Family obesity intervention: Motivational Interviewing and community support

家庭肥胖干预：动机访谈和社区支持

• 批准号: 8757446
• 负责人: Helena Hillman Laroche
• 金额: $ 75.1万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-01 至 2019-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8757446
• 关键词: Address; Adult; Age; Behavior; Behavioral; Child; Child Behavior; Collaborations; Communities; Community Health Centers; Counseling; Diet; Disadvantaged; Elements; Environment; Family; Family member; Food; Goals; Habits; Health; Health Services Accessibility; Healthcare; Hour; Income; Individual; Intervention; Life; Life Style; Low Income Population; Low income; Measures; Mediating; Mediator of activation protein; Minority; Motivation; Obesity; Outcome; Outcome Measure; Overweight; Parenting behavior; Parents; Participant; Phase; Physical activity; Physical activity scale; Pilot Projects; Population; Poverty; Prevalence; Prevention; Preventive Intervention; Public Health; Randomized Controlled Trials; Recruitment Activity; Research; Resources; Risk Behaviors; Self Efficacy; Techniques; Testing; Time; Training Programs; Weight; Work; base; behavior change; community based participatory research; community organizations; design; diet and exercise; effective intervention; empowered; expectation; food resource; good diet; group intervention; high risk; improved; innovation; intervention effect; motivational enhancement therapy; nutrition; obesity in children; obesity prevention; obesity risk; obesity treatment; prevent; programs; public health relevance; screening; sedentary; successful intervention

DESCRIPTION (provided by applicant): Low-income children and children of obese parents are at high risk of obesity. Effective interventions are needed to target these families to improve the health of the parents and prevent obesity in the children. The hypothesis is that an intervention that combines engagement of community organizations, motivational interviewing (MI, a technique proven to help people set goals that are personally meaningful), and resource mobilization will change diet and physical activity habits among disadvantaged families. This proposal grew from an established community-based participatory research (CBPR) partnership between the research team and community organizations that serve high minority (45-55%), low-income populations. Partners include a community health center, a food pantry network, a work-force training program, and other agencies. These partners designed and implemented a successful pilot project on which this proposal is based. The specific aims of this proposal are 1) to evaluate the efficacy of a family-targeted obesity intervention based on MI and resource-mobilization. Hypotheses: In comparison to control families, families participating in the intervention will demonstrate a) a reduction in BMI for adults, b) an increase in minutes of moderate physical activity and decreased sedentary time for both adults and children (accelerometer), and c) a reduction in the number of obesity risk behaviors and an increase in obesity prevention behaviors among children. 2) To examine the mediators of intervention effects. 3) identify the types of resources needed most often by intervention families to support lifestyle change. This randomized controlled trial includes 260 low-income families that contain at least one obese adult and one normal or overweight child between 6 and 12. The 12-month intervention has two elements. 1) A health coach will use MI to help families explore ambivalence toward and motivations for change and set goals for improving diet and physical activity. 2) To support goals, families will be connected with community agencies that can assist with general (e.g., financial) and goal specific resources (e.g., food, physical activity opportunities). Collaboration between organizations will streamline referrals, maximize resources, and facilitate access. Control families will get a basic screen for needs and information about available community resources. Outcomes are measured at baseline, 6, 12, and 18 months. This intervention is innovative in that it 1) focuses on lifestyle changes for the entire family and measures outcomes in adults and children, 2) combines MI focused on the entire family and community resource referrals specific to family needs and goals for change, 3) partners community organizations to coordinate resources for families, and 4) involves partners in all research phases via a CBPR approach. This contribution will be significant because the proposed intervention, if successful, can be replicated elsewhere and adapted to the local resource environment to address adult obesity and prevent childhood obesity in a high-risk population. The study will also identify the types of resources low-income families need to change diet and physical activity.

描述（由申请人提供）：低收入家庭的孩子和肥胖父母的孩子是肥胖的高危人群。需要针对这些家庭采取有效的干预措施