Partnering for PA in Early Childhood: Sustainability via Active Garden Education

幼儿期 PA 合作：通过积极的花园教育实现可持续发展

• 批准号: 9248420
• 负责人: Rebecca Elizabeth Lee
• 金额: $ 50.04万
• 依托单位: ARIZONA STATE UNIVERSITY-TEMPE CAMPUS
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-04-01 至 2020-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9248420
• 关键词: 4 year old; Accelerometer; Accreditation; Adoption; Affect; Age; Attention; Awareness; Behavior; Behavior Therapy; Caring; Child; Child Rearing; Collaborations; Communities; Community Health Education; Consumption; Coupled; Crossover Design; Development; Diet Habits; Dimensions; Education; Educational Background; Educational Curriculum; Educational Intervention; Effectiveness; Ensure; Future; Gardenal; Guidelines; Habits; Health; Health Promotion; Health behavior; Healthy Eating; Hispanics; Home environment; Household; Human Development; Individual; Institute of Medicine (U.S.); Institutionalization; Intervention; Knowledge; Latino; Link; Longevity; Maintenance; Measures; Metaphor; Neighborhoods; Nursery Schools; Obesity; Outcome; Overweight; Parents; Participant; Physical activity; Plants; Policies; Policy Maker; Population; Preschool Child; Primary Prevention; Process; Randomized; Randomized Controlled Trials; Reporting; Research; Research Personnel; Research Project Grants; Resources; Safety; Science; Socioeconomic Status; Testing; Theoretical model; Time; Translational Research; Voice; Vulnerable Populations; Work; aged; arm; base; community based participatory research; community partnership; comparison group; cost; early childhood; eating in absence of hunger; ethnic minority population; experience; follow-up; food security; fruits and vegetables; health disparity; improved; innovation; intervention effect; low socioeconomic status; member; multidisciplinary; nutrition; obesity prevention; physical inactivity; physical model; public health priorities; public health relevance; scale up; sedentary; sedentary lifestyle; stem; success; tool

 DESCRIPTION (provided by applicant): Early childhood is a vulnerable time in the lifespan and a key opportunity for primary prevention. Significant health disparities exist, beginning in early childhood, in the Latino community, who are underrepresented in research. Most children attend early care and education centers (ECECs), making this an important setting for intervention for promoting healthy habits. Few studies have systematically investigated using community based participatory research (CBPR) strategies to develop practical, yet theoretically grounded, intervention strategies that comply with national health behavior guidelines and ECEC accreditation standards. Science & Community: Ending Obesity Improving Health (S&C; PI: Lee, U13HD063190) created an academic- community partnership that identified early childhood, healthy eating, physical activity opportunities as target health issues and community gardens as an intervention tool, resulting in the development of the pilot CBPR project, Sustainability via Active Garden Education (SAGE; PI: Lee, R21HD073685-01). The current project will expand and adapt SAGE for delivery over a four month period using a cluster randomized controlled trial adapted crossover design, along with testing a sustainability action plan (SAP) at the organizational level. In this study, we will determine the efficacy of the SAGE intervention on health in 3-4 year old children. This study will pair match and randomize 20 ECECs from neighborhoods with high proportions of Hispanic or Latino residents. ECEC receive either the SAGE intervention or the safety attention comparison. Then, ECEC will cross over and receive the treatment that they did not receive to ensure that all ECEC receive both curricula. We will determine improvement in accelerometry measured PA and sedentary behaviors, fruit and vegetable consumption and explore eating in the absence of hunger compared to those in a child safety attention comparison. We will explore secondary impacts on parenting practices that promote PA and fruit and vegetable consumption, home fruit and vegetable availability and improved household food security. This study will explore the process of delivery of the SAGE intervention on dimensions of reach, adoption, and implementation. This study will also develop, implement, and evaluate a SAP in the SAGE arm to determine replicability and institutionalization (sustainability) of the SAGE intervention and explore the relationship between of sustainability to child outcomes at follow up. The development and success of the community Partnership and SAGE Community Advisory Board will also be evaluated using indicators of participation, representativeness, and collaboration. This study will rely on CBPR strategies and an established theoretical model to implement an engaging and translational multilevel intervention linking policy and practice. This work will test strategies fr implementing IOM guidelines at the ECE level and will guide future efforts aimed at scaling up efficacious interventions for broad dissemination in vulnerable populations to reduce health disparities.

 描述（由申请人提供）：幼儿期是生命中的一个脆弱时期，也是一级预防的关键机会。从幼儿期开始，在拉丁美洲社区存在着显著的健康差距，他们在研究中的代表性不足。大多数儿童参加早期护理和教育中心（ECEC），使其成为促进健康习惯的重要干预环境。很少有研究系统地调查使用基于社区的参与式研究（CBPR）的策略，以制定实际的，但理论上的基础，干预策略，符合国家健康行为指南和ECEC认证标准。科学与社区：结束肥胖改善健康（S&C; PI：Lee，U13 HD 063190）创建了一个学术-社区伙伴关系，将幼儿期，健康饮食，体育活动机会确定为目标健康问题，并将社区花园作为干预工具，从而制定了CBPR试点项目，通过积极的花园教育实现可持续发展（SAGE; PI：Lee，R21 HD 073685 -01）。目前的项目将扩大和调整SAGE的交付超过四个月的时间使用集群随机对照试验适应交叉设计，沿着测试可持续性行动计划（SAP）在组织层面。在这项研究中，我们将确定SAGE干预对3-4岁儿童健康的有效性。这项研究将配对匹配和随机选择20个来自西班牙裔或拉丁裔居民比例高的社区的ECEC。ECEC接受SAGE干预或安全注意比较。然后，幼儿保育和教育委员会将进行交叉，接受他们没有得到的待遇，以确保所有幼儿保育和教育委员会都能接受这两种课程。我们将确定加速度测量PA和久坐行为，水果和蔬菜消费的改善，并探索在没有饥饿的情况下进食与儿童安全注意力比较。我们将探讨对父母的做法，促进PA和水果和蔬菜的消费，家庭水果和蔬菜的供应和改善家庭粮食安全的二次影响。本研究将探讨SAGE干预措施在覆盖面、采用和实施方面的交付过程。这项研究还将制定、实施和评估SAGE部门的SAP，以确定SAGE干预措施的可复制性和制度化（可持续性），并探讨可持续性与后续儿童成果之间的关系。社区伙伴关系和SAGE社区咨询委员会的发展和成功也将使用参与，代表性和协作指标进行评估。本研究将 依靠CBPR战略和既定的理论模型，实施一项将政策与实践相结合的参与性和转化性多层次干预。这项工作将检验在欧洲经委会一级执行国际移民组织准则的战略，并将指导今后努力扩大有效干预措施，在弱势群体中广泛传播，以减少健康差距。