A family-based approach to reducing obesity risk among African American families

降低非裔美国家庭肥胖风险的基于家庭的方法

• 批准号: 9764492
• 负责人: LORNA H. MCNEILL
• 金额: $ 24万
• 依托单位: UNIVERSITY OF TX MD ANDERSON CAN CTR
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-08-15 至 2022-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9764492
• 关键词: Address; Adherence; Adolescent; Adult; Advisory Committees; Affect; African American; Anxiety; Area; Behavior; Behavior Therapy; Behavioral; Body Weight Changes; Breast; Cancer Center; Cardiovascular Diseases; Child; Chronic Disease; Church; Colon; Communication; Communities; Community Health Aides; Coronary heart disease; Degenerative polyarthritis; Diabetes Mellitus; Diet; Effectiveness of Interventions; Enrollment; Environment; Face; Family; Family health status; Family history of; Family member; Feasibility Studies; Funding Mechanisms; Future; Health; Health Personnel; Home environment; Hypertension; Institution; Intervention; Life Style; Malignant Neoplasms; Mediator of activation protein; Mental Depression; Methodist Church; Modeling; Obesity; Outcome; Parents; Participant; Phase; Physical activity; Pilot Projects; Preventive; Randomized; Randomized Controlled Trials; Research; Resources; Risk; Risk Behaviors; Self Efficacy; Social support; Spirituality; Stigmatization; Stroke; Support Groups; Testing; Training; Weight; Weight maintenance regimen; Woman; base; behavioral outcome; community partnership; effective intervention; experience; family influence; group intervention; health care availability; improved; men; obesity in children; obesity risk; participant retention; psychosocial; randomized trial; recruit; sex; social; therapy development; treatment effect; trend

ABSTRACT Obesity carries grave health consequences, including increased risk for coronary heart disease, diabetes, certain cancers (e.g., breast, colon), hypertension, stroke, and osteoarthritis. In addition, increased risk of depression, anxiety, and stigmatization, are only a few of the psychosocial consequences of obesity. Unfortunately this trend is also present in black children and adolescents, resulting in black children to likely face a lifelong struggle with obesity and resulting poor health and psychosocial outcomes. Collaborative partnerships between academic institutions and faith-based organizations, specifically churches, may be one of the most optimal mediums for intervention development. Building upon an existing research partnership with black churches in Houston, the proposed project plans seeks to use community- based approaches to test the feasibility and acceptability of Parent and Family interventions to address obesity in black families. The Parent and Family interventions will involve health coaching, resource navigation provided by church-based Community Health Workers, and church-based support groups. The difference in the interventions is the focus on the parent vs. the family. Houston-area black churches (n=6) will be recruited to participate. Parent/child dyads (n=10 per church) will be enrolled and randomized to three groups (Parent Intervention, Family Intervention, Delayed Comparison Intervention). The interventions will be piloted over 6 months.

摘要 肥胖会带来严重的健康后果，包括增加患冠心病、糖尿病、 某些癌症（例如，乳腺、结肠）、高血压、中风和骨关节炎。此外，增加的风险 抑郁、焦虑和污名化只是肥胖的心理社会后果中的一小部分。 不幸的是，这种趋势也存在于黑人儿童和青少年中，导致黑人儿童 可能面临终身与肥胖和由此产生的健康和心理社会后果的斗争。 学术机构与信仰组织之间的合作伙伴关系， 教会，可能是干预发展的最佳媒介之一。建立在现有的 与休斯顿黑人教堂的研究伙伴关系，拟议的项目计划旨在利用社区- 测试父母和家庭干预措施的可行性和可接受性，以解决 黑人家庭的肥胖问题父母和家庭干预措施将包括健康指导、资源 由教会社区卫生工作者和教会支持团体提供的导航。的 干预措施的不同之处在于侧重于父母还是家庭。休斯顿地区黑人教堂（n=6） 将被招募参加。将入组父母/子女配对（每个教会n=10），并随机分配至 三组（父母干预、家庭干预、延迟比较干预）。的 干预措施将在6个月内试行。