KAN-DO: A Family-Based Intervention to Prevent Childhood Obesity

KAN-DO：预防儿童肥胖的家庭干预措施

• 批准号: 7675213
• 负责人: TRULS OSTBYE
• 金额: $ 55.68万
• 依托单位: DUKE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-11 至 2011-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7675213
• 关键词: 5 year old; Address; Adult; Affect; Age; Area; Attitude; Behavior; Behavior Therapy; Behavioral; Beverages; Birth; Body Weight Changes; Body Weight decreased; Body mass index; Cartoons; Child; Consumption; Counseling; Development; Diet Habits; Eating; Education; Educational process of instructing; Equipment and supply inventories; Evaluation; Exercise; Family; Family health status; Family member; Fatty acid glycerol esters; Flavoring; Food; Fruit; Goals; Group Meetings; Hour; Housing; Incentives; Instruction; Intake; Intervention; Life Style; Mails; Measures; Metaphor; Mothers; Newsletter; North Carolina; Nursery Schools; Obesity; Outcome; Overweight; Parent-Child Relations; Parenting behavior; Parents; Participant; Persons; Physical activity; Postpartum Period; Prevention; Principal Investigator; Psychological reinforcement; Questionnaires; Randomized; Relative (related person); Reporting; Research Personnel; Risk; Self Efficacy; Sports; Stress; Structure; Surveys; Telephone; Time; Training; Treatment Efficacy; Triad Acrylic Resin; Upper arm; Weight; Work; base; behavior change; design; drinking; family structure; fast food; follow up assessment; follow-up; fruits and vegetables; group intervention; improved; indexing; intervention effect; obesity in children; parental role; population based; prevent; programs; public health priorities; sedentary; self esteem; skills; stress management; sugar; sweetened beverage; weight maintenance

DESCRIPTION (provided by applicant): Prevention of child and adult obesity is a national public health priority. Optimal interventions would target young children and their overweight parents to capitalize on the formation of healthy eating habits and increased physical activity in the child, target weight loss strategies in the parent, and maximize mutual reinforcement of the family members' healthy behaviors. Such interventions would: 1) be population based, 2) target children at risk during a key developmental period, 3) target overweight parents at a time when they are motivated to engage in behavioral change and 4) target healthy eating and physical activity as well as parenting skills necessary to implement such changes. This application addresses these needs by 1) using several, complementary, avenues of participant recruitment, 2) targeting 2-5 year old preschoolers through their mothers who are a) overweight and b) have just delivered a second or subsequent child, 3) capitalizing on the arrival of the new baby as a "teachable moment" to initiate behavioral change, 4) providing a mail and telephone-assisted intervention that addresses both parenting skills and behavioral weight management, and 5) utilizing a housebuilding metaphor with the characters Carl and Carla the Carpenters acting to integrate the intervention and deliver healthy lifestyle messages. In a five-year trial, 400 mother/preschooler dyads in the Triangle and Triad areas of North Carolina will be randomized to: 1) the CONTROL ARM: 12 monthly newsletters with general family health tips, and monetary incentives to complete assessments; and 2) the KAN-DO (Kids & Adults Now-Defeat Obesity) INTERVENTION: the monthly newsletter and assessment incentives, 8 modules of an interactive, mail-based intervention kit supported by telephone counseling and two group meetings. Primary aims are to evaluate whether KAN-DO, through improved parenting skills, can achieve healthy eating and increased physical activity and, ultimately, healthy weight attainment in the preschooler. Secondary aims evaluate KAN-DO's effect on behavior and weight change in the mother. We will also assess whether behavior and weight changes are greater a) where the mother has improved parenting skills, and b) among families for whom the birth of a subsequent child is more of a "teachable moment". Participants will be surveyed at baseline (3 months postpartum), 12 and 24 months post-baseline. Extended follow-up will enable evaluation of long-term benefits, and if effective, the KAN-DO intervention can be disseminated broadly.

描述（由申请人提供）：预防儿童和成人肥胖是国家公共卫生的优先事项。最佳干预措施将针对幼儿及其超重父母，以利用儿童健康饮食习惯的形成和增加身体活动，针对父母的减肥策略，并最大限度地相互加强家庭成员的健康行为。这些干预措施将：1）以人口为基础，2）针对处于关键发育期的风险儿童，3）针对超重父母，当他们有动力进行行为改变时，4）针对健康饮食和体育活动以及实施这些改变所需的育儿技能。该应用通过以下方式解决了这些需求：1）使用几种互补的参与者招募途径，2）通过a）超重和B）刚刚分娩第二个或随后的孩子的母亲瞄准2-5岁的学龄前儿童，3）利用新婴儿的到来作为“可教时刻”来启动行为改变，4）提供邮件和电话辅助干预，解决育儿技巧和行为体重管理，以及5）利用房屋建筑隐喻与角色卡尔和卡拉木匠行动整合干预，并提供健康的生活方式信息。在一项为期五年的试验中，北卡罗来纳州的Triangle和Triad地区的400对母亲/学龄前儿童将被随机分配到：1）对照组：12个月的时事通讯，包括一般的家庭健康提示，以及完成评估的金钱奖励; 2）KAN-DO（儿童和成人现在战胜肥胖）干预：每月通讯和评估激励措施、8个互动式邮件干预工具包模块，并辅以电话咨询和两次小组会议。主要目的是评估KAN-DO是否可以通过改善育儿技能，实现健康饮食和增加体育活动，并最终在学龄前达到健康体重。次要目的是评估KAN-DO对母亲行为和体重变化的影响。我们还将评估行为和体重的变化是否更大a）母亲提高了养育技能，以及B）对于下一个孩子的出生更像是一个“可教的时刻”的家庭。将在基线（产后3个月）、基线后12个月和24个月对参与者进行调查。延长后续行动将有助于评估长期效益，如果KAN-DO干预措施有效，则可广泛传播。