A health-literacy module for overweight adolescents and their parents on canine physical activity, nutrition and behavior: Enhancing DHHS'BodyWorks program at a Federally Qualified Health Center

为超重青少年及其父母提供有关犬类身体活动、营养和行为的健康素养模块：在联邦合格健康中心加强 DHHS 的 BodyWorks 计划

• 批准号: 10579776
• 负责人: Larry Yin
• 金额: $ 20.38万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-01 至 2024-02-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10579776
• 关键词: 17 year old; 19 year old; Accelerometer; Address; Administrative Supplement; Adolescent; Adolescent obesity; Affect; Age; Animals; Behavior; Behavior Therapy; Behavioral; COVID-19 pandemic; Canis familiaris; Car Phone; Caring; Child; Clinic; Community Health Networks; Companions; Control Groups; County; Data; Development; Diagnosis; Dog family; Ecological momentary assessment; Educational Curriculum; Enrollment; Family; Federally Qualified Health Center; Funding; Geographic Locations; Goals; Health; Healthcare; Hispanic; Human; Insurance; Intervention; Intervention Studies; Language; Lead; Link; Literacy Programs; Los Angeles; Measurement; Measures; Methodology; National Health and Nutrition Examination Survey; Nutritional; Obesity; Obesity Epidemic; Overweight; Parents; Patients; Pediatric Hospitals; Pediatrics; Persons; Physical activity; Population; Preparation; Prevalence; Privatization; Protocol Compliance; Public Health; Randomized; Randomized Controlled Trials; Research; Salmon; Site; Testing; Theory of Change; acceptability and feasibility; adolescent health; base; community clinic; design; effective intervention; effectiveness testing; experience; feasibility testing; fitbit; fitness; group intervention; health literacy; lifestyle factors; lifestyle intervention; medical specialties; novel strategies; nutrition; pandemic disease; parent grant; programs; recruit; social factors; study population; trend; wireless

ABSTRACT The parent grant’s scope is to establish feasibility and acceptability of a novel approach to increase overweight / obese adolescents’ physical activity by leveraging their attachment to the family dogs; and to collect pilot data to establish the effect size of an empirically validated BodyWorks program (Borden et al., 2012; DHHS, 2013) enhanced with a Canine Health Literacy module that parallels the BodyWorks humans - only curriculum. The theory of change links an increase in the adolescents’ health literacy about both human and canine physical activity and nutritional needs to more positive affect in the presence of the dog during physical activity (Liao et al., 2017), which is expected to lead to an increase in physical activity. The scope of the proposed administrative supplement remains the same as in the parent grant, however, the population will be broadened to include both public and private insurance patients receiving care in specialty clinics at Children’s Hospital Los Angeles (CHLA) and in CHLA-affiliated general pediatrics and specialty community clinics. In the parent grant, only publicly insured patients receiving healthcare at the FQHC AltaMed clinics in the CHLA geographical area have been included in the project, which limited recruitment already disrupted by the COVID-19 pandemic. Specifically, the funding will allow to add 17 additional clinics, extending recruitment beyond the 5 FQHC AltaMed clinics to a total of 22 recruitment sites. The aims of the study are: Specific Aim 1: Test the feasibility and acceptability of a concurrent approach using physical activity trackers and Ecological Momentary Assessment. 2(a): Test the feasibility and acceptability of objective measurement of physical activity using wireless fitness trackers for adolescents (FitBit Ace), their parents (FitBit Flex2), and their dogs (FitBark); 2(b): Test the feasibility and acceptability of using mobile phones for Ecological Momentary Assessment of types and contexts of adolescent's physical activity with dogs. Specific Aim 2: To establish the size of the effect, and the variability associated with the 7 week-long BW + CHL module, as compared with the control group who received the standard BW program in 3(a) adolescents' positive affect during or after physical activity with the dog, as measured by the Ecological Momentary Assessment using prompts on mobile phones; and 3(b) levels of overall physical activity for the adolescents, their parents, and the dogs as measured by the FitBit Ace (adolescents), FitBit Flex2 (parents), and FitBark (dogs). The project will establish feasibility, acceptability, attrition, and protocol compliance, and will collect pilot data needed for power calculations in preparation for an R01 Randomized Controlled Trial as a next step to test the effectiveness of our enhanced BW+CHL program. This project represents a significant methodological and theoretical advancement in the field of Human-Animal Interaction (HAI) and in research on overweight and obesity.

摘要 父母补助金的范围是建立一种新的方法的可行性和可接受性，以增加 超重/肥胖青少年的身体活动，利用他们的依恋家庭狗;和 收集试验数据以建立经验验证的BodyWorks程序的效应量（Borden等人， 2012年; DHHS，2013年）增强了与人体工程师相似的犬类健康素养模块- 只有课程。改变理论将青少年健康素养的提高与人类健康素养的提高联系在一起， 和狗的身体活动和营养需求，以更积极的影响，在狗的存在， 体力活动（Liao等人，2017年），预计将导致身体活动的增加。 不过，拟议的行政补助金的范围与父母补助金的范围相同， 人口将扩大到包括公共和私人保险病人接受护理， 洛杉矶儿童医院（CHLA）和CHLA附属普通儿科的专科诊所， 专业社区诊所在父母补助金中，只有在公立医院接受医疗保健的患者， CHLA地理区域内的CNOHC AltaMed诊所已被纳入该项目， 新冠肺炎疫情已经打乱了招聘工作。具体而言，资金将允许增加 增设17个诊所，将招聘人数从5个卫生和人力资源中心AltaMed诊所扩大到22人 招聘网站。研究的目的是：具体目标1：测试一个 同时使用身体活动跟踪器和生态瞬时评估。2（a）：测试 使用无线健身追踪器客观测量身体活动的可行性和可接受性， 青少年（FitBit Ace）、他们的父母（FitBit Flex2）和他们的狗（FitBark）; 2（B）：测试可行性和 使用移动的电话的可接受性 青少年的身体活动与狗。具体目标2：确定效应的大小和变异性 与接受7周BW + CHL模块的对照组相比， 标准体重计划在3（a）青少年的积极影响期间或之后的身体活动与狗， 使用移动的电话提示通过生态瞬时评估进行测量;以及3（B）级 青少年，他们的父母和狗的整体身体活动，由FitBit Ace测量 （青少年），FitBit Flex2（父母）和FitBark（狗）。该项目将建立可行性，可接受性， 自然减员和方案依从性，并将收集把握度计算所需的试点数据，为 R 01随机对照试验作为下一步，以测试我们增强的BW+CHL计划的有效性。 该项目代表了人-动物研究领域的重大方法和理论进步 互动（HAI）和超重和肥胖的研究。