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).

项目摘要/摘要 儿童肥胖是一种全球流行病，具有严重的健康和社会后果。1-4儿童肥胖率最高 在种族/少数民族人口和经济上处于不利地位的人群中观察到肥胖。 背景1罗德岛(RI)特别受肥胖症流行的影响；儿童的流行 符合超重/肥胖(OW/OB)标准的人在整个RI中为35%，在较大范围内为40%57。 这项混合方法学研究的目的将是利用创造创造框架56向 制定行为干预措施以改善青少年的饮食质量和增加体力活动 在大普罗维登斯，RI，一个具有相当多种族/民族多样性的城市地区。在目标1中，我们将进行 评估与青少年超重和肥胖相关的流行病学、社会和环境因素 告知社区需求评估。在目标2中，我们将与利益相关者合作，以确定社区 资产和未满足的需求，并评估现有以证据为基础的生活方式改变的组成部分 计划(即饮食、体力活动、自我监控、目标设定和解决问题、社会支持)。结果 目标1和目标2将通知目标3，在目标3中，我们将设计干预原型的组件以改进 提高青少年的饮食质量和增加体力活动。这项研究将涉及创建一个小组 青少年(即青年之声小组)，其成员将作为合作伙伴积极参与 这一过程(例如，优先级设定、数据收集/分析、干预措施的制定)。我们将使用有目的的 抽样招募40名关键利益攸关方，包括社区青少年及其照顾者。 临床医生(专科诊所/儿科诊所的医生、护士、营养师)、 政府组织(例如，国际扶轮卫生部、住房机构)和来自 社区组织(例如，大普罗维登斯基督教青年会、国际扶轮食物银行；学校、进步拉丁裔) 告知我们的社区需求评估和我们干预措施的发展。数据概述 在AIM 1中收集的信息将提交给研究团队(即赞助商和共同赞助者以及青年之声 小组)指导目标2.群体概念图中社区需求评估的定性部分 将用于识别和审查现有的科学证据，以确定 反映行动机制的行为干预。将使用社区资产映射来获得 来自社区的关于现有循证计划的障碍和促进者的意见以及 本地开发的计划和社区资源。目标3将涉及制定干预方案 通过与青年团成员的讨论和内容开发的迭代过程， 社区利益相关者和学术研究团队。目前的研究将启动一项 年改善青少年饮食质量和增加体力活动的手动干预方案 普罗维登斯，RI将在未来的项目中进行评估(即，K23奖)。