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Food-Body-Mind Intervention: Promote whole child health

食身心干预：促进儿童整体健康

基本信息

批准号：
10731251
负责人：
Jiying Ling
金额：
$ 78.96万
依托单位：
MICHIGAN STATE UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-08-21 至 2024-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10731251
关键词：
Address Adolescence Adult Affect Anger Antiinflammatory Effect Anxiety Behavior Disorders Behavioral Blood Pressure Body fat Body mass index Brain COVID-19 pandemic Caregivers Child Child Health Child Rearing Chronic stress Cognition Communities Complementary Health Conduct Disorder Control Groups Data Data Collection Day Care Day center care Depressed mood Development Diagnosis Disease Eating Eating Behavior Eating Disorders Educational Status Emergency Situation Emotional Emotional disorder Enrollment Ethnic Origin Family Food Fostering Fright Generations Geography Goals Hair Head Start Program Health Health Promotion Healthy Eating Home Home environment Hydrocortisone Income Intake Integrative Medicine Intention Intervention Knowledge Learning Legal Guardians Letters Link Literature Longterm Follow-up Low income Measurement Mediating Mental Depression Mental Health Mental disorders Michigan Mind-Body Intervention Modeling Moods Movement Parents Persons Phase Physical activity Plants Problem behavior Procedures Productivity Protocols documentation Psyche structure Race Randomized Randomized, Controlled Trials Readiness Reduce health disparities Reporting Research Research Training Residencies Risk Risk Reduction Rural Schools Services Site Socioeconomic Status Stress Stress and Coping Testing Transact United States National Institutes of Health Vulnerable Populations Work Yoga aged allostatic load behavioral health comparison control comparison intervention coping cost effective deep breathing exercises disadvantaged background early childhood emotional eating ethnic diversity evidence base experience follow-up fruits and vegetables health disparity health equity promotion high risk improved innovation intervention effect lower income families marginalization mindfulness neuroprotection novel peer phase II trial physical conditioning population health post intervention primary outcome programs racial diversity recruit rural area rural setting secondary outcome skills social skills socioeconomic disparity teacher theories urban area urban setting usual care arm

项目摘要

ABSTRACT Mental, emotional, and behavioral (MEB) disorders begin in early childhood, with one in six US preschoolers aged 3-5 years diagnosed with a MEB disorder. Children from low income and economically marginalized (LIEM) backgrounds have a higher risk of being diagnosed with MEB disorders than those from higher income families. To address the mental and physical health disparities based on socioeconomic status, ethnicity/race, and urban/rural residency, the proposed study will target Head Start racially/ethnically diverse preschoolers from LIEM backgrounds in both urban and rural areas. Guided by the Actor-Partner Interdependence Model, the Allostatic Load Model, and the Transactional Theory of Stress and Coping, the proposed 16-week Food- Body-Mind intervention includes: 1) a school-based mindfulness component delivered to equip preschoolers with knowledge and skills in mindful eating and movement (e.g., yoga, deep breathing exercises); 2) a home- based mindfulness component to increase caregivers’ skills in practicing mindful eating, movement, and parenting behaviors at home to foster a more positive, mindful, and healthy home environment; and 3) a school learning and home practice connection component to improve caregiver-preschooler relationships. The purpose of this 5-year cluster randomized controlled trial is to evaluate the effects of the 16-week school- and home-based, multi-component, Food-Body-Mind intervention on improving both preschoolers’ and caregivers’ MEB and physical health. The long-term goal is to achieve optimal whole child health in early childhood to foster a healthier generation in the US. Fifty Head Start daycare centers will be randomized into the intervention (n=25: 8 urban [16 classrooms] and 17 rural [17 classrooms] daycare centers) or usual care control group (n=25: 8 urban and 17 rural daycare centers). Five caregiver-preschooler dyads will be recruited from each daycare classroom (total 330 dyads: 160 urban dyads and 170 rural dyads). Analyses will be based on the intention-to-treat principle. The three aims are to: 1) determine effects of the intervention on improving preschoolers’ primary outcomes including mental (chronic stress), emotional (sadness, fear, anger, positive affect), and behavioral (problem behaviors, social skills) health as well as physical health (BMI z-score, % body fat; secondary outcomes) from baseline (0 month) to 4 months (immediate post-intervention) and to 12-month follow-up compared to control; 2) examine the effects of the intervention on improving caregivers’ physical (BMI, % body fat, blood pressure) and mental (stress, anxiety, depression) health from 0 to 4 months and to 12-month follow-up compared to control; and 3) explore how the intervention will modify both preschoolers’ and caregivers’ MEB and physical health via the mediating mechanisms of mindfulness, emotional eating, fruit/vegetable intake, physical activity, caregiver-preschooler relationship, and caregiver coping from 0 to 4 months and to 12-month follow-up. Results from this study will improve the evidence base of complementary and integrative health approaches that can be delivered in geographically diverse daycare settings.

摘要