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Communities and Schools Together for Childhood Obesity Prevention

社区和学校共同预防儿童肥胖

基本信息

批准号：
8267674
负责人：
Deborah Johnson-Shelton
金额：
$ 56.75万
依托单位：
OREGON RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-05-01 至 2014-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8267674
关键词：
Address Adult Awareness Cardiovascular Diseases Centers for Disease Control and Prevention (U.S.)Child Child health care Childhood Chronic Disease Collaborations Communities Community Health Community Practice Complex County Data Development Educational Curriculum Effectiveness Enrollment Environment Environmental Health Environmental Risk Factor Epidemic Evaluation Evaluation Research Face Family Food Goals Health Health Food Health Policy Health education Healthy People 2010 Institute of Medicine (U.S.)Institution Intervention Investigation Knowledge Life Style Measures Modeling Monitor National Health and Nutrition Examination Survey Nature Neighborhoods Non-Insulin-Dependent Diabetes Mellitus Nutritional Obesity Oregon Outcome Overweight Parenting behavior Parents Participant Phase Physical activity Policies Prevalence Prevention Prevention program Preventive Intervention Process Program Development Public Health Public Health Practice Relative (related person)Research Research Methodology Research Project Grants Resources Risk Risk Factors Rural Community Schools Social Problems Solutions Stress Students Surveys System Teenagers Time Training Training and Education Trust United States Universities Work base community based participatory research community organizations community setting demographics design effective intervention elementary school experience food consumption innovation interest intervention program meetings member multidisciplinary nutrition obesity in children obesity prevention obesity risk programs psychological outcomes repository school health self esteem social suburb systems research tool

项目摘要

DESCRIPTION (provided by applicant): The growing epidemic of childhood obesity, and increasing awareness about the nature of chronic diseases that persist from childhood into adulthood, has become a major public health concern in the United States. Evidence continues to mount that the two most important influences on childhood obesity are nutrition and physical activity. While schools are often cited as the most capable environment to address childhood obesity and related public health concerns, they face extreme challenges in providing these social interventions alone. At the same time, environmental and social influence beyond the reach of schools are becoming recognized as the major determinants in the development of childhood obesity (Institute of Medicine, 2005). Across this divide and connection between schools and communities, an opportunity exists to transform approaches and community-school relationships to more effectively address this growing national obesity epidemic. Community-Based Participatory Research (CBPR) offers a much needed strategy for organizing local capacity in understanding and responding to these complex, multi-systemic health issues. The Communities and Schools Together (CAST) study seeks to build a collaborative school-community partnership to discover researched solutions to local obesity health risks for children. Partners in this proposed study include an elementary school district with an enrollment of 3,000 students in a suburban/rural community in Oregon. Community partners include a multidisciplinary group of organizational members focused on food system environments, parent training and health education; university academic programs experienced in assessing nutritional policies and practice, community built environments, and physical activity access and supports; and a research organization capable of assisting in measuring and evaluating community-based interventions to support of communities and schools in their efforts to reduce childhood obesity. To assist this CAST CBPR, we propose the development of a community health monitoring system to serve as community-based repository for research on local health needs. This CHMS will help track rates of child obesity, analyzing environmental and social influences of obesity, and developing strategies for effective and timely community-based obesity prevention and intervention programs. CAST partners will conduct research on local social, built environment, and food environment influences and factors related to child health, develop and evaluate a community developed, data driven parent health intervention program, and document program processes and collaboratively developed research methods and findings for ongoing dissemination and replication of the CAST program. PUBLIC HEALTH RELEVANCE: The project will develop a community-school partnership to research environmental factors influencing obesity risk among elementary school children. This project will create a Community-Based Health Monitoring system to serve as a research repository for obesity prevention collaboration and a research tool for use in other communities. The project will also develop and evaluate a collaborative and research-based parenting curriculum to reduce community risks of obesity among children. School neighborhoods will be assessed for children}s health via established built- and food-system research methods, which will measure the relative strengths and challenges of neighborhoods for support of positive child health outcomes.

描述（由申请人提供）：儿童肥胖症的日益流行，以及对从儿童期持续到成年期的慢性疾病性质的认识不断提高，已成为美国的一个主要公共卫生问题。越来越多的证据表明，营养和体育活动是影响儿童肥胖的两个最重要的因素。虽然学校经常被认为是解决儿童肥胖和相关公共卫生问题的最有能力的环境，但它们在单独提供这些社会干预措施方面面临着极大的挑战。与此同时，学校无法触及的环境和社会影响被认为是儿童肥胖症发展的主要决定因素（医学研究所，2005年）。在学校和社区之间的这种鸿沟和联系中，存在着改变方法和社区-学校关系的机会，以更有效地解决这一日益严重的全国性肥胖流行病。基于社区的前瞻性研究（CBPR）提供了一个非常需要的战略，组织当地的能力，了解和应对这些复杂的，多系统的健康问题。社区和学校一起（CAST）研究旨在建立一个合作的学校-社区伙伴关系，以发现当地儿童肥胖健康风险的研究解决方案。这项拟议研究的合作伙伴包括俄勒冈州郊区/农村社区的一个小学学区，该学区有3,000名学生。社区合作伙伴包括一个多学科的组织成员小组，重点是食品系统环境，家长培训和健康教育;在评估营养政策和实践，社区建设环境，体育活动的访问和支持方面经验丰富的大学学术课程;以及一个能够协助测量和评估社区的研究组织-基于干预措施，以支持社区和学校努力减少儿童肥胖。为了协助这项CAST CBPR，我们建议开发一个社区健康监测系统，作为基于社区的本地健康需求研究库。该CHMS将有助于跟踪儿童肥胖率，分析肥胖的环境和社会影响，并制定有效和及时的基于社区的肥胖预防和干预计划的战略。CAST合作伙伴将对当地社会、建筑环境和食品环境的影响以及与儿童健康相关的因素进行研究，开发和评估社区开发的、数据驱动的家长健康干预计划，并记录计划流程和合作开发的研究方法和发现，以持续传播和复制CAST计划。公共卫生相关性：该项目将发展社区-学校伙伴关系，研究影响小学生肥胖风险的环境因素。该项目将创建一个以社区为基础的健康监测系统，作为肥胖预防合作的研究资料库和供其他社区使用的研究工具。该项目还将开发和评估一个合作和基于研究的育儿课程，以减少社区儿童肥胖的风险。学校社区将通过已建立的建筑和食物系统研究方法进行儿童健康评估，该方法将衡量社区支持积极儿童健康结果的相对优势和挑战。