Parent Focused Obesity Intervention for Low-Income African American Preschoolers

针对低收入非裔美国学龄前儿童的以家长为中心的肥胖干预

• 批准号: 8732646
• 负责人: Heather Janisse
• 金额: $ 18.15万
• 依托单位: EASTERN MICHIGAN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-15 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8732646
• 关键词: 5 year old; Academy; Address; Adolescent; Adult; Affect; African American; Age; American; American Heart Association; Area; Attention; Attitude; Behavior; Beverages; Body Weight decreased; Budgets; Child; Childhood; Clinical Trials; Data; Development; Diet Habits; Eating Behavior; Educational Curriculum; Enrollment; Environment; Epidemic; Exercise; Family; Food; Food Preferences; Goals; Head Start Program; Health Food; Health Services Accessibility; Health behavior change; Home environment; Individual; Intake; Intervention; Intervention Studies; Knowledge; Length; Life; Literature; Low income; Minority; Modeling; Motivation; Not Hispanic or Latino; Nursery Schools; Nutritional; Obesity; Outcome; Overweight; Parenting behavior; Parents; Participant; Pediatrics; Phase; Physical activity; Pilot Projects; Play; Population; Populations at Risk; Positioning Attribute; Prevalence; Prevention; Prevention program; Preventive Intervention; Public Health; Randomized; Recording of previous events; Recruitment Activity; Reporting; Research; Risk; Role; Sampling; Schools; Shapes; Students; Target Populations; Techniques; Testing; Time; United States; Validation; Weight; Work; Youth; age group; base; experience; follow-up; fruits and vegetables; health disparity; high risk; home based service; improved; intervention effect; intervention program; motivational enhancement therapy; motivational intervention; novel; nutrition; obesity in children; obesity prevention; obesity risk; primary outcome; programs; public health relevance; secondary outcome; skills; success; successful intervention; sugar; sweetened beverage; therapy development

DESCRIPTION (provided by applicant): Childhood obesity has reached epidemic proportions and is considered to be a public health crisis in the United States. Increases in U.S. overweight and obesity prevalence have been most apparent for the preschool age group. Low-income and minority youth are at greater risk for obesity and therefore African American preschoolers are a critical population to target for intervention efforts. In spite of substantial literature pointingto the importance of early prevention efforts for childhood obesity and the need to focus on minority children who are at greatest risk, few prevention or intervention studies have targeted this population. The preschool years may be the most opportune and critical point in time for intervention strategies. Parents play a critical role in children's weight during this time period through shaping food and activity choices, as well as via specific parenting practices and modeling of behaviors and attitudes. Furthermore, the current literature and our experience suggest that parental attendance is a substantial barrier to program success. Therefore, successful interventions for this population need to increase access to services by providing interventions in the home. Therefore, the purpose of the present study is to develop and preliminarily validate a parent focused obesity intervention program for parents of low-income, African American preschoolers who are currently overweight. This proposed research will take place with an urban Head Start Agency. The proposed study includes a development phase and a pilot validation phase (clinical trial). In the first budget year, we propose to develop an intervention that is eight sessions in length that will be carried out in the participant's home. Te sessions will target the nutrition and physical activity knowledge of parents and their motivation for changing parenting related to family eating habits and activity level. Intervention content for the parent will be based on Motivational Interviewing (MI) principles. Although MI has been widely used to intervene with individual adults and adolescents, utilizing MI techniques to influence parenting behavior, especially parenting behavior related to health behavior change, is novel. In budget years 2 and 3, the pilot phase will include a sample of 76 parents recruited from the Head Start program, whose enrolled families are primarily African American. Parents will be randomly assigned to either the home-based prevention intervention or an attention control intervention. Pre, post, 6-month and 1-year follow-up data will be collected that includes BMI, parent nutrition and physical activity knowledge, motivation for health behavior change, parenting skills, child fruit and vegetable intake, intake of sugar-sweetened beverages, and activity levels. The current study will allow us to evaluate intervention feasibility and acceptabiity and estimate intervention effect sizes for a larger clinical trial. The long-term goal will be to identify best practices for reducing childhood overweight and obesity in an at-risk population.

描述(申请人提供)：在美国，儿童肥胖已经达到流行的程度，被认为是一种公共健康危机。美国超重和肥胖率的上升在学龄前年龄组最为明显。低收入和少数族裔青年患肥胖症的风险更大，因此非裔美国学龄前儿童是干预努力的关键人群。尽管有大量文献指出儿童肥胖症早期预防工作的重要性，以及需要把重点放在风险最高的少数族裔儿童身上，但很少有针对这一群体的预防或干预研究。学龄前几年可能是干预策略最合适和最关键的时间点。在这段时间里，父母通过塑造食物和活动选择，以及通过具体的育儿实践和行为和态度的模范，在孩子的体重方面发挥着关键作用。此外，目前的文献和我们的经验表明，父母出席是项目成功的一个重要障碍。因此，对这一人群的成功干预需要通过在家庭中提供干预来增加获得服务的机会。因此，本研究的目的是为目前超重的低收入非裔美国学龄前儿童的父母制定并初步验证以父母为中心的肥胖干预计划。这项拟议的研究将与城市Head Start机构一起进行。拟议的研究包括开发阶段和试点验证阶段(临床试验)。在第一个预算年度，我们建议制定一项干预措施，长度为八次，将在参与者的家中进行。TE课程将针对父母的营养和体育活动知识，以及他们改变与家庭饮食习惯和活动水平有关的育儿方式的动机。干预内容： 家长将基于动机面试(MI)原则。虽然MI已被广泛用于干预成人和青少年个体，但利用MI技术来影响父母的行为，特别是与健康行为改变相关的父母行为，还是一个新的尝试。在预算的第二年和第三年，试点阶段将包括从Head Start计划招募的76名父母的样本，他们登记的家庭主要是非裔美国人。父母将被随机分配到以家庭为基础的预防干预或注意力控制干预。将收集前、后、6个月和1年的随访数据，包括体重指数、父母营养和体力活动知识、改变健康行为的动机、育儿技能、儿童水果和蔬菜摄入量、含糖饮料的摄入量和活动水平。目前的研究将使我们能够评估干预的可行性和可接受性，并为更大的临床试验估计干预效果的大小。长期目标将是确定在高危人群中减少儿童超重和肥胖的最佳做法。