Role of parenting skills, style, and family functioning in pediatric weight loss

这个指导患者为导向的研究职业奖（K23）的目标是让李博士成为一个 儿科体重管理领域的独立研究员。该培训计划，通过 教学和直接指导的培训经验相结合，为她提供了机会， 发展额外的技能和专业知识：1）儿童超重的行为管理，2）研究 亲子互动，父母教养方式和父母教养干预，这可能会影响 儿科体重控制计划，以及3）临床研究的方法学，统计学和伦理学， 儿童肥胖症米里亚姆医院/布朗医学院的资源以及与她的密切接触 专家指导团队（Wing、Dickstein、Jelalian和Seifer博士）将为Rhee博士提供理想的 环境，以实现她的培训和研究目标。儿童肥胖仍然是一个严重的公众 健康问题。以家庭为基础的行为治疗方案可以取得成功，但在 功效有几个因素可能会影响这些方案的成功：采用父母的技能和 父母教养方式对家庭行为改变的影响。这项提案的目的是 是为了更好地了解育儿技巧/风格在成功控制行为体重中的作用， 孩子我们将首先开发一个编码模式的育儿技巧，发生在一个家庭吃饭。期间 第二阶段，当我们实施以家庭为基础的行为体重控制计划时，我们将使用这个和其他 现有的直接观察措施，以评估父母的技能和风格，在录像家庭用餐。 父母和孩子完成的其他自我报告措施将补充收集的信息 在录像带里。然后，我们将确定的作用，父母的技能和养育方式的变化，儿童 体重状况以及目前以家庭为基础的计划是否可以改变这些父母水平的因素。作为 第二个目的，我们将研究是否有不同的家庭之间的养育技能或风格， 超重和正常体重的儿童。 相关性（参见说明）： 这项研究的结果将告知一个增强或修改的行为治疗的发展 针对儿童的计划，解决父母层面的因素被发现是显着的。最终， 该提案旨在为超重儿童开发更全面有效的治疗方法， 发病率

The goal of this Mentored Patient-Oriented Research Career Award (K23) is to allow Dr. Rhee to become an independent researcher in the area of pediatric weight management. This training plan, through a combination of didactic and direct mentored training experiences, provides her with the opportunity to develop additional skills and expertise in: 1) the behavioral management of child overweight, 2) the study of parent-child interactions, parenting style, and parenting interventions, which may impact the efficacy of pediatric weight control programs, and 3) the methodology, statistics and ethics of clinical research in childhood obesity. The resources at The Miriam Hospital/ Brown Medical School and close contact with her expert mentoring team (Drs. Wing, Dickstein, Jelalian, and Seifer) will provide Dr. Rhee with the ideal environment to achieve her training and research goals. Childhood obesity continues to be a serious public health concern. Family-based behavioral treatment programs can be successful, but have great variability in efficacy. Several factors may impact the success of these programs: the adoption of parenting skills and the impact of parenting style on the implementation of behavioral changes in the home. The goal of this proposal is to better understand the role of parenting skills/style in the success of behavioral weight control for children. We will first develop a coding schema for parenting skills that occur during a family meal. During phase II, when we implement a family-based behavioral weight control program, we will use this and other existing direct observation measures to evaluate parenting skills and style during a videotaped family meal. Additional self-report measures completed by the parent and child will supplement the information gathered in the videotapes. We will then determine the role of parenting skills and parenting style on change in child weight status and whether or not current family-based programs can change these parent level factors. As a secondary aim, we will examine whether there are differences in parenting skills or style between families of overweight and normal weight children. RELEVANCE fSee instructions): The results of this study will inform the development of an enhanced or modified behavioral treatment program for children that addresses the parent level factors found to be significant. Ultimately, the goal of this proposal is to develop a more comprehensive and effective treatment for overweight children and reduce morbidity.