Healthy Eating and Lifestyle Program for Individuals with Intellectual Disability

智力障碍人士的健康饮食和生活方式计划

• 批准号: 9340491
• 负责人: MARTIN R. SHEEHAN
• 金额: $ 22.42万
• 依托单位: DOUBLE S INSTRUCTIONAL SYSTEMS
• 依托单位国家: 美国
• 财政年份: 2017
• 资助国家: 美国
• 起止时间: 2017-09-01 至 2019-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9340491
• 关键词: Accelerometer; Adult; Attitude; Behavioral; Body Weight decreased; Cardiovascular Diseases; Caregivers; Caring; Chronic; Communities; Consumption; Diabetes Mellitus; Diet; Eating; Education; Effectiveness; Environment; Exercise; Fatty acid glycerol esters; Feedback; Focus Groups; Food; General Population; Goals; Group Homes; Habits; Health; Health Promotion; Health Status; Healthy Eating; High Prevalence; Home environment; Hypertension; Incentives; Incidence; Individual; Intellectual functioning disability; Intervention; Interview; Knowledge; Learning; Life Style; Living Arrangement; Malignant Neoplasms; Monitor; Motivation; Multimedia; Nutritional; Obesity; Online Systems; Overweight; Parents; Participant; Pattern; Perception; Phase; Physical Fitness; Physical activity; Population; Population Programs; Progress Reports; Provider; Public Health; Published Comment; Randomized Controlled Trials; Research; Self Determination; Support System; Testing; Time; Training; Transportation; Underserved Population; Vegetables; Writing; base; community setting; cost effective; design; disorder prevention; education cost; efficacy trial; experience; fitbit; flexibility; formative assessment; foster home; foster parent; fruits and vegetables; good diet; health disparity; healthy lifestyle; improved; innovation; nutrition; nutrition education; obesity risk; phase 2 study; programs; prototype; social cognitive theory; sugar; tool; weight maintenance

The move for individuals with ID from institutional to community settings has increased their opportunities for self-determination and provided a less restrictive environment. However, knowledge, motivation, and efficacy to engage in a healthy lifestyle tend to be low in both individuals who have ID and their care providers. Community and residential living arrangements often make choosing a healthy diet and participating in physical activity difficult. In group living situations, it is easy to serve the same foods and portion sizes to all residents. Care providers frequently decide on meal content without input from the majority of the residents. Moreover, studies show that parents of adults who have ID lack information and support in limiting access to unhealthy foods and encouraging healthy activity patterns. Financial and transportation issues also make it difficult for individuals with ID to participate in community-based physical activity programs. As a result, individuals who have ID often have poor energy dense diets and tend to be inactive; they experience rates of obesity greater than the general population which contributes to a high prevalence of health related problems, including cancer, diabetes, hypertension, and cardiovascular diseases. There is a compelling need for healthy lifestyle programs targeted to the specific context and learning needs of this population. The proposed project HELP-ID; (Healthy Eating and Lifestyle Program for Individuals) With ID, will use the best of the behavioral weight loss programs while incorporating an innovative, yet research-based approach specifically designed for the needs of this population. Guided by Social Cognitive Theory (SCT), HELP-ID is an engaging multimedia program that delivers information on nutrition, easy to implement and cost effective meal planning ideas, and a lifestyle physical activity program to individuals with ID and their care providers. In Phase I, we will develop a prototype of Help-ID and successfully established feasibility of the program. The primary aims of the Phase II study will be to fully develop the comprehensive healthy eating and lifestyle program for overweight and obese adults with ID and evaluate its efficacy in a randomized-controlled trial with overweight/obese adults who have ID and who live at home, in foster homes, in group homes, or independently with supports, and their care providers.

将有身份证的个人从机构转移到社区环境增加了他们自决的机会，并提供了一个限制较少的环境。然而，知识，动机和功效，从事健康的生活方式往往是低的个人谁拥有ID和他们的护理提供者。社区和住宅生活安排往往使选择健康饮食和参加体育活动变得困难。在集体生活的情况下，很容易为所有居民提供相同的食物和份量。护理人员经常在没有大多数居民意见的情况下决定膳食内容。此外，研究表明，患有ID的成年人的父母在限制获得不健康食品和鼓励健康活动模式方面缺乏信息和支持。 财政和交通问题也使ID个人难以参加以社区为基础的体育活动计划。因此，患有ID的个体通常具有较差的能量密集饮食并且倾向于不活动;他们的肥胖率高于一般人群，这导致健康相关问题的高患病率，包括癌症、糖尿病、高血压和心血管疾病。迫切需要针对这一人群的具体情况和学习需求的健康生活方式方案。 拟议的项目HELP-ID;（个人健康饮食和生活方式方案） 与ID，将使用最好的行为减肥计划，同时纳入一个创新的，但基于研究的方法，专门为这一人群的需求而设计。在社会认知理论（SCT）的指导下，HELP-ID是一个引人入胜的多媒体计划，为ID患者及其护理提供者提供营养信息，易于实施和成本效益的膳食计划想法以及生活方式体育活动计划。在第一阶段，我们将开发Help-ID的原型，并成功建立该计划的可行性。II期研究的主要目的是为超重和肥胖的ID成年人全面制定全面的健康饮食和生活方式计划，并在一项随机对照试验中评估其疗效，该试验涉及超重/肥胖的ID成年人，他们住在家里，寄养家庭，团体家庭，或独立支持，以及他们的护理提供者。