A pilot feasibility study of digitally delivered modules focused on preventing the development of obesity during the first year of life within an existing statewide home visitation program
对数字交付模块进行试点可行性研究,重点是在现有的全州家访计划中预防生命第一年发生肥胖
基本信息
- 批准号:10667696
- 负责人:
- 金额:$ 27.12万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2023
- 资助国家:美国
- 起止时间:2023-08-07 至 2026-07-31
- 项目状态:未结题
- 来源:
- 关键词:1 year oldAbbreviationsAddressAdultAffectAgeAttitudeBehaviorBiometryBirthBreast FeedingCOVID-19Cellular PhoneChildChild DevelopmentChildhoodCommunitiesConceptionsDataE-learningEducational CurriculumEnrollmentEvaluationFamilyFamily memberFathersFeasibility StudiesFloridaFoundationsFriendsFutureGoalsHealthHealth PersonnelHomeHome visitationImageInfantInterdisciplinary StudyInterventionInterviewJuiceLearning ModuleLengthLifeLow incomeMediatorMethodsModelingMothersNursesObesityOverweightParentsPediatricsPersonsPilot ProjectsPopulation HeterogeneityPrevalencePrevention programProtocols documentationPsychologyPublic HealthRandomizedResearchResourcesRiskRisk FactorsScheduleSeriesSleepSocial NetworkSocial WorkersSolidTechnologyTestingTrainingTreatment EfficacyUnderserved PopulationWeightWorkacceptability and feasibilitybehavior changecardiovascular disorder riskcomorbiditycost effectivecritical perioddigitaldigital deliverydigital interventiondigital technologyearly childhoodevidence basefeedinghigh riskimprovedinnovationliteracylower income familiesmembernovel strategiesnutritionobesity developmentobesity in childrenobesity preventionobesity riskobesogenicpilot trialpreferencepreventpreventive interventionprimary outcomeprogramsrandomized trialrecruitresponsesecondary outcomeskillstreatment effecttrendtv watchingusability
项目摘要
PROJECT SUMMARY/ABSTRACT
The first 1,000 days (conception to age 2) have been deemed a critical period for obesity prevention yet,
effective, sustainable efforts are lacking. Current home visitation programs (HVP) targeting at-risk families for
other child development related issues are a potential innovative opportunity for early childhood obesity
prevention. The overall goal of the project is to reduce the prevalence of overweight and obesity in children
under the age of 1 year thereby reducing obesity rates of older children and adults in the long term. Prior pilot
work by members of the research team demonstrated feasibility of embedding an early childhood obesity
prevention (ECHO) program in an existing home visitation program (HVP+) during an infant’s first year of life.
Five obesity-associated behaviors (i.e., breastfeeding, introduction to solids, limiting juice, sleep routines,
screen time) were emphasized through brief interactive lessons utilizing behavior change strategies and an
ecological approach by providing linkages to community resources that support healthy behaviors. The pilot
program was well received by families, mothers breastfed longer, infants had fewer nocturnal awakenings,
were less likely to receive juice, and had a lower weight-for-length (WFL) z-score at 12 months. However, there
is a critical need for alternative and innovative, consistent, and sustainable digital delivery methods especially
during times when face-to-face home visits are not feasible. Qualitative interviews were conducted with home
visitors (n=27) from Florida’s (FL) Maternal, Infant Early Childhood Home Visitation (MIECHV) Program and
revealed that they were highly receptive to using digital learning with at-risk families.
The specific aims of the proposed research are to a) Develop, refine, and conduct usability testing of early
childhood obesity prevention digital learning modules with mothers (n=30) participating in FL MIECHV; and b)
Conduct a pilot RCT of a 12 month digitally-enhanced early childhood obesity prevention intervention
(HVP+E), with 50 mother-infant pairs (25 HVP+E/25 standard HVP) participating in FL MIECHV to determine
feasibility and acceptability of the HVP+E intervention and study recruitment, implementation and evaluation
protocols; and obtain data on preliminary efficacy of the intervention on children’s WFL z-scores (primary
outcome), maternal feeding practices, child sleep and screen time (secondary outcomes).
Mother-infant dyads (n=50) enrolled in the Maternal, Infant Early Childhood Home Visitation (MIECHV)
Program parentally or within one month of giving birth will be randomized to receive either the standard home
visitation program (HVP) or the digitally delivered obesity prevention-enhanced home visitation program
(HVP+E) for 1 year. HVP+E content will also be expanded to support mothers in engaging fathers and other
family members in target behaviors. Mother-infant dyads will be assessed at study entry and at 6 and 12
months. If efficacious, the intervention has potential for public health impact through early childhood obesity
prevention in an underserved population, and dissemination through home visitation programs nationwide.
项目摘要/摘要
最初的1,000天(从受孕到2岁)被认为是预防肥胖的关键时期,
缺乏有效和可持续的努力。目前的家访方案(HVP)针对的是
其他与儿童发育相关的问题是治疗儿童早期肥胖症的潜在创新机会
预防该项目的总体目标是减少儿童超重和肥胖的流行
因此,从长远来看,可以降低年龄较大的儿童和成人的肥胖率。先前导频
研究小组成员的工作证明了将早期儿童肥胖症
在婴儿生命的第一年,在现有的家庭探视计划(HVP+)中加入ECHO预防计划。
五种肥胖相关行为(即,母乳喂养,引入固体,限制果汁,睡眠习惯,
屏幕时间)通过简短的互动课程利用行为改变策略和
通过提供与支持健康行为的社区资源的联系,采取生态方法。试点
该计划受到家庭的欢迎,母亲母乳喂养时间更长,婴儿夜间醒来次数更少,
不太可能接受果汁,并且在12个月时具有较低的体重-长度(WFL)z评分。但
是对替代性和创新性的、一致的和可持续的数字交付方法的迫切需求,
在面对面的家访不可行的时候。定性访谈进行了与家庭
来自佛罗里达(FL)母婴幼儿家访(MIECHV)计划的访视者(n=27),以及
显示,他们非常容易接受使用数字学习与风险家庭。
拟议的研究的具体目标是a)开发,改进和进行早期可用性测试,
儿童肥胖预防数字学习模块,母亲(n=30)参与FL MIEHV;和B)
开展为期12个月的数字化增强儿童早期肥胖预防干预的试点RCT
(HVP+E),50对母婴(25对HVP+E/25对标准HVP)参与FL MIEHV,以确定
HVP+E干预和研究招募、实施和评价的可行性和可接受性
方案;并获得有关干预措施对儿童WFL z分数的初步疗效的数据(主要
结果),母亲喂养习惯,儿童睡眠和屏幕时间(次要结果)。
母婴配对(n=50)入组母婴幼儿家庭访视(MIECHV)
计划父母或一个月内分娩将随机接受标准的家庭
访问计划(HVP)或数字交付的肥胖预防增强家访计划
(HVP+E)1年。HVP+E内容也将扩大,以支持母亲与父亲和其他
家庭成员的目标行为。将在研究入组时以及6岁和12岁时评估母婴配对
个月如果有效,干预措施可能通过儿童早期肥胖对公共卫生产生影响。
在得不到充分服务的人群中进行预防,并通过全国范围的家访方案进行传播。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Amy R Mobley其他文献
Amy R Mobley的其他文献
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{{ truncateString('Amy R Mobley', 18)}}的其他基金
Father-Focused Nutrition and Parenting Program to Help Prevent Childhood Obesity in Preschool Age Children
以父亲为中心的营养和育儿计划,帮助预防学龄前儿童儿童肥胖
- 批准号:
9093186 - 财政年份:2016
- 资助金额:
$ 27.12万 - 项目类别:
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