The Proyecto Bienestar Laredo: Translating Knowledge and Experience Into Practice

描述（由申请人提供）：我们提出了一个以学校为基础的翻译研究，以测试项目（项目）Bienestar拉雷多（PBL）的有效性-在拉雷多德克萨斯州，一个高度贫困的得克萨斯州-墨西哥边境地区的小学糖尿病预防计划。PBL建立在2个NIDDK资助的营养和PA（PA）研究项目上：Bienestar健康计划（DK 59213）和格鲁吉亚医学院FitKid项目（DK 63391），这些项目在降低儿童糖尿病和肥胖风险方面表现出巨大的潜力。PBL是一个协调的健康促进运动，有4个组成部分-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。它被设计为一个文化上适当的健康促进计划，具有5个关键重点：1）少吃膳食饱和脂肪，2）少吃膳食糖，3）多吃膳食纤维，4）多锻炼身体，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。研究对象是38所小学的3,344名三年级学生，他们将被随机分配到干预组（18所学校）和对照组（18所学校）。本研究的主要目的是利用转化研究框架来检验PBL的有效性。主要假设是，参加PBL干预的儿童将有显着较低的空腹毛细血管葡萄糖和体脂百分比比接受另一个国家批准的健康课程的学校的儿童。我们也将研究PBL的目标行为、传播过程和影响采用和制度化的组织因素的有效性，以及PBL的成本效益。如果这个项目有效，我们可以把这个项目推广到沿着德克萨斯-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