Using CBPR to Design & Pilot a Physical Activity Program for Youth with ASB

使用 CBPR 进行设计

• 批准号: 7653707
• 负责人: RICHARD K FLEMING
• 金额: $ 21.37万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-07-10 至 2011-03-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7653707
• 关键词: 3 year old; Address; Adolescence; Adolescent; Affect; Age; American; Americas; Applied Research; Area; Asperger Syndrome; Attention; Autistic Disorder; Behavior; Behavioral; Bicycling; Boston; Caring; Centers for Disease Control and Prevention (U.S.); Child; Child Care; Childhood; Cognitive; Collaborations; Commit; Communities; Comorbidity; Data; Development; Developmental Disabilities; Disabled Children; Disabled Persons; Effectiveness; Epidemic; Evaluation; Evidence based program; Exhibits; Faculty; Family; Family Practice; Focus Groups; Hand; Health; Health Benefit; Health Promotion; Healthcare; Hour; Human; Individual; Interview; Investigation; Life; Marshal; Maternal and Child Health; Motivation; Motor; National Health and Nutrition Examination Survey; Nature; Obesity; Outcome; Pan Genus; Parents; Persons; Pervasive Development Disorder; Physical activity; Population; Population Programs; Process; Psyche structure; Public Policy; Publishing; Qualifying; Quality of life; Reporting; Research; Research Methodology; Research Personnel; Risk; Sampling; Schools; Services; Specific qualifier value; Sports; Stimulus; Supervision; Surgeon; Surveys; Television; Testing; Time; United States; United States Dept. of Health and Human Services; Universities; Work; Youth; age related; aged; autism spectrum disorder; base; community based participatory research; design; disability; health disparity; improved; informant; knowledge base; medical schools; member; nervous system disorder; obesity in children; outreach; peer; physical conditioning; prevent; professor; programs; public health relevance; research to practice; sedentary; skateboarding; skills; social; social skills

DESCRIPTION (provided by applicant): Children in the U.S. exhibit low levels of physical activity, and their time spent in sedentary behavior is on the rise. Inactivity represents a major health issue because it is a significant contributor to a national obesity epidemic that is now affecting children. Children with autism spectrum disorder (ASD) are as inactive as their typically-developing peers. ASD affects a child's ability to communicate, form social relationships, and respond appropriately to environmental stimuli, all of which present barriers to their participation in physical activity, particularly in the community. The main objective of this project is to use the Community-Based Participatory Research (CBPR) approach to develop and test a program to promote engagement in physical activity and its related health and social benefits in children and adolescents with ASD. A university-community CBPR partnership will be formed. Members will work collaboratively to identify research questions and design and test a physical activity program for this population. This project will deepen the scientific knowledge base about using CBPR to promote physical activity and health outcomes in ASD. Specific aims are to: 1) formalize a collaborative university-community partnership that is equal, respectful, and mutually beneficial to its members; 2) utilize the CBPR approach to develop a community-based physical activity program for children with ASD aged 6-18; 3) test the feasibility of implementing the program in the community and collecting valid and reliable data; and 4) evaluate the viability and effectiveness of the CBPR approach as a means of involving a community of children and adolescents with ASD, and their parents, in developing and piloting a community- based program. Specific aims 1 and 2 will be accomplished in Year 1; aims 3 and 4 in Year 2. Focus groups, surveys, key informant interviews and observation will comprise a formative evaluation in Year 1. Development of the physical activity program by the end of Year 1 will rely on the full collaboration of university and community partners. Program priorities will be defined, with the paramount objective being engagement of children (and families) in a range of health-promoting physical activities in a social community context. The program will be piloted in Year 2 as a small scale, exploratory investigation with a sample of 20 children and adolescents. Rigorous internal and external evaluation of the CBPR process (Aim 4) will be conducted by a CBPR expert as well as an external evaluator. PUBLIC HEALTH RELEVANCE The US Dept of Health and Human Services has emphasized the importance of physical activity for promoting health. One group of children, those with Autism Spectrum Disorders (ASD), represents a unique population who's social, cognitive, and motor limitations may be associated with low physical activity. Developing health promotion programs for children with ASD requires an in depth understanding of their needs, especially if opportunities for physical activity are to be accessible and sustainable. Community-Based Participatory Research (CBPR) is ideally suited to such an endeavor, particularly in the ways it can facilitate involvement of families of children with ASD.

描述（由申请人提供）：美国儿童的身体活动水平较低，他们久坐不动的时间正在增加。不活动是一个主要的健康问题，因为它是一个重要的贡献者，全国肥胖流行病，现在正在影响儿童。患有自闭症谱系障碍（ASD）的儿童与他们典型的同龄人一样不活跃。自闭症谱系障碍影响儿童的沟通能力、建立社交关系以及对环境刺激做出适当反应的能力，所有这些都对他们参与体育活动构成障碍，特别是在社区中。该项目的主要目标是使用基于社区的前瞻性研究（CBPR）的方法来开发和测试一项计划，以促进ASD儿童和青少年参与体育活动及其相关的健康和社会效益。将建立大学社区CBPR伙伴关系。成员将合作确定研究问题，并设计和测试这一人群的体育活动计划。该项目将深化关于使用CBPR促进ASD患者身体活动和健康结果的科学知识基础。具体目标是：1）正式建立平等，尊重和互利的大学-社区合作伙伴关系; 2）利用CBPR方法为6-18岁的ASD儿童制定基于社区的体育活动计划; 3）测试在社区实施该计划的可行性，并收集有效和可靠的数据;评估CBPR方法的可行性和有效性，作为一种让ASD儿童和青少年及其父母参与社区开发和试点项目的手段。具体目标1和2将在第一年完成;目标3和4将在第二年完成。焦点小组、调查、主要知情人访谈和观察将构成第一年的形成性评价。到今年1年底的体育活动计划的发展将依赖于大学和社区合作伙伴的充分合作。将确定方案的优先事项，首要目标是让儿童（和家庭）在社会社区范围内参与一系列促进健康的体育活动。该计划将在第二年进行试点，作为一个小规模的探索性调查，样本为20名儿童和青少年。CBPR过程（目标4）的严格内部和外部评价将由CBPR专家和外部评价员进行。公共卫生相关性美国卫生与公众服务部强调了体育活动对促进健康的重要性。一组儿童，自闭症谱系障碍（ASD），代表了一个独特的人群，他们的社会，认知和运动限制可能与低体力活动有关。为ASD儿童制定健康促进计划需要深入了解他们的需求，特别是如果体育活动的机会是可获得和可持续的。基于社区的预防性研究（CBPR）非常适合这种奋进，特别是在它可以促进ASD儿童家庭参与的方式上。