Virtual Role-Plays to Reduce the Occurrence of Childhood Obesity

虚拟角色扮演可减少儿童肥胖的发生

• 批准号: 8833633
• 负责人: Dale Edward Olsen
• 金额: $ 49.99万
• 依托单位: SIMMERSION, LLC.
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-30 至 2016-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8833633
• 关键词: Virtual; Role; Plays; Reduce; Occurrence

DESCRIPTION (provided by applicant): Obesity in the United States is at historically high levels and is an important health problem (Flegal et al., 2010). Interventions targeting children are a high priority because children bear the greatest lifetime health risk from overweight and obesity. (Ogden et al., 2007; Franks et al., 2010). Health professionals in primary care settings are influential in the lives of families. Even brief advice delivered well can have a meaningful impact, and yet, health care providers indicate that lack of efficacy and skill, impact, patient motivation, and educational materials (Jelalian et al., 2003; Story et al., 2002; Shaikh et al., 2011) keep them from routinely addressing obesity prevention and treatment in their practices. To target this gap, SIMmersion, together with Drs. Fulkerson, Sherwood, and Fleming, proposes to develop, evaluate, and disseminate a computer-based training system with role-play simulations to train health care providers to effectively conduct discussions with parents and children to provide intervention for and reduce the likelihood of progression to childhood obesity. In accordance with effective simulation development (Issenberg et al., 2005) and adult learning theory, the proposed system will include interactive educational materials to facilitate knowledge acquisition, three virtual role-plays with simulated characters to facilitate skill acquisition, an an on-screen coach and comprehensive after-action review to provide impactful feedback. The three role-play practice sessions will allow health care providers to practice (1) sharing concerns about a child's weight with a parent, (2) conducting a follow-up visit with the parent of an overweight child a month after the initial discussion regarding weight, and (3) involving the child in a conversation about healthy choices. To evaluate the program's efficacy to change health care providers' skills in talking with parents and children, the research team proposes to conduct a randomized controlled trial. One-hundred health care providers from the Twin Cities Minnesota Metropolitan area will be randomly assigned to a wait-list control group (N=50) or the intervention group that will receive access to the training program (N=50). All participants will complete live standardized patient interviews at baseline and post- intervention. Thus, primary outcomes of the study are increases in participant skill levels measured via performance in role plays with trained actors. The development and evaluation of this training product could provide medical professionals the training they need to implement obesity treatment and prevention into routine practice. To that end, the team will focus commercialization efforts on increasing product awareness to medical schools, hospitals and private practices, and healthcare organizations. We anticipate that the training system will better prepare health care providers to promote lifestyle change among overweight and obese youth and their families.

描述（由申请人提供）：美国的肥胖率处于历史最高水平，并且是一个重要的健康问题（Flegal 等，2010）。针对儿童的干预措施是当务之急，因为儿童一生中因超重和肥胖而面临的健康风险最大。 （奥格登等人，2007 年；弗兰克斯等人，2010 年）。初级保健机构的卫生专业人员对家庭的生活具有影响力。即使是简短的建议也能产生有意义的影响，然而，医疗保健提供者表示，缺乏功效和技能、影响力、患者动机和教育材料（Jelalian 等人，2003 年；Story 等人，2002 年；Shaikh 等人，2011 年）使他们无法在实践中常规解决肥胖预防和治疗问题。为了弥补这一差距，SIMmersion 与 Drs 一起。 Fulkerson、Sherwood 和 Fleming 提议开发、评估和传播基于计算机的角色扮演模拟培训系统，以培训医疗保健提供者有效地与父母和儿童进行讨论，以提供干预措施并减少儿童肥胖进展的可能性。 根据有效的模拟开发（Issenberg et al., 2005）和成人学习理论，所提出的系统将包括促进知识获取的交互式教育材料、促进技能获取的三个具有模拟角色的虚拟角色扮演、屏幕上的教练和提供有影响力的反馈的全面的事后审查。三个角色扮演练习课程将允许医疗保健提供者练习 (1) 分享担忧 与家长讨论孩子的体重，(2) 在初步讨论体重问题后一个月对超重孩子的家长进行跟踪访问，以及 (3) 让孩子参与 在关于健康选择的对话中。为了评估该计划改变医疗保健提供者与父母和儿童交谈的技能的功效，研究小组建议进行一项随机对照试验。来自明尼苏达州双城都会区的 100 名医疗保健提供者将被随机分配到等待名单对照组 (N=50) 或将获得培训计划的干预组 (N=50)。所有参与者将在基线和干预后完成实时标准化患者访谈。因此，该研究的主要结果是通过与训练有素的演员进行角色扮演来衡量参与者技能水平的提高。该培训产品的开发和评估可以为医疗专业人员提供将肥胖治疗和预防纳入日常实践所需的培训。为此，该团队将把商业化工作的重点放在提高医学院、医院和私人诊所以及医疗保健组织的产品认知度上。我们预计该培训系统将更好地帮助医疗保健提供者促进超重和肥胖青少年及其家人生活方式的改变。