Mothers and Others: Family-based Obesity Prevention for Infants and Toddlers
母亲和其他人:以家庭为基础的婴幼儿肥胖预防
基本信息
- 批准号:8535184
- 负责人:
- 金额:$ 56.95万
- 依托单位:
- 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:2012-09-01 至 2017-06-30
- 项目状态:已结题
- 来源:
- 关键词:AchievementAge-MonthsAttentionAttitudeBehaviorBehavioralBreast FeedingCaregiversCaringChildChild CareChildhoodCodeColorCommunity HealthControl GroupsCounselingCuesDietary FiberDietary intakeElectronicsEnergy IntakeEpidemicExclusive BreastfeedingExposure toFamilyFathersFoodFruitFutureGrowthHealthHealth PromotionHealth behaviorHealth behavior outcomesHome environmentHome visitationHouse CallIndividualInfantInfant CareInfluentialsIntakeInterventionIntervention StudiesJuiceLactationLengthLicensingLifeLiteratureMeasuresMediatingMediationMediator of activation proteinMinorityMothersNewsletterNot Hispanic or LatinoObesityOutcomeOverweightParenting behaviorPatternPerceptionPopulationPregnancyPregnant WomenPrevalencePrevention strategyPublishingRandomized Controlled TrialsRecruitment ActivityReportingResearchResearch PersonnelRisk FactorsSafetySelf EfficacySleepSocial supportTechnologyTelevisionTestingTextToddlerVegetablesVisitWeightWeight GainWeight PerceptionWomanage grouparmbasecohortdesignefficacy testingefficacy trialexperiencefeedingfruits and vegetablesgood diethigh riskimprovedinfancyinnovationmeetingsmodifiable riskmulti-component interventionnew technologynovelobesity preventionpreventprogramspublic health relevancerapid growthsecondary outcomesedentaryuptake
项目摘要
DESCRIPTION (provided by applicant): Despite increases in obesity among infants and toddlers, few published interventions promoting healthy diet and decreased sedentary behaviors among this age group exist. To fill this gap, we propose a randomized controlled trial among 468 Non-Hispanic black women, their families, and their child caregivers to test the efficacy of a multi-component, tailored intervention versus an attention control (child safety) in promoting healthy weight gain patterns during infancy. The proposed intervention, Mothers and Others: Family-based Obesity Prevention for Infants and Toddlers will be one of the first to meet the unique needs of individual families by delivering anticipatory guidance on infant care, feeding and growth through multiple channels and to multiple caregivers. Primary modes of delivery for the intervention arm will include face-to-face counseling through 9 home visits (1 by a certified Lactation Consultant), 6 tailored health newsletters for mothers and 6 targeted health newsletters for "other" caregivers deemed influential by mothers, as well as ~160 cue-based text messages for mothers and "other" caregivers. The control group will receive messages on child safety delivered through general newsletters and text messages. Our main outcome is infant/toddler growth, captured by mean weight-for-length z-scores (WLZ) at 18 months, mean change in WLZ between 0-18 months, and likelihood of overweight (WLZ e 95th percentile) at 18 months. Differences between groups are expected to be achieved through uptake of targeted health behaviors, including a greater likelihood of breastfeeding initiation, exclusivity and duration; after 6 months, higher dietary intakes of whole fruits and vegetables and lower intakes of energy-dense snack foods; longer durations of infant and toddler sleep and fewer night awakenings; and, lower levels of television and electronic media exposure. We further hypothesize that these targeted health behaviors will be achieved through modifiable risk factors underpinning the intervention, namely more positive breastfeeding attitudes; higher levels of parenting and breastfeeding self-efficacy; higher levels of perceived social support; higher responsive feeding style scores; improved accuracy in perceiving infant/toddler weight status; and, diminished parental perceptions of infant fussiness. We believe Mothers and Others is highly significant and innovative, as it targets a minority population at high risk of early life obesity, it begins during pregnancy, a "teachable moment" for establishing healthy behaviors, it actively engages multiple child caregivers, and it utilizes novel intervention platforms, including
tailoring and text messaging. We have assembled a strong, interdisciplinary team of researchers, each with an outstanding record for implementing and publishing research relevant to this intervention. Collectively, we have experience conducting similar interventions in this population; designing, implementing and evaluating the proposed tailoring and novel technology components; recruiting and retaining a similar cohort; and measuring and analyzing relationships between the proposed modifiable risk factors, targeted health behaviors and outcomes of early life growth.
描述(由申请人提供):尽管婴儿和学步儿童的肥胖率增加,但在这一年龄段中,很少有发表的干预措施促进健康饮食和减少久坐行为。为了填补这一空白,我们建议在468名非西班牙裔黑人女性、她们的家人和她们的子女照顾者中进行一项随机对照试验,以测试多成分、量身定做的干预与注意力控制(儿童安全)在促进婴儿期健康体重增加模式方面的有效性。拟议的干预措施,母亲和其他:以家庭为基础的婴幼儿肥胖预防将是首批满足单个家庭独特需求的干预措施之一,通过多个渠道和多个照顾者提供关于婴儿护理、喂养和成长的前瞻性指导。干预机构的主要提供方式将包括通过9次家访(1次由认证哺乳顾问提供)进行面对面咨询,为母亲量身定做6份健康通讯,为被母亲视为有影响力的“其他”照顾者发送6份有针对性的健康通讯,以及为母亲和“其他”照顾者发送约160条基于提示的短信。控制组将通过一般时事通讯和短信接收有关儿童安全的信息。我们的主要结果是婴儿/幼儿的生长,通过18个月时的平均长度体重z分数(WLZ)来衡量,0-18个月期间WLZ的平均变化,以及18个月时超重的可能性(WLZ e 95%)。小组之间的差异预计将通过采取有针对性的健康行为来实现,包括更大可能性的母乳喂养开始、排他性和持续时间;6个月后,全食水果和蔬菜的饮食摄入量增加,高能量休闲食品的摄入量减少;婴儿和幼儿睡眠时间更长,夜间觉醒时间更少;以及接触电视和电子媒体的水平较低。我们进一步假设,这些有针对性的健康行为将通过支持干预的可改变的风险因素来实现,即更积极的母乳喂养态度;更高水平的育儿和母乳喂养自我效能;更高水平的感知社会支持;更高的响应性喂养方式得分;提高感知婴儿/幼儿体重状况的准确性;以及减少父母对婴儿挑剔的感知。我们相信,母亲和其他人是非常重要和创新的,因为它针对的是早期肥胖的高风险少数群体,它从怀孕期间开始,是建立健康行为的“可教时刻”,它积极地吸引多名儿童照顾者,并利用新的干预平台,包括
裁剪和发短信。我们已经组建了一支强大的跨学科研究团队,每个人在实施和发表与这种干预相关的研究方面都有出色的记录。总体而言,我们有在这一人群中进行类似干预的经验;设计、实施和评估拟议的量身定制和新技术组成部分;招募和保留类似的队列;以及衡量和分析拟议的可改变的风险因素、有针对性的健康行为和早期生命成长结果之间的关系。
项目成果
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MARGARET E BENTLEY其他文献
MARGARET E BENTLEY的其他文献
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{{ truncateString('MARGARET E BENTLEY', 18)}}的其他基金
Mothers and Others: Family-based Obesity Prevention for Infants and Toddlers
母亲和其他人:以家庭为基础的婴幼儿肥胖预防
- 批准号:
8712526 - 财政年份:2012
- 资助金额:
$ 56.95万 - 项目类别:
Mothers and Others: Family-based Obesity Prevention for Infants and Toddlers
母亲和其他人:以家庭为基础的婴幼儿肥胖预防
- 批准号:
8342726 - 财政年份:2012
- 资助金额:
$ 56.95万 - 项目类别:
Water Wisdom: Developing Local-Global Capacities in Managing Water
水智慧:发展本地和全球水资源管理能力
- 批准号:
8051270 - 财政年份:2010
- 资助金额:
$ 56.95万 - 项目类别:
UNC-Chapel Hill Framework Program in Global Health
北卡罗来纳大学教堂山分校全球健康框架计划
- 批准号:
7918567 - 财政年份:2009
- 资助金额:
$ 56.95万 - 项目类别:
The Feasibility of Replacement Feeding as an HIV Prevention Method in Malawi
替代喂养作为马拉维艾滋病毒预防方法的可行性
- 批准号:
7391871 - 财政年份:2007
- 资助金额:
$ 56.95万 - 项目类别:
UNC-Chapel Hill Framework Program in Global Health
北卡罗来纳大学教堂山分校全球健康框架计划
- 批准号:
7252578 - 财政年份:2005
- 资助金额:
$ 56.95万 - 项目类别:
UNC-Chapel Hill Framework Program in Global Health
北卡罗来纳大学教堂山分校全球健康框架计划
- 批准号:
7058384 - 财政年份:2005
- 资助金额:
$ 56.95万 - 项目类别:
UNC-Chapel Hill Framework Program in Global Health
北卡罗来纳大学教堂山分校全球健康框架计划
- 批准号:
7126777 - 财政年份:2005
- 资助金额:
$ 56.95万 - 项目类别: