School nurse-directed secondary obesity prevention for elementary school children

学校护士指导小学生二次肥胖预防

• 批准号: 9376740
• 负责人: Martha Y Kubik
• 金额: $ 30.68万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-04-03 至 2019-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9376740
• 关键词: nurse; directed; secondary; obesity; prevention

DESCRIPTION (provided by applicant): Because one in three school-aged children are overweight or obese, there is a need to develop and test school-based programming that aims to prevent progression and support remission of childhood obesity (secondary prevention). The proposed study will test a novel elementary school-based, school nurse- directed weight management program that aims to reduce the prevalence of overweight and obesity among 8 to 11 year old children. The 12-month, multi-component intervention for children who are overweight or at risk for overweight will include parents and will target key modifiable diet and activity factors known to be successful in changing long-term energy balance. The program will be offered as a second step of an established school-based body mass index (BMI) screening and parent notification program, held after school and include: 1) quarterly parent/child coaching sessions, 2) twice monthly child groups; 3) a once monthly parent group, and 4) collaboration with health care providers and community-based organizations. Study aims will be accomplished using a randomized controlled trial design, with random assignment of 175 2nd and 4th grade students plus one parent to intervention or attention-only control conditions. The primary aim of this research is to reduce excessive weight gain among 8 to 11 year old children who are overweight or at risk of overweight by increasing healthy dietary practices and physical activity levels and decreasing sedentary practices. Secondary aims will examine the effect of the intervention on the dietary, physical activity and sedentary practices of children and on family lifestyle practices overseen by parents. Measures for children will include height and weight, dietary intake measured by 24-hour dietary recall, child activity levels measured by accelerometer, health-related quality of life and psychosocial factors. Parent measures will include height and weight, parental dietary and activity practices and psychosocial and environmental mediators at the family level. Process measures will assess program implementation and include measures of fidelity, dose, reach and context. Collaboration with key stakeholders representing school nursing practice, health insurers, health providers and community programming, as well as prospective economic analyses of intervention effectiveness will support translation of this work into sustainable school practice. It is hypothesized that relative to the control condition, children receiving the intervention will have significantly lower body mass index, following implementation of the 12-month intervention, controlling for baseline values.

描述（由申请人提供）：由于三分之二的学龄儿童超重或肥胖，因此有必要开发和测试基于学校的节目，旨在防止进步和支持儿童肥胖症的缓解（次要预防）。拟议的研究将测试一项新型的基于学校护士的负重体重管理计划，旨在减少8至11岁儿童的超重和肥胖症的患病率。为超重或超重风险的儿童进行的为期12个月的多组分干预措施将包括父母，并将针对可改善的关键改动饮食和已知在改变长期能量平衡方面成功的活动因素。该计划将作为既定的学校体重指数（BMI）筛查和父母通知计划的第二步，在放学后举行，包括：1）季度父母/子女教练课程，2）每月两次； 3）一个每月的母公司组，以及与医疗保健提供者和基于社区的组织合作。研究目标将使用随机对照试验设计来实现，随机分配175名二年级和四年级学生，以及一位父母在干预或仅注意的控制条件下。 这项研究的主要目的是减少8至11岁儿童的体重增加过度，这些儿童通过增加健康的饮食习惯和体育锻炼水平并降低久坐的习惯，从而超重或有超重的风险超重。次要目的将研究干预对儿童饮食，体育锻炼和久坐不动的影响以及父母监督的家庭生活方式实践的影响。儿童的措施将包括身高和体重，饮食摄入量，通过24小时饮食召回，通过加速度计测量的儿童活动水平，与健康相关的生活质量和社会心理因素衡量。父母的措施将包括身高和体重，父母的饮食和活动实践以及家庭一级的社会心理和环境调解人。过程措施将评估计划实施，并包括忠诚，剂量，覆盖范围和环境的措施。与代表学校护理实践，健康保险公司，卫生提供者和社区计划的主要利益相关者的合作，以及对干预效力的前瞻性经济分析，将支持将这项工作转化为可持续的学校实践。 假设相对于控制干预措施的儿童，在实施了12个月的干预措施后，接受干预的儿童将显着降低体重指数。