Attrition in Pediatric Weight Management

儿童体重管理中的自然减员

• 批准号: 8243687
• 负责人: Joseph Arnold Skelton
• 金额: $ 17.56万
• 依托单位: WAKE FOREST UNIVERSITY HEALTH SCIENCES
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-04-01 至 2015-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8243687
• 关键词: Active Learning; Address; Advocate; Affect; Area; Award; Behavior Therapy; Body Weight decreased; Caring; Characteristics; Child; Childhood; Chronic; Clinic; Clinical; Clinical Research; Communities; Community Healthcare; Competence; Complex; Controlled Study; Data; Development; Development Plans; Disease; Drops; Environment; Epidemic; Evidence based treatment; Family; Family Characteristics; Foundations; Goals; Health; Health Benefit; Health Personnel; Human Resources; Intervention; Interview; K-Series Research Career Programs; Knowledge; Locales; Medical; Mentored Patient-Oriented Research Career Development Award; Mentorship; Modification; Obesity; Patients; Pediatric Research; Pediatrics; Positioning Attribute; Prevalence; Primary Health Care; Public Health; Qualitative Research; Recommendation; Reporting; Research; Research Methodology; Research Personnel; Research Project Grants; Resources; Scientist; Services; Staging; Structure; Training; Universities; Weight; Weight maintenance regimen; base; career; career development; community setting; effective therapy; expectation; experience; forest; improved; informant; medical schools; obesity in children; obesity treatment; prevent; primary care setting; professor; programs; public health relevance; satisfaction; skills; sound; tertiary care; treatment program; treatment site

DESCRIPTION (provided by applicant): Joseph A. Skelton, MD, is an Assistant Professor of Pediatrics at Wake Forest University School of Medicine (WFUSM) with extensive clinical experience in the treatment of pediatric obesity. He will utilize this K23 Award to expand his clinical research skills and develop unique approaches to improving the delivery of evidence based treatment to obese children and their families. His career goal is to become an independent researcher in pediatric obesity treatment, developing and evaluating family-centered interventions to improve the quality of obesity treatment resources. Dr. Skelton will capitalize on the strong research environment and excellent mentorship of WFUSM to gain: competence in child- and family-focused research; expertise in conducting research in primary care offices and community-based settings; skill in qualitative research methods; and knowledge of satisfaction with and attrition from medical and behavioral therapies. His Career Development Plan features structured mentorship by a diverse and experienced committee, interaction and training with experienced pediatric research staff, formal educational programs, and experiential learning through the completion of the Research Plan. This research is timely and of great importance, as the prevalence of pediatric obesity continues to grow. The overarching hypothesis of the candidate's research program is that attrition from obesity treatment, a significant impediment to successful weight loss, is mitigated by patient and family characteristics and by the treatment programs themselves. The candidate will investigate attrition from treatment through the recruitment of families of obese children from 3 different treatment sites. Predictors of attrition will be determined through qualitative and quantitative study of a) characteristics of participating families (sociodemographics, structure, health, and weight status), b) characteristics of treatment programs, and c) satisfaction of families in treatment. Treatment programs will then be engaged, through interviews with key informants who are community health care providers, to modify treatments based on study findings. This proposal will provide Dr. Skelton with the skills to become an independent investigator of pediatric obesity treatment. Public Health Relevance: Effective treatments for pediatric obesity have been developed, but attrition from care is a significant impediment to improving the health of an obese child. Given the burden of childhood obesity and its complications, efforts to understand and reduce attrition hold great promise for substantial public health benefit. The same approaches developed in this research program may also be effective in reducing attrition from treatment programs for other chronic childhood diseases, thereby greatly multiplying the potential public health impact of this research agenda over the long term.

描述（由申请人提供）：Joseph A.医学博士，是维克森林大学医学院（WFUSM）的儿科助理教授，在儿童肥胖症的治疗方面具有丰富的临床经验。他将利用这一K23奖，以扩大他的临床研究技能，并制定独特的方法，以改善提供基于证据的治疗肥胖儿童及其家庭。他的职业目标是成为儿科肥胖治疗的独立研究人员，开发和评估以家庭为中心的干预措施，以提高肥胖治疗资源的质量。dr. tanton将利用强大的研究环境和WFUSM的优秀导师获得：在儿童和家庭为重点的研究能力;在初级保健办公室和社区为基础的设置进行研究的专业知识;在定性研究方法的技能;和满意度和从医疗和行为疗法的磨损知识。他的职业发展计划的特点是由一个多元化和经验丰富的委员会，互动和培训经验丰富的儿科研究人员，正式的教育计划，并通过研究计划的完成体验式学习结构化的指导。这项研究是及时的和非常重要的，因为儿童肥胖症的患病率继续增长。候选人的研究计划的首要假设是，从肥胖治疗，成功减肥的一个重大障碍，磨损减轻患者和家庭的特点和治疗方案本身。候选人将通过招募来自3个不同治疗中心的肥胖儿童家庭来调查治疗的损耗。将通过对a）参与家庭的特征（社会人口统计学、结构、健康和体重状况）、B）治疗方案的特征和c）家庭对治疗的满意度进行定性和定量研究，确定损耗的预测因素。然后将通过与社区卫生保健提供者的关键知情人进行访谈，参与治疗计划，以根据研究结果修改治疗方法。该提案将为Dr. Reynton提供成为儿童肥胖治疗独立研究者的技能。 公共卫生相关性：儿童肥胖症的有效治疗方法已经开发出来，但护理损耗是改善肥胖儿童健康的一个重大障碍。考虑到儿童肥胖及其并发症的负担，了解和减少自然减员的努力对重大公共卫生利益具有很大的希望。在这项研究计划中开发的相同方法也可能有效地减少其他慢性儿童疾病治疗计划的流失，从而大大增加这项研究议程的长期潜在公共卫生影响。