseline data to positively influence knowledge, attitude and behavior among study participants; and 6) Evaluate the efficiency and effectiveness of the evidence-based tailored intervention program. Study participants are primarily health disparities populations in select elementary school children, their parents, and school stakeholders (teachers, staff and administrators) in the study area comprising of rural and urban counties in the Brazos Valley (7 counties) and Waller County, TX. The research project will use the Precede-Proceed framework to gather the data in Phase I and use the information generated to develop a tailored eight-month intervention in Phase II. A quasi-experimental pretest and posttest with comparison group research desgin will be used to implement the intervention program based on the theory of planned behavior. Outcomes to be measured are stabilization and decrease in weight among intervention participants, specifically, and improvements in health and decrease in health disparities, generally.

理解，预防和减少儿童肥胖仍然是一个重要的公共健康问题 由于普遍缺乏有效的干预计划和政策。评估经济政策的努力 以及在健康差异人群中导致儿童肥胖的社会因素尚未 全面针对服务不足的少数族裔和农村环境进行，并包括 干预措施。因此，学校健康评估和倡导项目的总体目标 （SWAAP）是要全面评估比较农村的儿童肥胖症的各种决定因素 和城市环境，并使用信息来设计，实施和评估效率和评估 量身定制干预的有效性。该研究的具体目的是：1）评估意识和 研究参与者之间有关联邦和州营养和体育锻炼政策的知识水平； 2） 评估研究参与者之间的体育活动水平； 3）评估学校的影响 以及研究参与者中饮食和身体活动行为的社区政策以及环境； 4）使用基于GIS的食物环境评估健康食品的可及性，可用性和负担能力 研究区域的映射； 5）实施修改后的德克萨斯干预计划 基线数据以积极影响研究参与者的知识，态度和行为；和6） 评估基于证据的量身定制干预计划的效率和有效性。学习 参与者主要是精选小学生，父母， 以及由农村和城市的研究区域中的学校利益相关者（教师，员工和管理人员） 布拉索斯山谷（7个县）和德克萨斯州沃勒县的县。研究项目将使用 先进的框架在第一阶段收集数据并使用生成的信息来开发一个 在第二阶段量身定制的八个月干预措施。与比较的准实验预测和后测 小组研究Desgin将根据计划的理论来实施干预计划 行为。要测量的结果是稳定和减轻干预的体重 参与者，特别是健康差异的健康和健康差异的减少。