Community Partnering to Encourage Healthy Beverage Intake through Child Care

社区合作通过儿童保育鼓励健康饮料的摄入

• 批准号: 8298977
• 负责人: Anisha Indravadan Patel
• 金额: $ 13.96万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-07-08 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8298977
• 关键词: 5 year old; Academy; Age; American; Applications Grants; Award; Behavior; Beverages; California; Caregivers; Caring; Characteristics; Child; Child Care; Communities; Community Surveys; Comorbidity; Complex; Consumption; Cost Effectiveness Analysis; County; Coupled; Data; Dental caries; Development; Diabetes Mellitus; Diet; Education; Effectiveness; Energy Intake; Environment; Evaluation; Family; Family Caregiver; Fatty acid glycerol esters; Feedback; Fruit; Future; Goals; Guidelines; Height; Home environment; Household; Hyperlipidemia; Intake; Intervention; Interview; Juice; K-Series Research Career Programs; Knowledge; Lead; Licensing; Life; Link; Low income; Measurement; Mentored Patient-Oriented Research Career Development Award; Methods; Milk; Mission; Modeling; Obesity; Oral health; Outcome; Parents; Pattern; Pediatrics; Physical activity; Policies; Positioning Attribute; Preparation; Process; Public Health; Randomized Controlled Trials; Research; Research Personnel; Risk; Science; Site; Surveys; Telephone; Testing; Training; Translating; Visit; Water; Weight; base; burden of illness; career; community based participatory research; design; drinking water; effective intervention; evidence base; implementation science; member; nutrition; obesity in children; patient home care; post intervention; preference; prevent; secondary outcome; skills; socioeconomics; stem; sugar; sweetened beverage; tool

DESCRIPTION (provided by applicant): Community Partnering to Encourage Healthy Beverage Intake through Child Care Inappropriate intake of whole milk, fruit juice, and sugar-sweetened beverages is associated with childhood obesity, obesity-related co morbidities, and dental caries, yet there are few proven interventions to promote child intake of healthy beverages consistent with national guidelines. Child care facilities provide a potential venue for influencing healthy beverage intake in children and families. Our overall objective is to use principles of community-based participatory research (CBPR; an approach in which researchers partner with community members to conduct research) to develop, pilot test, and examine the acceptability, feasibility, sustainability, and preliminary outcomes of a child care-based intervention to encourage child intake of age-appropriate, guideline-recommended beverages. Our central hypothesis is that a multi-level intervention consisting of educational strategies to encourage intake of guideline-recommended beverages; increased accessibility of lead-free, fluoridated, drinking water in child care and at home; and evidence-based child care and home beverage policies will lead to healthier beverage intake and reduced childhood obesity. In preparation for submitting an R01 grant application to test this hypothesis, we propose the following specific aims: Aim 1: Investigate beverage consumption patterns as well as barriers and facilitators to guideline-recommended beverage intake among 0-5 year olds; Aim 2: Design, pilot test, and evaluate the preliminary outcomes of a child care-based healthy beverage intervention; and Aim 3: Refine the intervention based on an evaluation of intervention feasibility, acceptability, and sustainability. In Aim 1, we will conduct interviews with child care staff and parents and observe child care facilities to explore factors that influence children's beverage intake and barriers and facilitators to healthy beverage consumption. In Aim 2, we will use community partner feedback and findings from Aim 1 to design, pilot test, and evaluate preliminary outcomes (e.g., child BMI, beverage intake, child care beverage policies) of a healthy beverage intervention in a licensed child care center and 2 child care homes in an ethnically and socioeconomically diverse California county. Comparison facilities will be matched on intervention facility characteristics. In Aim 3, we will evaluate the feasibility, acceptability, and sustainability of the intervention - based on our observations of child care facilities, debriefing sessions, parent/staff surveys, and community feedback - in order to refine the intervention for a future larger randomized controlled trial, to be proposed in an R01 application before the end of this award. This career development award will allow Dr. Patel to strengthen her skills in dissemination and implementation sciences and to acquire new skills in policy and institututional strategies to translate evidence into practice, measurement development, longitudinal and hierarchical modeling, and cost-effectiveness analysis. At the end of this award, Dr. Patel will be well positioned to translate evidence into practice to prevent childhood obesity.

描述（由申请人提供）：通过儿童保育，全牛奶，果汁和糖粉饮料的不适当摄入量与儿童肥胖，与肥胖相关的CO病毒和龋齿有关，但很少有证明的干预措施可以促进健康的饮料与健康的饮料一致的国家指南，这与社区合作伙伴关系，以鼓励健康的饮料摄入量。托儿所为影响儿童和家庭的健康饮料摄入量提供了潜在的场所。我们的总体目标是使用基于社区的参与性研究原则（CBPR；一种研究人员与社区成员合作进行研究的方法）来开发，试点测试和研究基于儿童的干预措施的可接受性，可行性，可行性，可持续性和初步结果，以鼓励适合年龄的儿童摄入，适用于年龄，指南，指南招聘的饮料。我们的中心假设是，由教育策略组成的多层干预措施鼓励摄取准则推荐的饮料；无铅，氟化，饮用水在儿童保育和家里增加的可及性；基于证据的托儿和家庭饮料政策将导致更健康的饮料摄入量和减少儿童肥胖症。在准备提交R01赠款申请以检验此假设的过程中，我们提出了以下特定目的：目标1：调查饮料消费模式以及障碍和促进者，以在0-5岁的年龄段的指南推荐饮料摄入量； AIM 2：设计，试点测试和评估基于儿童保育的健康饮料干预的初步结果；和目标3：根据评估干预性，可接受性和可持续性的评估来完善干预措施。在AIM 1中，我们将对育儿人员和父母进行采访，并观察托儿所，以探索影响儿童饮料摄入量，障碍以及促进者以使健康饮料消费的因素。在AIM 2中，我们将使用AIM 1的社区合作伙伴反馈和调查结果来设计，试点测试和评估健康饮料干预措施的初步结果（例如儿童BMI，饮料摄入量，托儿饮料政策）在持牌儿童保育中心中的健康饮料干预和2个在种族和社会上的儿童托儿所中的2个。比较设施将在干预设施特征上匹配。在AIM 3中，我们将根据我们对托儿设施，汇报会议，父母/员工调查和社区反馈的观察结果来评估干预措施的可行性，可接受性和可持续性 - 以在此奖项结束之前在R01申请中提出了对未来更大的随机对照试验的干预措施。该职业发展奖将使帕特尔博士能够增强她在传播和实施科学方面的技能，并在政策和机构策略方面获得新技能，以将证据转化为实践，测量发展，纵向和等级制建模以及成本效益分析。在该奖项结束时，帕特尔博士将有能力将证据转化为实践，以防止儿童肥胖。