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Attrition in Pediatric Weight Management

儿童体重管理中的自然减员

基本信息

批准号：
8637096
负责人：
Joseph Arnold Skelton
金额：
$ 17.24万
依托单位：
WAKE FOREST UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-04-01 至 2016-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8637096
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

项目摘要

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.

简介（由申请人提供）：Joseph A. Skelton，医学博士，维克森林大学医学院（WFUSM）儿科助理教授，在儿童肥胖治疗方面拥有丰富的临床经验。他将利用这个K23奖来扩大他的临床研究技能，并开发独特的方法来改善对肥胖儿童及其家庭的循证治疗。他的职业目标是成为一名独立的儿童肥胖治疗研究者，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。Skelton博士将利用WFUSM强大的研究环境和优秀的指导来获得：以儿童和家庭为中心的研究能力；在初级保健办公室和社区环境中开展研究的专门知识；掌握定性研究方法；以及对医学和行为疗法的满意度和损耗的了解。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进行结构化的指导，与经验丰富的儿科研究人员进行互动和培训，通过完成研究计划进行正式的教育计划和体验式学习。这项研究是及时的和非常重要的，因为儿童肥胖的患病率持续增长。该候选人的研究项目的首要假设是，肥胖治疗的消耗是成功减肥的一个重大障碍，可以通过患者和家庭的特点以及治疗项目本身来减轻。候选人将通过招募来自3个不同治疗地点的肥胖儿童家庭来调查治疗的损耗。减员预测因子将通过以下方面的定性和定量研究确定：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，以及c)家庭对治疗的满意度。然后，通过与社区卫生保健提供者的关键信息提供者的访谈，参与治疗方案，根据研究结果修改治疗方法。这项提案将为Skelton博士提供成为儿科肥胖治疗独立研究者的技能。

项目成果

期刊论文数量（29）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Addressing Childhood Obesity: Opportunities for Prevention.

DOI：
10.1016/j.pcl.2015.05.013
发表时间：
2015-10
期刊：
Pediatric clinics of North America
影响因子：
2.6
作者：
Brown CL;Halvorson EE;Cohen GM;Lazorick S;Skelton JA
通讯作者：
Skelton JA

Attrition in a Multidisciplinary Pediatric Weight Management Clinic.

DOI：
10.1089/chi.2011.0010
发表时间：
2011-06-20
期刊：
Childhood obesity (Print)
影响因子：
0
作者：
Skelton JA;Goff DC Jr;Ip E;Beech BM
通讯作者：
Beech BM

Pain as a Comorbidity of Pediatric Obesity.

DOI：
10.1177/1941406412458315
发表时间：
2012-10-01
期刊：
Infant, child & adolescent nutrition
影响因子：
0
作者：
Hainsworth KR;Miller LA;Stolzman SC;Fidlin BM;Davies WH;Weisman SJ;Skelton JA
通讯作者：
Skelton JA

Caregiver Expectations of Family-based Pediatric Obesity Treatment.

护理人员对以家庭为基础的小儿肥胖治疗的期望。