Incorporating Youth Voices in Community-Based Intervention Development to Improve Diet Quality and Physical Activity

将青年的声音纳入社区干预措施的制定中，以改善饮食质量和身体活动

• 批准号: 10677062
• 负责人: Kristine Durkin
• 金额: $ 7.18万
• 依托单位: RHODE ISLAND HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-30 至 2025-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10677062
• 关键词: 19 year old; Address; Adherence; Administrator; Adolescence; Adolescent; Adolescent Risk Behavior; Adolescent obesity; Affect; Age; Atlases; Behavior; Behavior Therapy; Behavioral; Body Weight decreased; Caregivers; Child; Childhood; Clinic; Collaborations; Communities; Counseling; Data; Data Collection; Data Files; Development; Diet; Dietitian; Disparity population; Economics; Environment; Epidemic; Epidemiologic Factors; Evaluation; Evidence based intervention; Evidence based program; Family; Food; Food Services; Future; Goals; Government; Health; Hospitals; Household; Housing; Incentives; Institution; Intervention; Latino; Life Style Modification; Manuals; Maps; Mentored Patient-Oriented Research Career Development Award; Methodological Studies; Methods; Modification; Monitor; Needs Assessment; Neighborhoods; Nurses; Obesity; Obesity Epidemic; Outcome; Overweight; Pattern; Physical activity; Population; Prevalence; Problem Solving; Process; Program Description; Protocols documentation; Public Health; Race; Recreation; Reduce health disparities; Research; Research Personnel; Resources; Rhode Island; Sampling; Schools; Social Change; Social support; Socioeconomic Factors; Surveys; United States Department of Agriculture; Voice; Weight; Youth; adolescent health; behavioral health; community organizations; community partnership; community setting; concept mapping; contextual factors; design; dietary; disadvantaged background; economic disparity; ethnic diversity; ethnic minority; ethnic minority population; evidence base; experience; food environment; food insecurity; food security; health care service utilization; health equity promotion; health inequalities; improved; medical specialties; member; minority children; model design; novel; obesity development; pediatrician; physical conditioning; programs; prospective; prototype; racial minority; racial minority population; recruit; social; social factors; social health determinants; social norm; social stigma; socioeconomics; stakeholder perspectives; success; therapy design; therapy development; tool; urban area

PROJECT SUMMARY/ABSTRACT Obesity in childhood is a global epidemic with serious health and social consequences.1-4 The highest rates of obesity are observed among racial/ethnic minority populations and those from economically disadvantaged backgrounds.1 Rhode Island (RI) is particularly affected by the obesity epidemic; the prevalence of children who meet criteria for overweight/obese (OW/OB) is 35% in RI as a whole and 40% in Greater Providence57. The purpose of this mixed methodological study will be to use the Transcreation Framework56 to inform the development of a behavioral intervention to improve diet quality and increase physical activity for adolescents in Greater Providence, RI, an urban area with substantial racial/ethnic diversity. In Aim 1 we will conduct an evaluation of epidemiological, social, and contextual factors related to overweight and obesity in adolescents to inform a community needs assessment. In Aim 2, we will partner with stakeholders to identify community assets and unmet needs and to evaluate components of existing evidenced-based lifestyle modification programs (i.e., diet, physical activity, self-monitoring, goal setting and problem solving, social support). Results from Aims 1 and 2 will inform Aim 3, in which we will design components of intervention prototype to improve diet quality and increase physical activity in adolescents. The study will involve the creation of a panel of adolescents (i.e., Young Voices Panel) whose members will be actively engaged as partners in each step of the process (e.g., priority setting, data collection/analyses, intervention development). We will use purposeful sampling to recruit 40 key stakeholders including adolescents from the community and their caregivers. clinicians (doctors, nurses, dietitians from specialty clinics/pediatricians’ offices), administrators from government organizations (e.g., RI Department of Health, Housing Agencies), and representatives from community organizations (e.g., the Greater Providence YMCA, RI Food Bank; Schools, Progresso Latino) to inform our community needs assessment and the development of our intervention. An overview of data gathered in Aim 1 will be presented to the research team (i.e., Sponsor and Cosponsors and Young Voices Panel) to guide the qualitative component of community needs assessment in Aim 2. Group Concept Mapping will be used to identifying and reviewing existing scientific evidence to determine core components of behavioral interventions that reflect mechanisms of action. Community Asset Mapping will be used to obtain input from the community about barriers and facilitators to existing evidenced-based programs as well as locally developed program and community resources. Aim 3 will involve the creation of intervention protocol modules through an iterative process of discussions and content development with members of the YVP, community stakeholders, and the academic research team. The current study will initiate the development of a manualized intervention protocol to improve diet quality and increase physical activity for adolescents in Providence, RI to be evaluated in a future project (i.e., K23 award).

项目总结/文摘