New Ulm at HOME - (NU-HOME)

新乌尔姆在家 - (NU-HOME)

• 批准号: 9482615
• 负责人: Jayne Allyn Fulkerson
• 金额: $ 2.81万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-03-01 至 2020-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9482615
• 关键词: 10 year old; Address; Behavior; Beverages; Body mass index; Calories; Child; Collaborations; Communities; Consumption; Control Groups; County; Diabetes Mellitus; Dietary intake; Eating; Effectiveness; Environment; Family; Family member; Food; Foundations; Gatekeeping; Goals; Health; Health Promotion; Health behavior; Healthcare Systems; Heart; Home environment; Individual; Influentials; Institutes; Intervention; Minnesota; Nutritional; Obesity; Outcome; Overweight; Parents; Participant; Physical activity; Prevalence; Prevention program; Principal Investigator; Public Health; Randomized Controlled Trials; Research; Research Personnel; Research Project Grants; Resources; Rural; Rural Community; School-Age Population; Services; Television; Testing; Translations; United States National Institutes of Health; Universities; Waiting Lists; Weight; Weight Gain; Work; Youth; arm; base; behavior change; college; community based participatory research; community setting; cooking; design; effective intervention; elementary school; fruits and vegetables; group intervention; high risk; innovation; intervention effect; intervention program; moderate-to-vigorous physical activity; novel; obesity in children; obesity prevention; obesity risk; post intervention; prevent; programs; public health relevance; role model; rural families; sedentary lifestyle; social cognitive theory; sound; sugar; sweetened beverage; tv watching

 DESCRIPTION (provided by applicant): Childhood obesity is a serious public health problem. Although previous environmental approaches to obesity prevention show some promise, most studies have not shown excess weight gain reductions. Moreover, few childhood obesity prevention studies significantly engage parents or focus on the home environment, which is essential to promote healthy behaviors at home. Children in rural communities are particularly vulnerable regarding increased risk for obesity; thus, successful programs that engage families in rural communities to prevent excess weight gain are critical. The proposed research project, New Ulm-Healthy Home Environments via the Mealtime Environment (NU-HOME), is a unique collaboration between leaders in a rural community and successful academic obesity researchers. New Ulm, Minnesota is a rural community with obesity prevalence rates that far exceed national rates. Moreover, they are poised for and are requesting interventions to promote healthful behavior change, particularly for youth. In conjunction with our many community stakeholder groups, the objective of the proposed research is to test the effectiveness of the NU-HOME program, a 7-month, family-based health promotion intervention to prevent excess weight gain (assessed via BMI z-score) among 7-10 year old children (n=120) in the New Ulm rural community. The intervention program is based on Social Cognitive Theory and a socio-ecological framework and will focus on novel health promotion components to prevent childhood obesity, including: 1) promoting regular meals in which family members cook and eat together (i.e., family meals), 2) promoting nutritionally-sound and appropriately-portioned snacks and meals, 3) reducing sedentary behavior, particularly screen time in the home setting, and 4) promoting physical activity through collaboration with community partners. The NU-HOME study is designed in four stages, including substantial formative work between the academic and community partners, a two-arm randomized controlled trial (RCT; intervention and wait-list control), and two activities to facilitate sustainability (delayed intervention delivry for control group participants and dissemination). A community-based participatory research (CBPR) approach will be used to adapt an existing program that was piloted (HOME pilot: 2006-2008, NIH R21- DK0072997) and shown to be effective (HOME Plus: 2010-2015, NIH R01-DK084000) in urban communities. The NU-HOME program has high translation potential and is likely to be immediately useful to rural families of school-age children because it will be tested n a real-world setting in collaboration with engaged, knowledgeable and influential community partners.

 描述(申请人提供)：儿童肥胖是一个严重的公共卫生问题。尽管以前的环境预防肥胖的方法显示出了一些希望，但大多数研究并没有显示过度增加的体重减少。此外，很少有儿童肥胖预防研究显著吸引父母或关注家庭环境，这对促进家庭健康行为至关重要。农村社区的儿童尤其容易受到肥胖风险增加的影响；因此，让农村社区的家庭参与防止体重超标的成功项目至关重要。拟议的研究项目--通过就餐环境的新Ulm-健康家庭环境(NU-HOME)，是农村社区领导人和成功的学术肥胖研究人员之间的独特合作。明尼苏达州新乌尔姆是一个农村社区，肥胖率远远超过全国的肥胖率。此外，他们准备并要求采取干预措施，以促进健康行为的改变，特别是对年轻人来说。与我们的许多社区利益相关者团体一起，这项拟议的研究的目标是测试NU-HOME计划的有效性，该计划是一项为期7个月的家庭健康促进干预措施，旨在防止New Ulm农村社区7-10岁儿童(n=120)的过度体重增加(通过BMI z评分进行评估)。该干预计划以社会认知理论和社会生态框架为基础，将重点放在预防儿童肥胖的新的健康促进因素上，包括：1)推广家庭成员经常做饭和一起吃饭(即家庭用餐)；2)推广营养健康和比例适当的零食和膳食；3)减少久坐行为，特别是在家里看电视的时间；以及4)通过与社区合作伙伴的合作促进体育活动。NU-Home研究设计为四个阶段，包括学术和社区合作伙伴之间的实质性形成工作，两臂随机对照试验(RCT；干预和等待名单控制)，以及促进可持续性的两项活动(为控制组参与者提供延迟干预和传播)。基于社区的参与性研究(CBPR)方法将被用来调整在城市社区试行的现有计划(HOME Pilot：2006-2008，NIH R21-DK0072997)，并被证明是有效的(HOME Plus：2010-2015，NIH R01-DK084000)。NU-HOME项目具有很高的翻译潜力，很可能立即对农村学龄儿童家庭有用，因为它将在现实世界中与参与、知识丰富和有影响力的社区合作伙伴合作进行测试。