SOUTH TEXAS PARENT DIABETES PREVENTION TRAIL (STPDPT)

南德克萨斯州家长糖尿病预防追踪 (STPDPT)

• 批准号: 7305022
• 负责人: Steven Harold Kelder
• 金额: $ 51.87万
• 依托单位: UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-04-01 至 2013-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7305022
• 关键词: Affect; Behavior; Behavioral; Body mass index; Books; C-reactive protein; Child; Communities; Condition; Consumption; County; Cross-Sectional Studies; Data; Diabetes Mellitus; Diabetes prevention; Effectiveness; Family; Focus Groups; Food; Glycosylated hemoglobin A; Hispanics; Home environment; Hour; Insulin Resistance; Internet; Intervention; Interview; Measures; Methodology; Mexican Americans; Minority; Newsletter; Non-Insulin-Dependent Diabetes Mellitus; Nutrient; Outcome; Parents; Physical activity; Physiological; Pilot Projects; Population; Prevention strategy; Randomized; Randomized Clinical Trials; Recruitment Activity; Research; Research Project Grants; Risk Factors; South Texas; Students; Telephone; Telephone Interviews; Testing; Training; Weight Gain; aged; base; cohort; comparison group; falls; follow-up; innovation; member; programs; psychosocial; sedentary; teacher; treatment program; tv watching

The proposed Center of Excellence on Diabetes in Americans of Mexican Descent aims to conduct research on the physiologic progression to diabetes and its complications among Mexican Americans, and to develop diabetes prevention strategies and test innovative approaches to effective interventions in a minority population severely affected by type 2 diabetes. This Center proposes an administrative core, a research core including three research projects and two pilot studies, a training core and a community engagement core. As part of the research core, the South Texas Parent Diabetes Prevention Trial (STPDPT) aims to test the effectiveness of a brief motivational enhanced interview (MEI) treatment aimed at parents to modify the home environment so that their children will: a) reduce "screen time" or hours engaged in sedentary behaviors; b) reduce consumption of high calorie, low nutrient foods; and c) increase levels of physical activity. These aims will be accomplished by randomizing 360 children to one of two treatment conditions: a) the En Vivo! MEI telephone and Internet based parent treatment program; and b) no-treatment control. We will examine if positive changes in selected dietary, sedentary and physical activity behaviors result in decreased weight gain and risk factors associated with type 2 diabetes. The proposed project will impact: a) body mass index (BMI), b) C-reactive protein (CRP), c) insulin resistance, d) HbA1c, as well e) behavioral and psychosocial precursors to these physical measures. Families will be randomized to the STPDPT condition or a comparison group; those in the treatment group will receive 6-9 MEI phone calls plus follow-up contact via the Internet and newsletters and comic books over a 12 month period. Study Aims: 1) To conduct interviews with parents, teachers, and students to determine overall feasibility of MEI telephone and Internet parent diabetes prevention strategies (Fall, 2007); 2) To conduct a cross sectional survey of 200 parents in the South Texas Lower Rio Grande Valley to extend and confirm findings from Aim 1 (Spring, 2008); 3) To use pilot data to tailor the MEI based parent program for parents (Summer 2008); 4) To assess the impact MEI based parent program on physiologic and behavioral outcomes on children aged 9-14 using randomized clinical trial methodology with 360 families (parent/child dyad) recruited from members of the Cameron County Hispanic Cohort (Fall 2008 - 2011).

拟议的墨西哥血统美国人糖尿病卓越中心旨在进行 研究生理发展到糖尿病及其并发症的墨西哥裔美国人的研究， 并制定预防糖尿病的策略并测试创新方法，以进行有效干预措施 少数人群受2型糖尿病的严重影响。该中心提出了一个行政核心，一个 研究核心包括三个研究项目和两个试点研究，一个培训核心和一个社区 订婚核心。 作为研究核心的一部分，南德克萨斯州父母糖尿病预防试验（STPDPT）旨在测试 短暂的动机增强访谈（MEI）治疗的有效性，旨在父母修改 家庭环境，以便他们的孩子将：a）减少“屏幕时间”或久坐的数小时 行为； b）减少高热量，低营养食品的消耗；和c）增加身体水平 活动。这些目标将通过将360名儿童随机为两个治疗条件之一来实现：a） 恩体内！ MEI电话和基于互联网的父母治疗计划； b）无治疗控制。我们 将检查选定饮食，久坐和体育锻炼行为的积极变化是否导致 减少与2型糖尿病有关的体重增加和风险因素。拟议的项目将影响：a） 体重指数（BMI），B）C反应蛋白（CRP），C）胰岛素抵抗，D）HBA1C，以及E）行为 和这些身体措施的社会心理前体。家庭将被随机分为stpdpt 条件或比较组；治疗组中的人将接到6-9 MEI电话以及随访 通过互联网和新闻通讯和漫画书在12个月内与联系。研究目的：1）进行 与父母，老师和学生的访谈，以确定MEI电话和互联网的总体可行性 父母糖尿病预防策略（2007年秋季）； 2）对200个父母进行横断面调查 南德克萨斯州下里奥格兰德山谷（Rio Grande Valley）延伸并确认AIM 1（2008年春季）的发现； 3）到 使用试点数据来为父母定制基于MEI的父母计划（2008年夏季）； 4）评估影响 基于MEI的父母计划对9-14岁儿童的生理和行为结果，使用随机 从卡梅隆成员招募的360个家庭（父母/子二元）的临床试验方法学 县西班牙裔队列（2008年秋季至2011年）。