Evaluating a Community Engaged Program to Reduce Obesity in Hispanic Families

评估减少西班牙裔家庭肥胖的社区参与计划

• 批准号: 8431764
• 负责人: Heather Emma Kitzman
• 金额: $ 7.39万
• 依托单位: UNIVERSITY OF NORTH TEXAS HLTH SCI CTR
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-02-20 至 2015-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8431764
• 关键词: Address; Adherence; Adolescent; Adult; Advisory Committees; African American; Age; Behavior; Body Weight decreased; Body mass index; Calories; Child; Child health care; Cities; Communities; Competence; Comprehension; Data; Development; Diet; Education; Energy Intake; Ethnic Origin; Family; Feasibility Studies; General Population; Health; Health Policy; Health behavior; Hispanics; Hour; Human; Individual; Intervention; Life Style; Low income; Motivation; Obesity; Overweight; Parenting behavior; Parents; Participant; Physical activity; Pilot Projects; Policies; Policy Maker; Population; Randomized; Randomized Controlled Trials; Research; Research Project Grants; Rewards; Services; Students; Systems Theory; Testing; Texas; Weight Gain; Youth; base; community based participatory research; effective intervention; ethnic minority population; experience; health disparity; improved; innovation; meetings; member; novel; obesity in children; post intervention; programs; weight loss intervention

DESCRIPTION (provided by applicant): Individuals of Hispanic ethnicity are experiencing significant rates of weight gain and obesity with approximately 75% of Hispanic adults age 20 - 60 years and 40% of Hispanic youth considered overweight. Although effective lifestyle approaches for weight loss have been demonstrated in some children, less is known about effective interventions for low-income ethnic minorities. Previous research has shown that motivational variables (autonomy, competence) related to intrinsic motivation and family variables (positive parenting styles including family warmth) are positively associated with adolescent weight loss behaviors, but few studies have integrated these novel constructs into effective interventions. Effective programs for Hispanic families are needed to address the health disparities evident in Hispanic families, the lack of successful community-based interventions in this population, and the increasing relevance of this problem to local and national policymakers; developing interventions to address rising levels of obesity and the related co-morbid conditions has become a priority for policy-makers and the general public. The purpose of this proposed project is to test the feasibility of a novel community-based intervention for managing obesity among low-income Hispanic families residing in Irving, Texas, as part of an ongoing community-based participatory research project to improve health called FIT for Health. The proposed project was developed through a strong coalition to reduce obesity sponsored the City of Irving, and therefore has tremendous capacity for influencing policy. Eighty families of Hispanic ethnicity will be randomized to either the FIT for Health Plus or FIT for Health Basic program. The FIT for Health Plus intervention is a novel intervention integrating motivational and family variables to reduce youth obesity, and improve physical activity and diet. The FIT for Health Basic program is a healthy lifestyle education program that is currently on going and will serve as a comparison condition. Families in both conditions will participate in 12 weekly sessions at the Irving YMCA. Findings from this feasibility study will provide information on community-based weight loss programs for primarily low-income Hispanic populations. Furthermore, due to the strong support of the City of Irving and the existence of an active community coalition, this program has the potential to influence health policy in mid-size cities. !

描述（由申请人提供）：西班牙裔个体的体重增加和肥胖率显着，约75%的20 - 60岁西班牙裔成年人和40%的西班牙裔青年被认为超重。虽然在一些儿童中已经证明了有效的减肥生活方式方法，但对低收入少数民族的有效干预措施知之甚少。以往的研究表明，动机变量（自主性，能力）相关的内在动机和家庭变量（积极的父母教养方式，包括家庭温暖）与青少年减肥行为呈正相关，但很少有研究将这些新的结构整合到有效的干预措施。西班牙裔家庭需要有效的计划，以解决西班牙裔家庭的健康差距明显，缺乏成功的社区为基础的干预措施，在这一人群中，以及这个问题越来越多的相关性，以地方和国家的政策制定者;制定干预措施，以解决不断上升的肥胖水平和相关的共病条件已成为政策制定者和公众的优先事项。本项目的目的是测试一种新的基于社区的干预措施的可行性，以管理肥胖的低收入西班牙裔家庭居住在得克萨斯州的欧文，作为一个正在进行的基于社区的参与性研究项目，以改善健康称为适合健康。拟议的项目是通过一个强大的联盟，以减少肥胖赞助的欧文市，因此有巨大的能力影响政策。80个西班牙裔家庭将被随机分配到FIT for Health Plus或FIT for Health Basic计划。FIT for Health Plus干预是一种新的干预措施，整合了动机和家庭变量，以减少青少年肥胖，并改善体育活动和饮食。FIT for Health Basic计划是一项健康生活方式教育计划，目前正在进行中，将作为比较条件。这两种情况的家庭将参加欧文基督教青年会每周12次的会议。这项可行性研究的结果将提供有关以社区为基础的减肥计划的信息，主要是低收入的西班牙裔人口。此外，由于欧文市的大力支持和一个活跃的社区联盟的存在，该方案有可能影响中等城市的卫生政策。!