Cultural adaptation and feasibility testing of a technology-based pediatric weigh management intervention for rural Latino communities

针对拉丁裔农村社区基于技术的儿科体重管理干预措施的文化适应和可行性测试

• 批准号: 10348179
• 负责人: Fabiana Brito Silva
• 金额: $ 15.92万
• 依托单位: UNIVERSITY OF NEBRASKA LINCOLN
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-05 至 2024-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10348179
• 关键词: Acculturation; Address; Adopted; Adoption; Affect; Agreement; Analysis of Covariance; Apple; Area; Back; Beverages; Body mass index; Categories; Characteristics; Chi-Square Tests; Child; Childhood; Clinical; Code; Communities; Community Practice; Computer Systems; Cost Analysis; Cost Effectiveness Analysis; Cost-Benefit Analysis; Cultural Sensitivity; Data; Data Analyses; Data Collection; Dimensions; Disease; Eating Behavior; Effectiveness; Elements; Ensure; Evidence based intervention; Family; Feedback; Focus Groups; Food; Gender; Genetic Transcription; Goals; Growth; Health; Health Promotion; Health Status; Healthcare; Healthy Eating; Height; Hispanics; Home environment; Home visitation; Hour; Image; Individual; Informed Consent; Intake; Intervention; Interview; Language; Latino; Lead; Linguistics; Measurement; Measures; Medicine; Methods; Modification; Monitor; Nebraska; Odds Ratio; Outcome; Parents; Participant; Patient Recruitments; Perception; Phase; Physical activity; Population; Prevalence; Procedures; Process; Protocols documentation; Provider; Published Comment; Quality of life; Questionnaires; Randomized; Rank-Sum Tests; Reach, Effectiveness, Adoption, Implementation, and Maintenance; Readability; Reading; Recipe; Recommendation; Reporting; Research; Resources; Risk Factors; Rural; Rural Community; Sample Size; Sampling; Schedule; Series; Source; Standardization; Statistical Data Interpretation; Stratification; Structure; Students; Suggestion; Surface; Surveys; System; Technology; Telephone; Testing; Training; Transcript; Translating; Translations; United States; Visit; Visual; Waiting Lists; Weight; base; bilingualism; community center; contextual factors; cost; cost effectiveness; dietary; digital; expectation; feasibility testing; feasibility trial; fourth grade; health communication; health literacy; heuristics; implementation cost; implementation framework; implementation intervention; implementation process; impression; improved; information display; information gathering; innovation; instrument; member; microcosting; obesity in children; obesity prevention; obesity treatment; overweight child; parental role; patient engagement; preference; primary outcome; programs; recruit; rural area; satisfaction; social; standard care; usability; waist circumference

Addressing childhood obesity risk factors like home environment, parental roles, excess weight, physical activity, and healthy eating among Latinos/Hispanic (L/H) families living in rural communities is an important priority. Among Latinos/Hispanics--the fastest growing population in United States—childhood obesity is rising. An effective strategy for controlling childhood obesity growth is family-based programs targeting the parents of overweight and obese children. However, evidence supporting these interventions among L/H families living in rural communities is missing. Here we will use cultural adaptation and implementation science frameworks to evaluate the feasibility of delivering a culturally appropriate familybased childhood obesity (FBCO) program via an automated telephone system (IVR) to L/H families living in rural Nebraska. We will conduct a mixed-methods feasibility trial for L/H families with overweight or obese children. In Aim 1, we will first collaboratively adapt all intervention materials to better fit the rural L/H community profile, including translation of materials to Spanish, inclusion of culturally relevant content and images, and use of health communication strategies to address different levels of health literacy. Then, we will evaluate the cultural relevance, suitability, and usability of the adapted intervention materials and mode of delivery. In Aim 2, we will randomly assign participant dyads (parent and child) to either Family Connections (n=29) or an enhanced standard-care group (n=29) and determine overall study reach, preliminary effectiveness in reducing child BMI z- scores, potential for program adoption, implementation, and sustainability through local health departments (RE-AIM outcomes). We will also evaluate health department perceptions of i-PARIHS constructs (innovation, context, recipient characteristics), and Family Connections participants’ view of the intervention (i.e., relative advantage, observability, trialability, complexity, compatibility). In conclusion, the study will answer three important questions: (1) Is a telephone delivered FBCO program in rural Nebraska culturally relevant, usable and acceptable by L/H families? (2) Is a telephone delivered FBCO program effective at reducing BMI z-scores in L/H children living in rural Nebraska? and (3) What real-world institutional and contextual factors influence the impact of the intervention and might affect its potential ability to sustainably engage a meaningful population of L/H families who stand to benefit? This project will generate locally and globally relevant evidence on a culturally appropriate technology-delivered FBCO intervention for L/H families in rural communities.

解决儿童对象风险因素，例如家庭环境，父母角色，超出体重，身体 在农村社区中的拉丁美洲人/西班牙裔（L/H）家庭中的活动和健康饮食是一个 重要的优先事项。在拉丁裔/西班牙裔（美国增长最快的人口）中 肥胖正在上升。控制儿童肥胖的有效策略是基于家庭的计划 针对超重和肥胖子女的父母。但是，支持这些干预措施的证据 在农村社区的L/H家庭中，缺少。在这里，我们将使用文化适应和 实施科学框架，以评估提供基于文化的家庭的可行性 通过自动电话系统（IVR）到居住在的L/H家庭的儿童对象（FBCO）计划 内布拉斯加州农村。我们将对具有超重或肥胖的L/H家族进行混合方法的可行性试验 孩子们。在AIM 1中，我们将首先合作调整所有干预材料，以更好地适合农村L/H 社区概况，包括将材料转换为西班牙语，包括文化相关内容和 图像以及使用健康沟通策略来解决不同水平的健康素养。然后，我们 将评估适应性干预材料和模式的文化相关性，适用性和可用性 交货。在AIM 2中，我们将随机分配参与者二元组（父母和孩子） 连接（n = 29）或增强的标准护理组（n = 29），并确定总体研究范围， 在降低儿童BMI分数，计划采用，实施的潜力， 以及通过当地卫生部门的可持续性（重新成果）。我们还将评估健康 部门对I-Parihs构建体（创新，背景，收件人特征）和家庭的看法 连接参与者对干预措施的看法（即相对优势，可观察性，可审动性， 复杂性，兼容性）。总之，该研究将回答三个重要问题：（1）是电话 在内布拉斯加州农村提供的FBCO计划在文化上相关，可用且可以由L/H家庭接受？ （2）是一项电话交付的FBCO计划，可有效减少居住在农村的L/H儿童的BMI Z分数 内布拉斯加州？ （3）哪些现实世界的制度和背景因素影响了 干预，并可能影响其可持续参与有意义的L/H的潜在能力 受益的家庭？该项目将在本地和全球相关的证据上 农村社区的L/H家族的文化适当的FBCO干预。