The Proyecto Bienestar Laredo: Translating Knowledge and Experience Into Practice

描述(由申请者提供)：我们正在提议一项基于学校的翻译研究，以测试Proyecto(Project)Bienestar Laredo(PBL)项目的有效性-这是一个在德克萨斯州拉雷多-墨西哥边境地区高度贫困的小学开展的糖尿病预防计划。PBL建立在NIDDK资助的两个营养和PA(PA)研究项目的基础上：Bienestar Health Program(DK59213)和乔治亚医学院FitKid项目(DK63391)，这两个项目在降低儿童糖尿病和肥胖症的风险方面表现出了巨大的前景。PBL是一个协调的健康促进活动，由4个部分组成-1)健康和体育，2)学校食品服务干预，3)家长教育和4)课后健康俱乐部。它被设计为一个符合文化的健康促进计划，有5个重点：1)减少膳食饱和脂肪的摄入，2)减少膳食糖的摄入，3)多摄入膳食纤维，4)多锻炼身体，5)少看电视。计划的实施和评估数据的收集将分别由拉雷多学区和卫生部门的工作人员进行。研究对象为38所小学的3344名三年级学生，随机分为干预组(18所)和对照组(18所)。这项研究的主要目的是使用翻译研究框架来测试PBL的有效性。基本的假设是，与接受另一项州批准的健康课程的学校的儿童相比，参与PBL干预的儿童的空腹毛细血管血糖和体脂百分比将显著降低。我们还将研究目标行为的有效性、扩散过程和影响采用和制度化的组织因素，以及PBL的成本效益。证明了这个项目的有效性，我们可以将这个项目推广到德克萨斯州和墨西哥边境的其他社区

DESCRIPTION (provided by applicant): We are proposing a school-based translation study to test the effectiveness of the Proyecto (Project) Bienestar Laredo (PBL)-a diabetes prevention program in elementary schools in Laredo TX, a highly impoverished Texas-Mexico border region. The PBL is built on 2 NIDDK-funded nutrition and PA (PA) research projects: the Bienestar Health Program (DK59213) and the Medical College of Georgia FitKid Project (DK63391) that have demonstrated great promise in reducing risks for diabetes and obesity in children. The PBL is a coordinated health promotion campaign with 4 components-1) health and physical education, 2) school food service intervention, 3) parental education and 4) an after-school health club. It is designed as a culturally appropriate, health promotion program wjth 5 key foci: 1) eat less dietary saturated fat, 2) consume less dietary sugar, 3) eat more dietary fiber, 4) be more physically active and 5) view less T.V. Program implementation and evaluation data collection will be conducted by Laredo school districts and health department staffs, respectively. The study subjects will be 3,344 third grade students in 38 elementary schools, which will be randomly assigned to intervention (18 schools) and control (18 schools) conditions. The primary aim of the proposed study is to test the effectiveness of the PBL using translational research framework. The primary hypothesis is that children participating in the PBL intervention will have significantly lower fasting capillary glucose and percent body fat than children in schools receiving another state-approved health curriculum. We will also study the effectiveness on targeted behaviors, diffusion processes and organizational factors influencing the adoption and institutionalization, and the cost- effectiveness of the PBL. Proven the effectiveness of this program, we can translate this project to other communities along the Texas-Mexico border