Reducing Television Viewing to Prevent Obesity in Hispanic Preschool Children

减少看电视以预防西班牙裔学龄前儿童肥胖

基本信息

批准号：
7672536
负责人：
Jason A Mendoza
金额：
$ 13.34万
依托单位：
BAYLOR COLLEGE OF MEDICINE
依托单位国家：
美国
项目类别：
财政年份：
2008
资助国家：
美国
起止时间：
2008-08-15 至 2013-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7672536
关键词：
2 year old 20 year old 5 year old Academy Address Adult Affect Age American Behavior Behavior Therapy Child Child Care Childhood Complement Crocodylus Development Educational Curriculum Educational process of instructing Effectiveness Energy Intake Enrollment Environment Epidemic Family Funding Goals Guidelines Head Start Program Health Promotion Hispanics Home environment Hour Intervention Interview Link Low income Malignant Neoplasms Measures Medicine Mentors Methods Minority Modeling Morbidity - disease rate Mothers Neighborhoods New York Newsletter Nursery Schools Obesity Parenting behavior Parents Pediatrics Physical activity Population Preschool Child Public Health Publishing Qualitative Methods Questionnaires Randomized Controlled Trials Recommendation Recruitment Activity Reporting Research Research Methodology Research Personnel Research Project Grants Risk Risk Factors Rural Sampling Schools Sleep Structure Surveys Television Testing Time Violence Weight Gain base cancer prevention cancer risk career development college design diaries ethnic minority population experience meter modifiable risk mortality neighborhood safety obesity in children obesity prevention obesity risk outcome forecast parent grant patient oriented patient oriented research pediatrician prevent professor programs successful intervention teacher tv watching

项目摘要

DESCRIPTION (provided by applicant): Dr. Mendoza is Assistant Professor of Pediatrics at Baylor College of Medicine and a general pediatrician. His long-term goal is to become an independent, patient-oriented investigator focusing on cancer prevention by reducing childhood obesity, with an emphasis on minority and low-income children. The applicant will accomplish this goal through patient-oriented research, formal mentoring by recognized experts, such as Drs. Tom Baranowski and Theresa Nicklas, and advanced, graduate-level coursework in cancer and obesity prevention, health promotion, qualitative methods, and advanced research methods. The applicant's research goal will be to conduct a group randomized controlled trial of a culturally adapted television (TV) reduction curriculum among Hispanic preschool children in order to reduce TV viewing and prevent excess weight gain. This research project addresses Hispanic children's higher rates of obesity and TV viewing, an important modifiable risk factor for obesity. The hypothesis is that decreasing TV viewing in Hispanic preschoolers will decrease excess weight gain. The applicant will test the effectiveness of the TV reduction curriculum, Fit 5 Kids, which has already been shown to decrease TV viewing in a population of predominantly white children from rural, upstate New York. Through separate pilot funding, Dr. Mendoza will have completed the cultural adaptation of the TV reduction curriculum, including a classroom feasibility trial and semi-structured interviews of parents and teachers. The first specific aim is to test the convergent validity of accelerometers, which provide a low burden and objective measure of physical inactivity, with standard parent-reported TV diaries among Hispanic children. The second specific aim is to determine the convergent validity of two neighborhood environment questionnaires among Hispanic children. The third specific aim is to develop a parent questionnaire, based on the Model of Goal Directed Behavior, to assess parents' behaviors to limit their children's TV viewing time. The fourth specific aim is to successfully recruit 144, 3-5 year old Hispanic children from 12 Head Start centers for a group randomized controlled study of the adapted Fit 5 Kids curriculum to evaluate its impact on reducing TV viewing and excess weight gain in Hispanic preschool children. Dr. Mendoza's research and career development activities will advance his goal of becoming a leading independent cancer prevention researcher focused on developing and evaluating programs to prevent childhood obesity and reduce cancer risk in ethnic minority and low-income children, with the aim of reducing lifetime cancer risk.

描述（由申请人提供）：Mendoza博士是贝勒医学院的儿科助理教授和一名普通儿科医生。他的长期目标是成为一名独立的，注重患者的研究人员，专注于通过减少儿童肥胖症来预防癌症，重点是少数群体和低收入儿童。申请人将通过以患者为导向的研究来实现这一目标，并由公认的专家（例如DRS）正式指导。汤姆·巴拉诺夫斯基（Tom Baranowski）和特蕾莎·尼克拉斯（Theresa Nicklas），以及癌症和肥胖预防，健康促进，定性方法和先进研究方法的高级研究生课程。申请人的研究目标是进行一项对西班牙裔学龄前儿童中文化适应电视（TV）减少课程的随机对照试验，以减少电视观看并防止体重增加过多。该研究项目涉及西班牙裔儿童的肥胖和电视观看率更高，这是肥胖症的重要变化危险因素。假设是，减少西班牙裔学龄前儿童的电视观看将减少多余的体重增加。申请人将测试降低电视课程的有效性，适合5个孩子，这已经显示出可减少来自纽约州北部农村的主要白人儿童的电视观看。通过单独的飞行员资金，门多萨博士将完成电视减少课程的文化改编，包括课堂可行性试验和父母和老师的半结构化访谈。第一个具体的目的是测试加速度计的收敛有效性，这些计量计提供了低负担和客观衡量身体不活动的负担，并在西班牙裔儿童中使用了标准的父母报告的电视日记。第二个具体目的是确定西班牙裔儿童中两个邻里环境问卷的收敛有效性。第三个具体目的是根据目标指示行为的模型制定父母问卷，以评估父母的行为以限制孩子的电视观看时间。第四个具体目的是成功招募来自12个头开始中心的144岁，3-5岁的西班牙裔儿童，以进行小组对适合的5个儿童课程的随机对照研究，以评估其对西班牙裔学龄前儿童的电视观看和体重增加的影响。 Mendoza博士的研究和职业发展活动将促进他成为领先的独立癌症预防研究人员的目标，该研究人员致力于制定和评估计划，以预防儿童肥胖症，并降低少数民族和低收入儿童的癌症风险，以减少终身癌症风险。