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

描述（由申请人提供）：这个以患者为导向的指导研究事业奖（K23）的目标是让Dr. Rhee成为儿科体重管理领域的独立研究员。这个培训计划，通过教学和直接指导的培训经验相结合，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)可能影响儿童体重控制项目效果的亲子互动，父母方式和父母干预的研究，以及3)儿童肥胖临床研究的方法，统计和伦理。米里亚姆医院/布朗医学院的资源以及与她的专家指导团队的密切联系。Wing, Dickstein， Jelalian和Seifer)将为李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能是成功的，但在效果上有很大的差异。有几个因素可能会影响这些项目的成功：育儿技巧的采用和育儿方式对家庭行为改变实施的影响。这项建议的目的是为了更好地理解父母的技能/风格在成功控制儿童体重行为中的作用。我们将首先为家庭聚餐期间的育儿技巧制定一个编码图式。在第二阶段，当我们实施以家庭为基础的行为体重控制计划时，我们将使用这个和其他现有的直接观察措施来评估家庭聚餐时的育儿技巧和风格。由父母和孩子完成的额外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，以及当前以家庭为基础的项目是否可以改变这些父母层面的因素。作为次要目的，我们将研究超重儿童和正常体重儿童的家庭在育儿技巧或方式上是否存在差异。

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.