School nurse-directed secondary obesity prevention for elementary school children

学校护士指导小学生二次肥胖预防

• 批准号: 8434735
• 负责人: Martha Y Kubik
• 金额: $ 64.12万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-03 至 2018-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8434735
• 关键词: 11 year old; Area; Attention; Behavior; Body Weight decreased; Body mass index; Child; Child Behavior; Chronic; Clinical Trials Design; Collaborations; Communities; Consumption; Development; Diet; Dietary Practices; Dietary intake; Disease remission; Dose; Economics; Effectiveness of Interventions; Environment; Ethnic Origin; Family; Family Study; Family health status; Food; Frequencies; Future; Generations; Geography; Goals; Health; Health Personnel; Health Professional; Healthy People 2020; Height; Home environment; Hour; Immigrant; Income; Insurance Carriers; Intake; Intervention; Life Style; Location; Low income; Measurement; Measures; Mediator of activation protein; Minnesota; Minority; Minority Groups; Modeling; Notification; Nutrient; Obesity; Overweight; Parents; Physical activity; Population Heterogeneity; Prevalence; Primary Prevention; Principal Investigator; Process Measure; Program Development; Psychosocial Factor; Race; Randomized; Randomized Controlled Trials; Recruitment Activity; Registered nurse; Relative (related person); Research; Risk; Safety; School Nursing; School-Age Population; Schools; Secondary Prevention; Stigmatization; Students; Testing; Translations; United States National Institutes of Health; Weight; Weight Gain; Weight maintenance regimen; Work; adverse outcome; base; efficacy testing; elementary school; energy balance; fight against; fourth grade; fruits and vegetables; health related quality of life; improved; intervention effect; metropolitan; multi-component intervention; novel; novel strategies; obesity in children; obesity prevention; prevent; programs; prospective; psychosocial; public health relevance; randomized trial; screening; second grade; sedentary; social; sugar; sweetened beverage; tv watching

DESCRIPTION (provided by applicant): Because one in three school-aged children are overweight or obese, there is a need to develop and test school-based programming that aims to prevent progression and support remission of childhood obesity (secondary prevention). The proposed study will test a novel elementary school-based, school nurse- directed weight management program that aims to reduce the prevalence of overweight and obesity among 8 to 11 year old children. The 12-month, multi-component intervention for children who are overweight or at risk for overweight will include parents and will target key modifiable diet and activity factors known to be successful in changing long-term energy balance. The program will be offered as a second step of an established school-based body mass index (BMI) screening and parent notification program, held after school and include: 1) quarterly parent/child coaching sessions, 2) twice monthly child groups; 3) a once monthly parent group, and 4) collaboration with health care providers and community-based organizations. Study aims will be accomplished using a randomized controlled trial design, with random assignment of 175 2nd and 4th grade students plus one parent to intervention or attention-only control conditions. The primary aim of this research is to reduce excessive weight gain among 8 to 11 year old children who are overweight or at risk of overweight by increasing healthy dietary practices and physical activity levels and decreasing sedentary practices. Secondary aims will examine the effect of the intervention on the dietary, physical activity and sedentary practices of children and on family lifestyle practices overseen by parents. Measures for children will include height and weight, dietary intake measured by 24-hour dietary recall, child activity levels measured by accelerometer, health-related quality of life and psychosocial factors. Parent measures will include height and weight, parental dietary and activity practices and psychosocial and environmental mediators at the family level. Process measures will assess program implementation and include measures of fidelity, dose, reach and context. Collaboration with key stakeholders representing school nursing practice, health insurers, health providers and community programming, as well as prospective economic analyses of intervention effectiveness will support translation of this work into sustainable school practice. It is hypothesized that relative to the control condition, children receiving the intervention will have significantly lower body mass index, following implementation of the 12-month intervention, controlling for baseline values.

描述（由申请人提供）：由于三分之一的学龄儿童超重或肥胖，有必要开发和测试以学校为基础的规划，旨在防止儿童肥胖症的进展和支持缓解（二级预防）。这项拟议中的研究将测试一种新的小学为基础的，学校护士指导的体重管理计划，旨在减少8至11岁儿童超重和肥胖的患病率。对超重或有超重风险的儿童进行为期12个月的多成分干预，将包括父母，并将针对已知成功改变长期能量平衡的关键可改变饮食和活动因素。该计划将作为已建立的基于学校的身体质量指数（BMI）筛查和家长通知计划的第二步提供，放学后举行，包括：1）季度家长/儿童辅导课程，2）每月两次的儿童小组; 3）每月一次的家长小组，以及4）与医疗保健提供者和社区组织合作。研究目的将采用随机对照试验设计，随机分配175名二年级和四年级学生加上一名家长干预或注意力控制条件。 这项研究的主要目的是通过增加健康的饮食习惯和体育活动水平，减少久坐不动的习惯，减少8至11岁超重或有超重风险的儿童的体重过度增加。第二个目标是检查干预措施对儿童饮食、体育活动和久坐习惯以及父母监督的家庭生活方式的影响。对儿童的测量将包括身高和体重、通过24小时饮食回忆测量的饮食摄入量、通过加速计测量的儿童活动水平、与健康有关的生活质量和心理社会因素。父母的衡量标准将包括身高和体重、父母的饮食和活动习惯以及家庭一级的心理社会和环境调解人。过程测量将评估计划的实施情况，包括保真度、剂量、覆盖范围和背景的测量。与代表学校护理实践，健康保险公司，健康提供者和社区规划的主要利益相关者的合作，以及对干预效果的前瞻性经济分析，将支持这项工作转化为可持续的学校实践。 据推测，相对于控制条件，儿童接受干预将有显着降低体重指数，实施12个月的干预，控制基线值。