Parent-Focused Weight Management for Children with Intellectual Disabilities

以家长为中心的智力障碍儿童体重管理

• 批准号: 8391344
• 负责人: MARTIN R. SHEEHAN
• 金额: $ 20.05万
• 依托单位: DOUBLE S INSTRUCTIONAL SYSTEMS
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-10 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8391344
• 关键词: Address; Adverse effects; Advocacy; Affect; Asthma; Behavior; Behavioral; Body Weight decreased; Body mass index; Child; Cholesterol; Development; Diabetes Mellitus; Diet; Diet Habits; Diet and Nutrition; Dietary Practices; Disabled Children; Discrimination; Eating; Eating Behavior; Education; Environment; Evaluation; Evidence based intervention; Exercise; Family; Family Practice; Fatty acid glycerol esters; Feasibility Studies; Feeling; Focus Groups; Food; Food Preferences; Foundations; General Population; Goals; Habits; Health; Home environment; Hypertension; Intellectual functioning disability; Intervention; Learning; Life Style; Medical; Methods; Modeling; Motivation; Nutritional; Obesity; Outcome; Overweight; Parenting Education; Parenting behavior; Parents; Pattern; Phase; Physical activity; Prevention program; Punishment; Randomized Controlled Trials; Recommendation; Research; Rewards; Risk; Self Efficacy; Self-Administered; Series; Shapes; Sleep Apnea Syndromes; Stigmatization; Surgeon; Testing; Training; Training Programs; Treatment/Psychosocial Effects; Weight; Weight Gain; Weight maintenance regimen; Work; Writing; base; bone; disability; environmental change; experience; food consumption; improved; meetings; nutrition; obesity in children; obesity prevention; obesity risk; parent project; portion control; prevent; programs; prototype; psychologic; research study; role model; skills; social cognitive theory; social implication; successful intervention; symposium; usability

DESCRIPTION (provided by applicant): The problem of overweight children with intellectual disabilities (ID) has many adverse medical and psychological effects and is of growing concern among professionals in the disability research and advocacy arenas. To address this issue, we propose to develop materials targeted specifically to parents of children with ID based on Social Learning Theory. The goal of this program is to increase parents' level of motivation, improve their skills, and enhance their sense of self-efficacy in bringing about changes in family healthy lifestyle behaviors in order to promote weight loss in their children. While children's risk of obesity depends on many factors, parents are the key players in shaping the home environment, diet, food preferences, and physical activity levels. Yet over-control or under-control of child eating behaviors by parents has adverse effects. On the other hand, when parents work on changing the home health environment and on providing consistent health models, children develop improved eating habits and activity patterns. The overall research aim of this project, Parent-Focused Weight Management for Children with Intellectual Disabilities, will be to demonstrate that our intervention, using a modified behavioral parent training program is as effective as a parent managed weight loss programs successfully used in research studies in the general population. In Phase I, the research team will determine the feasibility of the Parent-Focused Weight Management program by testing Modules 1 and 2. The test will be conducted with a group of 30 parents. This feasibility study will determine whether parents: a) engaged with, used and liked the materials, and b) improved their feelings of self-efficacy related to establishing a healthier family lifestyle and helping their child to lose weight. Positie outcomes on these factors will establish that the proposed product is effective, practical and viable. In Phase II, the research team will develop the remaining instructional modules and conduct a randomized controlled trial with approximately 150 parents of a child with ID who are overweight or at risk of becoming overweight. Phase II research will establish that the program produces positive changes in physical activity and nutrition in the family and lowers the body mass index of the child with disabilities who is overweight or at risk of becoming overweight. PUBLIC HEALTH RELEVANCE: This project addresses the growing concern over the problem of obesity in children with Intellectual Disabilities. Childhood obesity presents many adverse medical effects, such as diabetes, asthma, high blood pressure, high cholesterol, bone problems, sleep apnea, and widespread psychosocial effects, such as the early and systematic discrimination and stigmatization experienced by overweight children. The proposed research will address this major health problem by developing a family-based weight management program.

描述（由申请人提供）：超重儿童智障儿童（ID）的问题具有许多不良的医学和心理影响，并且在残疾研究和倡导领域的专业人员中越来越关注。为了解决这个问题，我们建议根据社会学习理论专门针对具有ID的孩子的父母开发材料。该计划的目的是提高父母的动力水平，提高他们的技能，并增强他们在带来家庭健康生活方式行为变化的自我效能感上，以促进孩子的体重减轻。虽然儿童的肥胖风险取决于许多因素，但父母是塑造家庭环境，饮食，食物偏好和体育锻炼水平的关键参与者。然而，父母过度控制或对儿童饮食行为的控制不良。另一方面，当父母致力于改变家庭健康环境并提供一致的健康模型时，孩子会养成改善的饮食习惯和活动方式。该项目的总体研究目的是针对智障儿童的母亲体重管理，将证明我们的干预措施，使用改良的行为父母培训计划与在普通人群中成功使用的父母托管减肥计划一样有效。在第一阶段，研究团队将通过测试模块1和2来确定以父重量管理计划的可行性。该测试将与30个父母组成。这项可行性研究将确定父母是否：a）与材料进行交往，使用和喜欢这些材料，b）提高了与建立更健康的家庭生活方式相关的自我效能感，并帮助孩子减轻体重。这些因素的结果将确定拟议的产品是有效，实用和可行的。在第二阶段，研究团队将开发剩余的教学模块，并进行随机对照试验，其中约有150个具有超重或有超重风险的孩子的父母。第二阶段的研究将确定该计划在家庭中会产生积极的体育锻炼和营养变化，并降低超重或有超重风险的残疾儿童的体重指数。 公共卫生相关性：该项目解决了人们对智障儿童肥胖问题的日益关注。儿童肥胖表现出许多不良医学作用，例如糖尿病，哮喘，高血压，高胆固醇，骨骼问题，睡眠呼吸暂停和广泛的社会心理影响，例如超重儿童所经历的早期和系统性歧视和污名化。拟议的研究将通过制定基于家庭的体重管理计划来解决这一重大健康问题。