Family Eats: Cancer Prevention for Families

家庭饮食：家庭癌症预防

• 批准号: 7691770
• 负责人: KAREN Weber CULLEN
• 金额: $ 21.03万
• 依托单位: BAYLOR COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-25 至 2011-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7691770
• 关键词: 10 year old; 12 year old; Academy; Adopted; African American; Age; American; Anthropometry; Area; Behavior; Behavior Therapy; Cancer Burden; Child; Child Behavior; Childhood; Communities; Consumption; Daughter; Dietary Fats; Dose; Eating; Eating Behavior; Environment; Ethnic Origin; Evaluation; Family; Fatty acid glycerol esters; Food; Fruit; Health; Home environment; Incidence; Individual; Intake; Internet; Intervention; Intervention Studies; Learning; Malignant Neoplasms; Mediating; Mediator of activation protein; Methods; Minority Groups; Modeling; Obesity; Online Systems; Outcome; Parenting behavior; Parents; Pathway interactions; Pediatrics; Persons; Pilot Projects; Population; Principal Investigator; Procedures; Process; Quality of life; Randomized Controlled Clinical Trials; Recruitment Activity; Reporting; Risk Factors; Self Efficacy; Son; System; Testing; Time; Update; Vegetables; Weight; Weight Gain; Work; base; behavior change; cancer prevention; cancer risk; cost; efficacy testing; energy balance; ethnic difference; ethnic minority population; experience; family influence; food consumption; food preparation; improved; innovation; mortality; obesity in children; obesity prevention; preference; prevent; programs; public health relevance; skills

DESCRIPTION (provided by applicant): Although the burden of cancer is high among individuals of all ethnicities, ethnic differences in cancer incidence and mortality exist. African-Americans experience a higher incidence of certain cancers compared with the White population, with mortality rates at least 40% higher than other populations. Obesity, high fat, and low fruit (F) and vegetable (V) intakes increase cancer risks. Cancers may develop over a long period of time, with some possibly initiating in childhood; therefore, promoting FV and preventing excess weight gain during childhood could be cancer protective. Families influence children's dietary behaviors by direct modeling of dietary behaviors, parenting skills around food, and controlling the home food environment. However, few intervention studies have focused on family influences on dietary behaviors, particularly among ethnic minority groups which may differ in cultural and other aspects of family functioning. Unfortunately, low participation rates for community-based family interventions suggest that alternate intervention delivery systems be investigated. The internet provides family access within the convenience of the home. In a previous R21 application, the Principal Investigator developed an eight-session interactive web-based program promoting a healthy home food environment for African-American families with 9-12 year old daughters (Family Eats). Family Eats was evaluated for feasibility and changes in mediating variables were obtained. This application will test the efficacy of the Family Eats web program to improve FV and dietary fat behavior and weight outcomes among 400 AA families with 9-10 year old children. This important study will pioneer a new channel for behavior change intervention with African-American families and holds the promise of reaching large numbers of children and their families, enabling all to adopt healthy eating behaviors and achieve energy balance and reduce cancer risks. PUBLIC HEALTH RELEVANCE: A proven intervention for healthy eating and obesity prevention, delivered via the internet for African-American families, holds the promise of helping reduce risk factors for cancer. The convenience of the internet will enable large numbers of families to participate and learn skills to adopt healthy eating behaviors that will reduce cancer risk. This is a relatively low cost method for improving health and quality of life.

描述（由申请人提供）：尽管所有种族的个体的癌症负担都很高，但癌症发病率和死亡率存在种族差异。与白人相比，非裔美国人某些癌症的发病率更高，死亡率比其他人群至少高 40%。肥胖、高脂肪以及水果 (F) 和蔬菜 (V) 摄入量低会增加癌症风险。癌症可能会在很长一段时间内形成，有些可能在童年时期就开始出现；因此，在儿童时期促进 FV 并防止体重过度增加可能具有预防癌症的作用。家庭通过直接模仿饮食行为、围绕食物的养育技巧以及控制家庭食物环境来影响儿童的饮食行为。然而，很少有干预研究关注家庭对饮食行为的影响，特别是在文化和家庭功能其他方面可能存在差异的少数民族群体中。不幸的是，基于社区的家庭干预的参与率较低，表明需要研究替代干预实施系统。家庭可以在家中方便地使用互联网。在之前的 R21 申请中，首席研究员开发了一个为期八节的交互式网络计划，旨在为有 9-12 岁女儿的非裔美国家庭促进健康的家庭食品环境（Family Eats）。评估了家庭饮食的可行性并获得了中介变量的变化。该应用程序将测试 Family Eats 网络计划改善 400 个有 9-10 岁儿童的 AA 家庭的 FV 和膳食脂肪行为以及体重结果的功效。这项重要的研究将为非洲裔美国家庭的行为改变干预开辟新渠道，并有望惠及大量儿童及其家庭，使所有人都能采取健康的饮食行为，实现能量平衡并降低癌症风险。公共卫生相关性：通过互联网向非裔美国家庭提供的健康饮食和肥胖预防的行之有效的干预措施有望帮助减少癌症风险因素。互联网的便利将使大量家庭能够参与并学习采取健康饮食行为的技能，从而降低癌症风险。这是改善健康和生活质量的相对低成本的方法。