PREVENTING CHILDHOOD OBESITY: ADDRESSING THE FAMILY ENVIRONMENTAL FACTORS

预防儿童肥胖：解决家庭环境因素

• 批准号: 8866420
• 负责人: Alma D Guerrero
• 金额: $ 12.97万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-25 至 2016-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8866420
• 关键词: 2 year old; 5 year old; Academy; Address; Adult; Age; Age-Months; American; Applications Grants; Attitude; Award; Behavior; Behavior Therapy; Belief; Caregivers; Child; Child Development; Childhood; Communities; Complex; Consensus; Consumption; Control Groups; Data; Development; Diabetes Mellitus; Diet; Eating; Effectiveness; Environmental Risk Factor; Epidemic; Evidence based intervention; Family; Family Caregiver; Family dynamics; Family member; Fathers; Focus Groups; Foundations; Future; Goals; Guidelines; Health; Health Care Costs; Health education; Hispanics; Home environment; Individual; Infant; Intervention; K-Series Research Career Programs; Knowledge; Latino; Life; Life Cycle Stages; Mentors; Mentorship; Metabolic; Methodology; Methods; Minority Groups; Mission; Morbidity - disease rate; Mothers; National Institute of Diabetes and Digestive and Kidney Diseases; Nutritional; Obesity; Outcome; Overweight; Pattern; Pediatrics; Phase; Physical activity; Play; Population; Public Health; Qualitative Methods; Randomized Controlled Trials; Research; Research Personnel; Resources; Risk; Risk Factors; Role; Science; Shapes; Surveys; System; Television; Testing; Training; United States; Weight; Weight Gain; base; behavior influence; career; career development; comparison group; contextual factors; critical period; design; early childhood; ethnic minority population; evidence base; feeding; grandparent; healthy weight; high risk; improved; infancy; innovation; meetings; mortality; novel strategies; obesity in children; obesity prevention; post intervention; prevent; racial and ethnic disparities; sedentary; skills; skills training; sweetened beverage; therapy design

DESCRIPTION (provided by applicant): Latinos are disproportionately represented among overweight or obese 2 to 5 year old children suggesting efforts to prevent obesity must begin earlier. Addressing healthy weight development in Latinos during infancy and early childhood has critical implications for the present and future obesity epidemic and its related consequences like diabetes. Multiple and complex subsystems, such as family systems, influence behaviors associated with childhood obesity. Few childhood obesity interventions, however, comprehensively address family environmental factors. The overall objective of this NIDDK Career Development Award is to identify the culturally-specific family-level determinants of young children's nutritional, physical activity, and media-viewing behaviors and use this knowledge to develop, pilot test, and examine the preliminary outcomes, acceptability, feasibility, and sustainability of a family intervention to reduce early childhood obesity. The specific aims to meet this objective are to: (1) identify and compare the knowledge, attitudes, and beliefs of mothers, fathers, and grandparents that shape nutritional, physical activity, and media-viewing practices of Latino children 6- to 24-months of age; (2) design and evaluate preliminary outcomes of a pilot intervention to build family collectivism in age-appropriate and guideline-recommended nutritional, physical activity, and media-viewing practices; and (3) evaluate the feasibility, acceptability, and sustainability of this innovative family intervention.In Aim 1, focus groups will be conducted to identify and examine similarities and differences in specific caregiver knowledge, attitudes, beliefs, and the family dynamics that shape young children's nutritional, physical activity, and media-viewing patterns. In Aim 2, findings from Aim will be used to design, pilot test, and evaluate the preliminary outcomes (ex. child consumption of sweetened beverages, child physical inactivity, etc) of a culturally appropriate 8-week family intervention focusing on building family consensus on healthy behaviors for young children by using an intervention and comparison group design. In Aim 3, the feasibility, acceptability, and sustainability of this intervention will be evaluated via debriefing sessions and caregiver surveys The proposed studies will provide the critical data to develop an R01 proposal to evaluate the effectiveness of a culturally tailored intervention in a larger randomized controlled trial. These studies will produce innovative approaches and new knowledge that is responsive to NIDDK's mission to improve weight outcomes of all individuals and its priorities to address family-based interventions to prevent excess weight gain in young children within high-risk populations. The resources and institutional support at UCLA, talented multi-disciplinary mentorship team, and proposed career development activities, will allow the candidate to achieve her long-term goal of becoming an independent investigator and nationally recognized expert on community-based interventions to reduce racial/ethnic disparities in childhood obesity.

描述（由申请人提供）：拉丁美洲人在超重或肥胖的2至5岁儿童中的比例不成比例，这表明预防肥胖的努力必须开始更早。解决拉丁美洲人在婴儿期和幼儿期的健康体重发展对现在和未来的肥胖流行及其相关后果（如糖尿病）具有重要意义。多个复杂的子系统，如家庭系统，影响与儿童肥胖相关的行为。然而，很少有儿童肥胖干预措施全面解决家庭环境因素。该NIDDK职业发展奖的总体目标是确定幼儿营养，体育活动和媒体观看行为的特定文化家庭层面的决定因素，并利用这些知识来开发，试点测试和检查家庭干预的初步结果，可接受性，可行性和可持续性，以减少儿童早期肥胖。实现这一目标的具体目标是：（1）确定和比较的知识，态度和信仰的母亲，父亲和祖父母，塑造营养，体育活动和媒体观看的做法，拉丁美洲儿童6- 24个月的年龄;（2）设计和评估试点干预措施的初步结果，以建立适合年龄和指南推荐营养的家庭集体主义，在目标1中，将进行焦点小组讨论，以确定和检查特定照顾者的知识，态度，信仰和家庭动态的相似性和差异，这些知识，态度，信仰和家庭动态塑造幼儿的营养，身体活动和媒体观看模式。在目标2中，Aim的研究结果将用于设计、试点测试和评估初步结果（例如，儿童饮用含糖饮料、儿童缺乏体育活动等）的文化上适当的8周家庭干预，重点是通过使用干预和比较组设计，建立家庭对幼儿健康行为的共识。在目标3中，将通过汇报会和护理人员调查评估该干预措施的可行性、可接受性和可持续性。拟议的研究将提供关键数据，以制定R 01提案，在较大的随机对照试验中评估文化定制干预措施的有效性。这些研究将产生创新的方法和新的知识，以响应NIDDK的使命，以改善所有个人的体重结果和其优先事项，以解决以家庭为基础的干预措施，以防止过度体重增加的幼儿在高风险人群。加州大学洛杉矶分校的资源和机构支持，才华横溢的多学科导师团队，以及拟议的职业发展活动，将使候选人能够实现她的长期目标，成为一名独立的调查员和全国公认的社区干预专家，以减少儿童肥胖的种族/民族差异。