Tailoring of Childhood Obesity Screening and Counseling for Latino Families with Preschool-Aged Children

为有学龄前儿童的拉丁裔家庭量身定制儿童肥胖筛查和咨询

• 批准号: 9440413
• 负责人: MATTHEW A. HAEMER
• 金额: $ 19.22万
• 依托单位: UNIVERSITY OF COLORADO DENVER
• 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 2021-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9440413
• 关键词: Acculturation; Address; Adoption; Area; Award; Awareness; Behavior Therapy; Behavioral; Body mass index; Caring; Child; Child Nutrition; Clinic; Clinical; Code; Colorado; Communities; Community Networks; Counseling; Demographic Factors; Diabetes Mellitus; Diet; Early Diagnosis; Effectiveness; Electronic Health Record; Empathy; Epidemic; Evaluation; Family; Fellowship; Focus Groups; Future; Goals; Guidelines; Health; Health Personnel; Health Promotion; Healthcare; Healthcare Systems; Imagery; Intervention; Intervention Trial; Interview; Knowledge; Language; Latino; Lead; Life; Life Style; Low income; Maintenance; Mentored Patient-Oriented Research Career Development Award; Mentors; Methods; Minority; Motivation; Non-Insulin-Dependent Diabetes Mellitus; Nursery Schools; Obesity; Outcome; Parents; Patients; Personal Satisfaction; Physicians; Population; Positioning Attribute; Prevention; Primary Health Care; Principal Investigator; Process; Protocols documentation; Provider; Qualitative Methods; Qualitative Research; Questionnaires; Recording of previous events; Records; Reporting; Research; Research Methodology; Research Personnel; Research Training; Risk; Risk Factors; Scientist; Self Efficacy; Specialist; Structure; Surveys; Technology; Testing; Time; Training; Translating; Visit; Weight; Work; aged; barrier to care; base; care providers; career; career development; clinical practice; clinically significant; cost effective; cost effectiveness; design; disparity reduction; eHealth; early childhood; evidence base; experience; follow-up; health disparity; health literacy; healthy lifestyle; high risk; high risk population; implementation science; improved; insight; lower income families; next generation; nutrition; obesity in children; obesity management; obesity prevention; obesity risk; obesity treatment; patient oriented research; patient portal; pediatrician; personalized approach; pragmatic trial; preference; primary care setting; programs; public health relevance; safety net; screening; skills; treatment as usual

 DESCRIPTION (provided by applicant): This is a revised application for a K23 award for a fellowship trained pediatrician specializing in Pediatric Nutrition and childhood obesity. The candidate is committed to an academic career as a physician scientist conducting patient-oriented research in childhood obesity. This award will support the candidate's training and attainment of expertise in three areas: qualitative research methods, cultural tailoring of technology-based interventions, and implementation science. This training will support his overall goals of designing and rigorously testing childhood obesity interventions that can be readily translated and disseminated and that will provide critical insight for care in diverse settings and patient groups. To achieve these goals, Dr. Haemer has assembled a cross-disciplinary mentoring team, each with outstanding experience in research methods and strong records of successful mentoring: Dr. Glasgow, a behavioral scientist who is renown within the field of implementation science; Dr. Bull, an expert researcher in technology-based health promotion; and Dr. Krebs, a pediatrician and nutrition specialist with extensive research and clinical experience in childhood obesity and with a long history of mentoring young investigators. The proposed research addresses the huge knowledge gap in cost-effective ways for the healthcare system to influence both patient-level and population-level outcomes for childhood obesity. Evidence-based approaches of surveillance, screening, prevention and treatment largely remain uncertain or untested, especially for the youngest children from groups at highest risk of obesity-related health disparity. This K23 award will study methods for prevention and treatment applied to Latino preschool-aged children from low- income families. The research will test the central hypothesis that culturally tailored screening and counseling will be more effective at decreasing BMI trajectory than usual care. Specific aims include: 1. To characterize components of primary care interactions that should be culturally tailored to enhance motivation for healthy lifestyle change among Latino parents with preschoolers 2. To design a technology-user interface that maximizes acceptance by Latino parents of young children. 3. To pilot test a technology-supported screening and counseling protocol tailored to Latino parents using findings of Aims 1 and 2. Using an implementation science perspective, we will assess the reach, effectiveness, adoption, implementation fidelity, and sustainable maintenance of the intervention in clinical practice during the pilot RCT. This research and training will form the basis for an RO1 proposal to test technology-supported childhood obesity prevention and treatment interventions targeting young children from low-income Latino families. OMB No. 0925-0001/0002 (Rev. 08/12 Approved Through 8/31/2015) Page Continuation Format Page

 描述（由申请人提供）：这是一个K23奖的奖学金培训儿科医生专门从事儿科营养和儿童肥胖的修订申请。该候选人致力于作为一名医生科学家的学术生涯，进行以患者为导向的儿童肥胖研究。该奖项将支持候选人在三个领域的培训和专业知识的获得：定性研究方法，基于技术的干预措施的文化定制和实施科学。这项培训将支持他设计和严格测试儿童肥胖干预措施的总体目标，这些干预措施可以很容易地翻译和传播，并将为不同环境和患者群体的护理提供关键的见解。为了实现这些目标，Haemer博士组建了一个跨学科的指导团队，每个人都在研究方法和成功指导的良好记录方面拥有出色的经验：格拉斯哥博士，一位在实施科学领域享有盛誉的行为科学家; Bull博士，一位基于技术的健康促进专家研究员;克雷布斯博士是一位儿科医生和营养专家，在儿童肥胖症方面拥有丰富的研究和临床经验，并长期指导年轻的研究人员。拟议的研究以具有成本效益的方式解决了医疗保健系统影响儿童肥胖患者水平和人群水平结果的巨大知识差距。基于证据的监测、筛查、预防和治疗方法在很大程度上仍然不确定或未经检验，特别是对于来自肥胖相关健康差异风险最高群体的最年幼儿童。这个K23奖将研究适用于低收入家庭的拉丁裔学龄前儿童的预防和治疗方法。这项研究将测试中心假设，即文化上定制的筛查和咨询将比常规护理更有效地降低BMI轨迹。具体目标包括：1.描述初级保健互动的组成部分，应在文化上量身定制，以增强拉丁裔父母与学龄前儿童之间健康生活方式改变的动机2。设计一个技术用户界面，最大限度地提高幼儿的拉丁裔父母的接受程度。3.试点测试技术支持的筛选和咨询协议量身定制的拉丁美洲父母使用的调查结果的目的1和2。使用实施科学的观点，我们将评估试点RCT期间临床实践中干预措施的范围，有效性，采用，实施保真度和可持续性维护。这项研究和培训将成为RO 1提案的基础，该提案旨在测试针对低收入拉丁美洲家庭幼儿的技术支持的儿童肥胖预防和治疗干预措施。OMB编号0925-0001/0002（2012年8月批准至2015年8月31日修订版）页码续页格式页码