Family and community-focused approaches to improving diet and preventing obesity

描述（由申请人提供）：本申请的目的是支持海伦娜·拉罗彻博士的职业发展。Laroche博士的长期职业目标是通过使用基于社区的参与式研究（CBPR）方法开发以家庭为中心的多层次干预措施，成为全国公认的肥胖预防研究者。Laroche博士组建了一个由经验丰富的导师组成的团队。Robert Wallace， Linda Snetselaar和Toni Tripp Reimer)，他们带来了互补方法学领域的专业知识和培养年轻研究者的经验。她的研究将集中在围绕饮食的亲子互动和农村地区以社区为基础的以家庭为中心的肥胖预防。在获奖期间，Laroche博士将：1)发展测量饮食、运动和身体脂肪的技能；2)接受生物统计学和定性方法的高级培训；3)培养农村CBPR方法的技能；4)发展在农村环境中设计社区干预措施的专门知识。这些目标将通过有针对性的课程、辅导、阅读和导师指导的直接经验来实现。Laroche博士将开展三个项目，首先了解家庭饮食模式，然后进行干预。项目1将使用纵向CARDIA研究（由NHLBI资助）的数据来检查儿童对父母饮食模式的影响。分析将比较有孩子和没有孩子的成年人的饮食变化。项目2将采用定性和定量相结合的方法，包括焦点小组、对父母、儿童和社区组织代表的访谈和调查，以检查社区对家庭饮食行为的影响。项目2还将确定可动员的社区资源，以促进家庭饮食的积极改变。利用项目2的研究成果，项目3将采用CBPR方法设计和实施针对农村有儿童家庭的社区肥胖预防干预试点。项目2和3将利用爱荷华大学与爱荷华州两个农村社区的成功研究伙伴关系，该伙伴关系建立在成功的CBPR框架之上。这些项目将探讨成人和儿童如何影响彼此的饮食、农村家庭健康饮食的障碍以及社区支持家庭健康饮食的机会。然后将开发一个以社区为基础的项目来帮助家庭改善他们的饮食。（摘要结束）

DESCRIPTION (provided by applicant): The objective of this application is to support the career development of Dr. Helena Laroche. Dr. Laroche's long term career goal is to become a nationally recognized investigator in obesity prevention through the development of multi-level family-focused interventions using Community-Based Participatory Research (CBPR) approaches. Dr. Laroche has assembled a team of experienced mentors (Drs. Robert Wallace, Linda Snetselaar, and Toni Tripp Reimer), who bring expertise in complementary methodological areas and experience in nurturing young investigators. Her research will focus on parent-child interactions around diet and community-based family-focused obesity prevention in rural areas. During the award Dr. Laroche will: 1) develop skills in the measurement of diet, exercise, and body fat; 2) receive advanced training in biostatistics and qualitative methods; 3) build skills in rural CBPR methods; and 4) develop expertise in designing community-based interventions in rural settings. These goals will be accomplished though targeted coursework, tutorials, reading, and direct experiences guided by her mentors. Dr. Laroche will conduct 3 projects to first understand and then intervene on family dietary patterns. Project 1 will use data from the longitudinal CARDIA study (funded by NHLBI) to examine the influences of children on parents' dietary patterns. Analyses will compare changes in diets among adults who do and do not have children. Project 2 will use a mix of qualitative and quantitative approaches, including focus groups, interviews and surveys of parents, children, and representatives from community organizations to examine community influences on families' diet behaviors. Project 2 will also identify community resources than can be mobilized to promote positive dietary changes in families. Using findings from Project 2, Project 3 will use CBPR methods to design and implement a pilot community obesity prevention intervention aimed at rural families with children. Projects 2 and 3 will capitalize on a successful University of Iowa research partnership with two rural Iowa communities that is built on a successful CBPR framework. These projects will explore how adults and children affect one another's diet, barriers to healthy diets in rural families, and opportunities for communities to support healthy diets in families. Then a community based project will be developed to help families improve their diets. (End of Abstract)