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 家长拨款的范围是确定一种新的方法的可行性和可接受性，以增加 超重/肥胖青少年的体力活动，利用他们对家中狗的依恋；以及 收集试点数据以建立经验证的BodyWorks计划的效果大小(Borden等人， 2012；DHHS，2013)增强了犬类健康素养模块，与BodyWorks人类- 只有课程。改变的理论将青少年健康素养的提高联系在一起 而犬只的体力活动和营养需求在犬只在场期间会产生更积极的影响 体力活动(廖等人，2017)，这预计会导致体力活动的增加。 拟议行政补助金的范围与父母补助金相同，但是， 人口将扩大到包括接受公共和私人保险护理的患者 洛杉矶儿童医院(CHLA)的专科诊所和附属于CHLA的普通儿科和 专门的社区诊所。在父母补助金中，只有公共保险的患者在 位于CHLA地理区域的FQHC AltaMed诊所已被纳入该项目，该项目限制了 招聘已经被新冠肺炎疫情打乱了。具体地说，资金将允许增加 增加17家诊所，将招聘人数从5家FQHC AltaMed诊所扩大到22家 招聘网站。这项研究的目的是：具体目标1：测试 使用体力活动跟踪器和生态瞬时评估的并行方法。2(A)：测试 使用无线健身跟踪器客观测量体力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 使用手机进行生态即时评估的可接受性 青少年与狗的身体活动。具体目标2：确定影响的大小和可变性 与7周的BW+CHL模块相关，与接受 3(A)青少年在与狗进行体育活动期间或之后的积极情绪，如 通过使用手机提示的生态瞬时评估来衡量；以及3(B)水平 青少年、他们的父母和狗的总体体力活动由FitBit Ace测量 (青少年)、FitBit Flex2(父母)和FitBark(狗)。该项目将确定可行性、可接受性、 损耗和协议合规性，并将收集功率计算所需的试点数据，为 R01随机对照试验作为下一步测试我们的增强型BW+CHL计划的有效性。 这一项目代表着人类-动物领域在方法学和理论上的重大进步 互动(HAI)和超重和肥胖的研究。