The Proyecto Bienestar Laredo: Translating Knowledge and Experience Into Practice

Proyecto Bienestar Laredo：将知识和经验转化为实践

• 批准号: 7619444
• 负责人: Roberto Treviño-Peña
• 金额: $ 94.4万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCIENCE CENTER
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-01 至 2011-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7619444
• 关键词: Adoption; American; Behavior; Biological; Blood capillaries; Body fat; Child; Communities; Cost Effectiveness Analysis; Data; Dependency; Diabetes Mellitus; Dietary Fiber; Dietary Sugars; Diffusion; Diffusion of Innovation; Eating; Education; Educational Curriculum; Effectiveness; Elements; Environment; Evaluation; Fasting; Fatty acid glycerol esters; Food Services; Funding; Glucose; Growth; Health; Health Club; Health Promotion; High Prevalence; Hour; Institutionalization; Intake; Intervention; Knowledge; Linear Models; Measurement; Mediating; Mexican Americans; Mexico; National Institute of Diabetes and Digestive and Kidney Diseases; Obesity; Operative Surgical Procedures; Pattern; Physical Education; Physical Fitness; Population; Poverty; Process; Program Effectiveness; Program Sustainability; Public Health; Randomized; Readiness; Research; Research Personnel; Research Project Grants; Schools; Students; Study Subject; System; Testing; Texas; Time; Translating; Translational Research; Translations; Unemployment; Youth; base; capillary; cohort; cost; cost effectiveness; data collection evaluation; design; diabetes prevention program; diabetes risk; elementary school; experience; high risk; innovation; medical schools; meetings; nutrition; obesity in children; programs; saturated fat; service intervention; theories; third grade

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

描述（由申请人提供）：我们提议开展一项以学校为基础的翻译研究，以测试 Proyecto（项目）Bienestar Laredo (PBL) 的有效性，这是一项针对德克萨斯州拉雷多（德克萨斯州和墨西哥边境地区高度贫困地区）小学的糖尿病预防项目。 PBL 建立在 NIDDK 资助的 2 个营养和 PA (PA) 研究项目的基础上：Bienestar 健康计划 (DK59213) 和佐治亚医学院 FitKid 项目 (DK63391)，这些项目在降低儿童糖尿病和肥胖风险方面表现出了巨大的希望。 PBL 是一项协调一致的健康促进活动，由 4 个组成部分组成：1) 健康和体育教育、2) 学校食品服务干预、3) 家长教育和 4) 课后健康俱乐部。它被设计为一项文化上适宜的健康促进计划，有 5 个重点：1) 少吃膳食饱和脂肪，2) 少吃膳食糖，3) 多吃膳食纤维，4) 多运动，5) 少看电视。计划实施和评估数据收集将分别由拉雷多学区和卫生部门工作人员进行。研究对象为38所小学的3,344名三年级学生，这些学生将被随机分配到干预条件（18所学校）和对照条件（18所学校）。本研究的主要目的是使用转化研究框架测试 PBL 的有效性。主要假设是，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着低于接受其他国家批准的健康课程的学校的儿童。我们还将研究影响采用和制度化的目标行为、扩散过程和组织因素的有效性，以及 PBL 的成本效益。证明了该计划的有效性，我们可以将该项目推广到德克萨斯州和墨西哥边境沿线的其他社区