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An interactive web-based intervention to achieve healthy weight in young children

基于网络的互动干预措施，帮助幼儿实现健康体重

基本信息

批准号：
8434806
负责人：
Ellen Wald
金额：
$ 17.98万
依托单位：
UNIVERSITY OF WISCONSIN-MADISON
依托单位国家：
美国
项目类别：
财政年份：
2012
资助国家：
美国
起止时间：
2012-03-01 至 2016-02-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8434806
关键词：
6 year old Adherence Adolescent Adult Attention Behavior Behavior Therapy Body mass index Caregivers Caring Child Child Care Cholesterol Chronic Chronic Disease Communication Communication Tools Comorbidity Consumption Control Groups Counseling Data Degenerative polyarthritis Diet Disease Eating Effectiveness Effectiveness of Interventions Elements Emotional Enrollment Face Family Food Fostering Habits Health Home environment Hypertension Information Resources Internet Intervention Life Style Measures Medical Modeling Monitor Mothers Needs Assessment Non-Insulin-Dependent Diabetes Mellitus Nurses Nutrient Nutritional Obesity Online Systems Overweight Parenting behavior Parents Patients Personal Satisfaction Persons Physical activity Physicians Pilot Projects Play Preschool Child Primary Health Care Probability Randomized Clinical Trials Reporting Risk School-Age Population Self Efficacy Social support Support System System Technology Testing Time Trainers Training Training Universities Visit Weight Wisconsin base behavior change cost cost effectiveness experience follow-up fruits and vegetables group counseling group intervention improved innovation intervention program meetings nutrition obesity in children obesity management physical conditioning primary care setting programs skills successful intervention sweetened beverage therapy design tv watching web site

项目摘要

DESCRIPTION (provided by applicant): Obesity is the most common chronic disease presenting to the primary care practitioner who cares for children. Obesity in children and adolescents imposes a huge burden on their physical health and emotional well-being; it leads to an increased probability of becoming overweight adults with an increased risk for hypertension, osteoarthritis, type 2 diabetes, and high cholesterol compared to normal weight children. Most interventions designed to treat obesity in children have focused on the school-age child. With rare exceptions, these programs have been only modestly successful, leading us to focus our intervention on younger children (3 to 6 years of age) whose dietary and physical activity habits may be easier to change. To extend the reach of our intervention, in both duration and scope, we will partner with the Center for Health Enhancement Systems Studies at the University of Wisconsin-Madison. The Center has been in the forefront in developing innovative information and communication technologies to support patients and their informal caregivers facing chronic and fatal disease for 35 years. Their platform for information and communication, CHESS (the Comprehensive Health Enhancement Support System) is among the most extensively studied set of communication tools, having been the subject of numerous needs assessments, randomized clinical trials and field tests. We will modify the CHESS platform to meet the needs of young families with overweight or obese children. Our previous experiences have led us to develop elements of a new program: (1) we will target the parents of overweight or obese 3 to 6 year old children in the primary care setting to be the sole agents of change; (2) we will propose a non-restrictive nutritious "diet" focused on increasing fruits and vegetables with most attention to proper portion size; (3) we will promote an active life style with increased physical activity and outdoor play. Our intervention will start with 6 "in-person" group counseling sessions in the primary care setting accompanied by continuous input via the web over 12 months with a strong component focusing on "parenting skills" and increasing social supports (through the CHESS network) for fostering healthy lifestyles. The website will include information resources, answers to frequently asked questions, personal stories and an interactive discussion group. The web-based component can be accessed at convenient times and thereby will promote long-term adherence at low cost. Specific Aim 1 is to assess the feasibility of an intervention combining 6 "in- person" group counseling sessions conducted in the primary care setting by a nurse plus a one year, web- based home component to actively engage parents of overweight or obese children as measured by their attendance at counseling sessions and follow-up visits to the primary care office. Specific Aim 2 is to assess the effectiveness of this intervention program to assist parents of overweight or obese 3-6 year old children in promoting (a) reduction of child BMI-z scores, (b) healthy behavior changes (related to nutrition and physical activity) for their children, and (c) improved parenting skills.

描述(申请人提供)：肥胖是最常见的慢性疾病，呈现给照顾儿童的初级保健从业者。儿童和青少年的肥胖给他们的身体健康和情绪健康带来了巨大的负担；它导致成人超重的可能性增加，与正常体重的儿童相比，患高血压、骨关节炎、2型糖尿病和高胆固醇的风险增加。大多数旨在治疗儿童肥胖的干预措施都集中在学龄儿童身上。除了极少数例外，这些项目只取得了一定程度的成功，导致我们将干预重点放在年龄较小的儿童(3至6岁)身上，他们的饮食和体育活动习惯可能更容易改变。为了在持续时间和范围上扩大我们的干预范围，我们将与威斯康星大学麦迪逊分校的健康增强系统研究中心合作。35年来，该中心在开发创新的信息和通信技术以支持面临慢性和致命疾病的患者及其非正式护理人员方面一直走在前列。他们的信息和沟通平台CHESS(全面健康增强支持系统)是研究最广泛的一套沟通工具之一，已经进行了大量需求评估、随机临床试验和现场测试。我们将修改国际象棋平台，以满足超重或肥胖儿童的年轻家庭的需求。我们以前的经验使我们制定了一项新计划的要素：(1)我们将把初级保健环境中超重或肥胖的3至6岁儿童的父母作为唯一的改变因素；(2)我们将提出一种非限制性的“饮食”，重点是增加水果和蔬菜，并最注意适当的份量；(3)我们将通过增加体力活动和户外游戏来促进积极的生活方式。我们的干预将从初级保健环境中的6次“面对面”小组咨询会议开始，同时通过网络持续投入超过12个月，主要内容集中在“育儿技能”和增加社会支持(通过国际象棋网络)，以促进健康的生活方式。该网站将包括信息资源、常见问题解答、个人故事和一个互动讨论小组。基于网络的组件可以在方便的时间访问，从而将以低成本促进长期遵守。具体目标1是评估一名护士在初级保健环境中进行的6次“面对面”小组咨询会议和一年的基于网络的家庭组成部分相结合的干预措施的可行性，以超重或肥胖儿童的父母参加咨询会议和对初级保健办公室的后续访问为标准，积极参与。具体目标2是评估这一干预计划的有效性，以帮助超重或肥胖的3-6岁儿童的父母促进(A)降低儿童BMI-z得分，(B)改变儿童的健康行为(与营养和体力活动有关)，以及(C)改善育儿技能。