College Students as Facilitators to Reduce Adolescent Obesity Disparity

大学生是减少青少年肥胖差距的促进者

• 批准号: 8390439
• 负责人: Deborah L Slawson
• 金额: $ 29.83万
• 依托单位: EAST TENNESSEE STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-04-08 至 2014-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8390439
• 关键词: Academia; Academy; Address; Adolescence; Adolescent; Appalachian Region; Attitude; Behavior; Behavior Control; Body Image; Body mass index; Chronic Disease; Clinical Trials Design; Communities; Control Groups; County; Diabetes Mellitus; Diet; Eating; Eating Behavior; Education; Ethics; Evaluation; Face; Fostering; Goals; Habits; Health; Health education; Heart Diseases; Institutes; Intervention; Life; Mediator of activation protein; Obesity; Peer Group; Physical activity; Population; Prevalence; Public Health; Randomized; Reporting; Research; Resources; Risk; Role; Rural; Self Efficacy; Services; Students; Study Subject; Tennessee; Testing; Time; Training; Universities; base; effective intervention; efficacy testing; high school; meetings; obesity prevention; peer; post intervention; prevent; programs; public health relevance; randomized trial; role model; university student

DESCRIPTION (provided by applicant): The Appalachian region has a population of 23 million residing in 420 counties and 13 states. Forty-two percent of the region's population is rural. Compared to other regions, people living in Appalachia were reported to face a heavier burden from chronic diseases such as obesity, diabetes, and heart disease. The proportions of obese high school students in Southern Appalachia are among the highest in the nation. Health risk habits including unhealthy eating and physical inactivity are often established during adolescence and may contribute significantly to this chronic disease disparity. Although adolescent obesity is an urgent public health issue, effective interventions are few. Therefore, we propose to test an academia-community partnership approach using college students as facilitators to prevent obesity among adolescents. The long-term goal is to establish an effective academia-community partnership program to address adolescent obesity disparity in Southern Appalachia. The specific aims are: 1) To develop a peer- based health education program focusing on establishing positive peer norms and supportive peer relationships toward healthy eating and physical activity among high school students, 2) To test the efficacy of the program, and 3) To explore the mechanisms underlying the program. Twelve (six per each semester) undergraduates at East Tennessee State University will be trained to conduct an eleven-week peer-based health education program as peer facilitators. A cluster-randomized trial design will be used and 6 rural high schools will be randomly assigned to the intervention and control groups. Approximately 1440 adolescents will be included as study subjects. Body mass index (BMI) percentile, dietary behavior, and physical activity among the study subjects will be assessed pre-intervention, at the end of the intervention, and 12 months post-intervention. Mean levels and/or prevalence of differences in the assessments (BMI percentile, obesity status, eating behavior, and physical activity) will be compared between the intervention and control group at the 3 time points (pre-intervention, end of intervention, and 12 months post-intervention). Peer group norms, body image, supportive peer relationships, role modeling, behavioral control/self-efficacy, attitudes, and intentions toward healthy eating and physical activity will be assessed pre-intervention, at the end of the intervention, and 12 months post-intervention. The roles of these factors as mediators of the intervention in modifying adolescents' eating and physical activity behaviors, as well as, body mass index will be examined. This proposed study will provide an important evaluation of an academia-community partnership using college students as facilitators to address adolescent obesity disparity in Southern Appalachia. If proven effective, the proposed program can meet the critical community needs for adolescent obesity prevention by engaging higher education institutes and students in service and fostering within them an ethic of civic responsibility. The program will be easily transferable from research to action without substantial additional resources and will be a sustainable win-win program for both the community and the academy. 1

描述（由申请人提供）：阿巴拉契亚地区有2300万人口，居住在420个县和13个州。该地区42%的人口是农村人口。据报道，与其他地区相比，居住在阿巴拉契亚的人面临着肥胖、糖尿病和心脏病等慢性疾病的更重负担。阿巴拉契亚南部高中生肥胖的比例是全国最高的。健康风险习惯，包括不健康的饮食和缺乏身体活动，往往是在青春期建立，并可能大大有助于这种慢性疾病的差距。虽然青少年肥胖是一个紧迫的公共卫生问题，但有效的干预措施很少。因此，我们建议使用大学生作为促进者，以防止青少年肥胖测试一个社区伙伴关系的方法。长期目标是建立一个有效的社区伙伴关系计划，以解决南阿巴拉契亚青少年肥胖的差距。具体目标是：1）制定一个以同伴为基础的健康教育计划，重点是在高中生中建立积极的同伴规范和支持性的同伴关系，以促进健康饮食和体育活动; 2）测试该计划的有效性; 3）探讨该计划的机制。东田纳西州立大学的12名（每学期6名）本科生将接受培训，作为同伴促进者进行为期11周的同伴健康教育计划。采用整群随机试验设计，将6所农村高中随机分为干预组和对照组。约1440名青少年将被纳入研究受试者。将在干预前、干预结束时和干预后12个月评估研究受试者的体重指数（BMI）百分位数、饮食行为和体力活动。将在3个时间点（干预前、干预结束和干预后12个月）比较干预组和对照组之间评估差异（BMI百分位数、肥胖状态、饮食行为和体力活动）的平均水平和/或患病率。将在干预前、干预结束时和干预后12个月评估同伴群体规范、身体形象、支持性同伴关系、角色塑造、行为控制/自我效能、态度和对健康饮食和体育活动的意图。这些因素作为中介的干预在修改青少年的饮食和体育活动行为，以及身体质量指数的作用将被检查。这项拟议中的研究将提供一个重要的评估，使用大学生作为促进者，以解决青少年肥胖的差距在南阿巴拉契亚的阿巴拉契亚社区伙伴关系。如果被证明是有效的，拟议的计划可以满足青少年肥胖预防的关键社区需求，从事高等教育机构和学生的服务，并在他们内部培养公民责任的道德。该计划将很容易从研究转移到行动，而无需大量额外的资源，将是一个可持续的双赢计划，为社区和学院。1

项目成果

Report of a Curriculum Used in a Peer-Delivered Intervention to Reduce Obesity of Adolescents in Southern Appalachia and its Relationship to the National Health Education Standards.

用于减少南阿巴拉契亚青少年肥胖的同伴提供干预的课程报告及其与国家健康教育标准的关系。

• 发表时间: 2014
• 期刊: International journal of health sciences education
• 作者: Mozen,Diana;Dalton3rd,WilliamT;McKeehan,Taylor;Slawson,Deborah
• 通讯作者: Slawson,Deborah

Weight Misperception and Health-Related Quality of Life in Appalachian Adolescents in the United States.

美国阿巴拉契亚青少年的体重误解和与健康相关的生活质量。

• DOI: 10.1007/s10995-016-2106-x
• 发表时间: 2017
• 期刊: Maternal and child health journal
• 影响因子: 2.3
• 作者: Southerland,JodiL;Wang,Liang;Slawson,DeborahL
• 通讯作者: Slawson,DeborahL

College students as facilitators in reducing adolescent obesity disparity in Southern Appalachia: Team Up for Healthy Living.

大学生作为减少阿巴拉契亚南部青少年肥胖差异的促进者：团结起来，实现健康生活。

• DOI: 10.1016/j.cct.2015.04.012
• 发表时间: 2015
• 期刊: Contemporary clinical trials
• 影响因子: 2.2
• 作者: Slawson,DeborahLeachman;Dalton3rd,WilliamT;Dula,TaylorMcKeehan;Southerland,Jodi;Wang,Liang;Littleton,MaryAnn;Mozen,Diana;Relyea,George;Schetzina,Karen;Lowe,ElizabethF;Stoots,JamesM;Wu,Tiejian
• 通讯作者: Wu,Tiejian

Reflections from an Undergraduate Student Peer Facilitator in the Team Up for Healthy Living School-Based Obesity Prevention Project.

本科生同伴协调员在健康生活学校肥胖预防项目中的反思。

• 发表时间: 2014
• 期刊: International journal of health sciences education
• 作者: Crenshaw,CarolineE;Mozen,DianaM;Dalton3rd,WilliamT;Slawson,DeborahL
• 通讯作者: Slawson,DeborahL