A health-literacy module for overweight adolescents and their parents on canine physical activity, nutrition and behavior: Enhancing DHHS'BodyWorks program at a Federally Qualified Health Center

摘要 这个项目是一个可行性，可接受性和试点研究，利用知情的心理社会效益 以及未接受过治疗的超重或肥胖青少年中的养狗情况。我们利用 健康行为的社会生态模型，追求多层次的影响，包括那些延伸 比如身体活动。我们利用BodyWorks，一个全面的行为家庭 生活方式干预（CBFLI），一个全国性的，经验验证的，基于社区的7周计划，提供在 洛杉矶儿童医院AltaMed普通儿科分部，联邦合格医疗机构 中心本研究的目的是：具体目的1：利用兽医学目前的经验证据， 开发一个犬健康素养模块（CHL），作为现有的经验测试的一部分， BW课程，以增加青少年对他们的狗的身体活动需求，体重， 地位和营养。具体目标2：测试并行方法的可行性和可接受性， 身体活动追踪器和生态瞬时评估。2（a）：测试以下方面的可行性和可接受性： 使用青少年无线健身追踪器（FitBit Ace）客观测量身体活动， 父母（FitBit Flex2）及其犬（FitBark）; 2（B）：测试使用移动的的可行性和可接受性 生态瞬时评估的类型和青少年的身体活动的背景下， 狗具体目标3：确定效应的大小，以及与7周持续时间相关的变异性 BW + CHL模块，与3（a）中接受标准BW程序的对照组相比 根据生态测量，青少年在与狗一起进行体育活动期间或之后的积极影响 使用移动的手机上的提示进行即时评估;以及3（B）级整体体力活动， 青少年、他们的父母和狗，通过FitBit Ace（青少年）、FitBit Flex2（父母）、 FitBark（狗）该项目将确定可行性、可接受性、损耗和方案依从性， 将收集把握度计算所需的初步数据，为R 01随机对照试验做准备， 下一步是测试我们增强的BW+CHL计划的有效性。该项目是一个重要的 在人与动物相互作用（HAI）和研究领域的方法和理论进步 关于超重和肥胖。

ABSTRACT This project is a feasibility, acceptability, and pilot study that leverages the psychosocial benefits of informed and attached dog ownership among treatment-naïve overweight or obese adolescents. We draw upon a socioecological model of health behavior that pursues multiple levels of influence, including those extending across species lines such as physical activity. We utilize BodyWorks, a Comprehensive Behavioral Family Lifestyle Interventions (CBFLI), a national, empirically validated, curriculum-based 7-week program offered at Children's Hospital Los Angeles AltaMed Division of General Pediatrics, a Federally Qualified Healthcare Center. The aims of the study are: Specific Aim 1: Using current empirical evidence in veterinary medicine, to develop a Canine Health Literacy module (CHL) to be delivered as part of the existing, empirically tested BW curriculum to increase adolescents' health literacy about their dogs' physical activity needs, weight status, and nutrition. Specific Aim 2: Test the feasibility and acceptability of a concurrent approach using physical activity trackers and Ecological Momentary Assessment. 2(a): Test the feasibility and acceptability of objective measurement of physical activity using wireless fitness trackers for adolescents (FitBit Ace), their parents (FitBit Flex2), and their dogs (FitBark); 2(b): Test the feasibility and acceptability of using mobile phones for Ecological Momentary Assessment of types and contexts of adolescent's physical activity with dogs. Specific Aim 3: To establish the size of the effect, and the variability associated with the 7 week-long BW + CHL module, as compared with the control group who received the standard BW program in 3(a) adolescents' positive affect during or after physical activity with the dog, as measured by the Ecological Momentary Assessment using prompts on mobile phones; and 3(b) levels of overall physical activity for the adolescents, their parents, and the dogs as measured by the FitBit Ace (adolescents), FitBit Flex2 (parents), and FitBark (dogs). The project will establish feasibility, acceptability, attrition, and protocol compliance, and will collect pilot data needed for power calculations in preparation for an R01 Randomized Controlled Trial as a next step to test the effectiveness of our enhanced BW+CHL program. This project represents a significant methodological and theoretical advancement in the field of Human-Animal Interaction (HAI) and in research on overweight and obesity.