Improving communication and collaboration for weight management in mother-daughter dyads

 该指导职业发展奖（K01）的目标是使Becky Marquez博士成为一名独立的研究人员，专注于开发干预措施，通过针对社会支持网络来减少心血管疾病的风险因素，以促进有利于拉丁裔体重管理的饮食和运动行为。鉴于肥胖与心血管疾病之间的关系，干预研究必须解决墨西哥裔美国妇女的体重管理问题，这是一个不成比例地受肥胖影响的群体。母亲和她们的成年女儿结成伙伴关系的二元干预可能是改善饮食和体育活动的一种文化上突出和有效的方法。由于家庭成员之间的沟通可以影响健康行为，促进有利于健康饮食和体育活动的沟通可以帮助建立一个支持母亲和女儿之间体重管理的人际环境。一个解决沟通能力的干预措施是特别必要的拉丁美洲家庭之间的文化适应不和谐的父母和孩子可以干扰有效的沟通和增加冲突。拟议的研究的目的是开发，实施和评估的行为体重管理干预与墨西哥裔美国妇女的沟通培训组成部分。这项研究有三个具体目标。目标1：开发一种行为减肥干预措施，利用从墨西哥裔美国人母女二人组收集的形成性数据结果，修改循证行为减肥治疗。适应性干预将侧重于改善双向沟通和协作，为健康饮食和体育活动行为提供相互支持。目标2：实施和评估一项适用于母女二人组的试点体重管理计划。二人组将被随机分配到基于伴侣的治疗组，接受或不接受沟通技能培训。我们假设，与仅接受基于伴侣的治疗的受试者相比，接受基于伴侣的治疗和沟通技巧培训的受试者将具有更好的治疗依从性，研究保留率和体重减轻。目标3：评估体重变化、体重相关行为和社会心理变量与评估人际沟通措施变化之间的关联。我们预计减肥和改善饮食，身体活动和社会心理变量，如社会支持，与沟通的改善显着相关。培训计划，通过教学教育和直接指导，将允许Marquez博士发展以下方面的技能和经验：1）随机临床试验的进行和分析（重点是基于伙伴的干预措施），2）病因学，病理生理学和肥胖的治疗，3）人际沟通技能培训，以及4）科学工作的写作和交流。加州大学圣地亚哥分校的环境和专家导师团队将使Marquez博士能够实现她的培训和研究目标。(End摘要）

 DESCRIPTION (provided by applicant): The goal of this Mentored Career Development Award (K01) is to enable Dr. Becky Marquez to become an independent investigator focused on developing interventions to reduce cardiovascular disease risk factors by targeting social support networks to promote eating and exercise behaviors conducive to weight management for Latinas. Given the relationship between obesity and cardiovascular disease, it is imperative that intervention studies address weight management among Mexican-American women, a group disproportionately affected by obesity. A dyad-level intervention partnering mothers and their adult daughters may be a culturally salient and effective approach to improve diet and physical activity. Because communication among family members can impact health behaviors, promoting communication that facilitates healthy eating and physical activity could help build an interpersonal environment that supports weight management among mothers and daughters. An intervention that addresses communication competency is especially warranted for Latino families as dissonance in acculturation between parent and child can interfere with effective communication and increase conflict. The purpose of the proposed study is to develop, implement, and evaluate a behavioral weight management intervention with a communication training component for Mexican-American women. The study has three specific aims. Aim 1: Develop a behavioral weight loss intervention that modifies evidence-based behavioral weight loss treatment using results from formative data collected from Mexican-American mother-daughter dyads. The adapted intervention will focus on improving dyadic communication and collaboration for providing reciprocal support for healthy eating and physical activity behaviors. Aim 2: Implement and evaluate a pilot weight management program adapted for mother-daughter dyads. Dyads will be randomly assigned to partner-based treatment with or without communication skills training. We hypothesize that participants receiving partner-based treatment with communication skills training will have better treatment adherence, study retention, and weight loss compared to those receiving partner-based treatment alone. Aim 3: Evaluate associations between changes in weight, weight-related behaviors, and psychosocial variables with changes in measures assessing interpersonal communication. We expect weight loss and improvements in diet, physical activity and psychosocial variables, such as social support, to be significantly associated with improvements in communication. The training plan, through didactic education and direct mentorship, will allow Dr. Marquez to develop skills and experience in: 1) the conduct and analysis of randomized clinical trials (with an emphasis on partner-based interventions), 2) the etiology, pathophysiology, and treatment of obesity, 3) interpersonal communication skills training, and 4) writing and communication of scientific work. The environment at UC San Diego and expert team of mentors will enable Dr. Marquez to achieve her training and research goals. (End of Abstract)