A mother-daughter intervention to promote physical activity

促进身体活动的母女干预

• 批准号: 10078125
• 负责人: Elva M Arredondo
• 金额: $ 18.81万
• 依托单位: SAN DIEGO STATE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-01-01 至 2022-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10078125
• 关键词: Accelerometer; Accounting; Address; Adolescence; Adolescent; Adoption; Age; Cardiovascular Diseases; Cardiovascular system; Child; Child Health; Child Rearing; Chronic Disease; Cognitive; Communication; Communities; Community Trial; Competence; Daughter; Development; Dose; Emotional; Environment; Evaluation; Family; Family Characteristics; Fathers; Feasibility Studies; Female Adolescents; Gender Role; Guidelines; Hispanics; Intervention; Intervention Studies; Interview; Latina; Latino; Learning; Maintenance; Mental Depression; Mental Health; Methods; Modeling; Mothers; Not Hispanic or Latino; Obesity; Parents; Penetration; Physical activity; Pilot Projects; Population; Prevalence; Productivity; Randomized; Randomized Controlled Trials; Recreation; Reporting; Research; Research Design; Resources; Structure; Systems Theory; Testing; Treatment Efficacy; Underserved Population; Youth; acceptability and feasibility; base; body dissatisfaction; boys; cancer risk; cancer type; comparison intervention; efficacy evaluation; exercise intervention; expectation; experience; girls; high risk; implementation strategy; improved; innovation; meetings; moderate-to-vigorous physical activity; mother-daughter relationship; obesity prevention; obesity treatment; parent-child communication; physical inactivity; physical model; preadolescence; prevent; programs; response; role model; scale up; sedentary activity; self esteem; sex; social; social skills; systematic review

PROJECT SUMMARY Pre-adolescence marks a period of emotional and physical changes for children, especially among girls. One way to ameliorate the negative impact of these changes is through physical activity (PA), which can improve physical, emotional, and mental health, as well as increase learning, productivity, and social skills. However, only 26.1% of US adolescents meet PA guidelines (≥60 min daily moderate-to-vigorous physical activity), with fewer girls meeting the guidelines than boys. Of particular concern are Latina girls, who have much higher rates of obesity compared to non-Hispanic white girls. Low activity levels in Latinas may explain their disproportionate prevalence of obesity. In addition to obesity, physical inactivity has been associated with higher rates of cardiovascular disease and more than 10 types of cancer. Factors accounting for the low PA rates among Latina girls include sex role expectations, poor parent-child communication, few role models, lack of parental support, and lack of access to PA opportunities. Parents, particularly mothers, influence their children’s activity levels by creating and supporting PA opportunities, reducing access to sedentary activities, modeling PA, and reinforcing children’s efforts to be physically active. Characteristics of the family environment, such as communication and PA parenting practices, have been found to be associated with child PA. Interventions that target these factors may increase PA in this population during critical developmental years. The proposed randomized controlled trial examines the impact of a 12-week mother-daughter intervention, Floreciendo Juntas, promoting PA in pre-adolescent Latinas compared to a control condition. The proposed mother-daughter intervention is innovative because it examines the bi-directional influence mothers and daughters have on each other’s PA, evaluates family-level factors that impact girls’ PA, and explores facilitators, barriers, and strategies for program adoption and scale up. We will use an actor-partner model (i.e., Dyadic Analyses) that accounts for interdependence to examine mother and daughter influences on daughters’ PA. The proposed study builds on an acceptability and feasibility study promoting daughters’ PA. The primary aim will test the preliminary impact and estimate the effect size of Floreciendo Juntas on daughters’ MVPA. Secondary aims will evaluate the preliminary effects of Floreciendo Juntas on potential mechanisms of change like mothers’ PA, PA parenting practices, and mother-daughter communication. We will also examine the preliminary impact of the intervention on the bidirectional influence of mother-daughter PA. As an exploratory aim, we will evaluate the feasibility, appropriateness, penetration, and potential for adoption and sustainment of the Floreciendo Juntas intervention from the perspective of participating YMCAs and Recreation Centers. The findings from the proposed study will form the basis of a randomized controlled community trial and will move the field forward in identifying targets of change in preventing chronic disease in Latino communities.

项目总结 青春期前标志着儿童，特别是女孩的情感和身体变化的时期。一 缓解这些变化的负面影响的方法是通过体力活动(PA)，这可以改善 身体、情绪和心理健康，以及提高学习、生产力和社交技能。然而， 只有26.1%的美国青少年符合PA指南(≥每天60分钟中等到剧烈的体力活动)， 符合指导方针的女孩比男孩少。尤其令人担忧的是拉丁裔女孩，她们的 与非西班牙裔白人女孩相比，肥胖率。拉丁语的低活动水平可能解释了他们的 肥胖率不成比例。除了肥胖之外，缺乏体育锻炼还与 心血管疾病和10多种癌症的发病率更高。影响PA低的因素 拉丁裔女孩的比例包括性别角色期望、亲子沟通不良、缺乏榜样、缺乏 缺乏父母的支持，以及缺乏获得PA机会的机会。父母，尤其是母亲，会影响他们的 通过创造和支持PA机会，减少久坐不动的活动， 塑造PA，加强孩子们的体力活动。家庭的特点 环境，如沟通和父母教养方式，已被发现与儿童有关 爸。针对这些因素的干预措施可能会在关键发育阶段增加这一人群的PA 好几年了。这项拟议的随机对照试验检查了怀孕12周的母女的影响 干预，与对照条件相比，促进青春期前拉丁裔人的PA。这个 提出的母女干预具有创新性，因为它考察了母亲的双向影响 和女儿相互影响对方的PA，评估影响女孩PA的家庭层面因素，并探索 计划采用和扩展的促进者、障碍和战略。我们将使用参与者-合伙人模型(即， 二元分析)，这解释了相互依赖，以检查母女对女儿的影响 爸。这项拟议的研究建立在一项促进女儿抚养权的可接受性和可行性研究的基础上。初级阶段 目的初步检验佛手藤对女儿MVPA的影响，并估算其影响大小。 二级目标将评估弗洛吉安多对潜在变化机制的初步影响 比如母亲的PA，PA的育儿实践，以及母女沟通。我们还将研究 初步探讨干预对母女PA双向影响的影响。作为一个探索者 目的，我们将评估采用和维持的可行性、适当性、渗透性和潜力 从参与基督教青年会和康乐中心的角度对佛洛吉恩多基督教青年会进行干预。这个 拟议研究的结果将构成随机对照社区试验的基础，并将 在确定拉美裔社区预防慢性病方面的变化目标方面取得了进展。