Spillover Benefits: The Impact of Summer Programming on Parental Rules and Routines Associated with Children's Obesogenic Behaviors

溢出效益：暑期项目对与儿童肥胖行为相关的家长规则和惯例的影响

• 批准号: 10609796
• 负责人: Layton Reesor-Oyer
• 金额: $ 2.48万
• 依托单位: UNIVERSITY OF SOUTH CAROLINA AT COLUMBIA
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-06-01 至 2023-08-15
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10609796
• 关键词: Acceleration; Age; Beds; Beets; Behavior; Behavior Therapy; Caloric Restriction; Child; Child Behavior; Child Health; Child Rearing; Communities; Control Groups; Data; Diet; Energy Intake; Enrollment; Environment; Exhibits; Exposure to; Fellowship; Fostering; Future; Gatekeeping; Health Promotion; Health behavior; Home; Hour; Household; Intake; Interview; Lead; Low income; Measures; Mediating; National Institute of Diabetes and Digestive and Kidney Diseases; Observational Study; Parents; Perception; Physical activity; Postdoctoral Fellow; Prevention program; Randomized; Relaxation; Research; Role; Schedule; Schools; Seasons; Sleep; Sleep disturbances; Specific qualifier value; Structure; Training; Unhealthy Diet; Weight; Weight Gain; aged; experience; innovation; obesity in children; obesity treatment; obesogenic; parental influence; programs; randomized trial; randomized, clinical trials; tv watching

Summer vacation exerts a negative effect on children’s (5-12yrs) obesogenic behaviors (i.e., reduced activity, increased screen time, poor diet intake, shifted/disrupted sleep); children gain 3-5 times the amount of weight during the summer compared to the entire school year. The structured days hypothesis posits the structured environment created by school regulates obesogenic behaviors. During summer, less structure is present, leading to accelerated weight gain. We hypothesize seasonal changes in children’s obesogenic behaviors may be due in part to parents relaxing rules/routines related to obesogenic behaviors during the summer. During summer vacation parents are more lenient with rules/routines, such as allowing children to go to bed later and use screens more frequently. However, when a child attends a program that occurs at pre-specified days and times, like school, parents may enforce health-promoting rules/routines (e.g., earlier bedtime, limits on screens). Because the typical operating hours of summer day camps mimic the structure provided by school, attending summer day camp may also influence parent health-promoting rules/routines. This would promote greater consistency of parent health-promoting rules/routines during the summer; similar to rules/routines during the school year. We hypothesize that attending summer day camp will influence parent health-promoting rules/routines in the absence of a formal parenting behavior intervention and lead to more healthful behaviors of children at home. This spillover effect – summer day camp influences parent health-promoting rules/routines at home – can have important implications for obesity interventions during the summer. This F32 Post-Doctoral fellowship application will leverage data from a randomized clinical trial (NIDDK R01DK120490, PI Beets) enrolling 280 elementary-age children from low-income households with half randomized to receive free access to 8-weeks of community-operated summer day camp. We will quantitatively and qualitatively examine the impact of providing access to summer day camp on parent rules/routines associated with sleep, screen time, and diet. Further, we will examine the influence of parent health-promoting rules/routines on objectively measured obesogenic behaviors and child zBMI. The primary aim is to evaluate the impact of access to summer day camp on changes in parent health-promoting rules/routines from school to summer compared to a control group who do not receive free summer day camp. The secondary aim is to evaluate the impact of parent health- promoting rules/routines on changes in child obesogenic behaviors and weight (zBMI) from the school year to summer. The final aim is to describe parent perceptions of how/why they maintain/change health-promoting rules/routines during the summer. This study is significant because it is necessary to understand the mechanisms by which child obesogenic behaviors shift during the summer. This study will inform future summer childhood obesity prevention programs. This study is innovative because it is among the first to evaluate the impact of summer day camp access on parent health-promoting rules/routines within an RCT.

暑假对儿童（5- 12岁）的肥胖行为产生负面影响（即，活性降低， 屏幕时间增加，饮食摄入不足，睡眠改变/中断）;儿童体重增加3-5倍 与整个学年相比。结构化日假说假定结构化日 学校创造的环境调节肥胖行为。在夏季，结构较少， 导致体重加速增加。我们假设儿童致胖行为的季节性变化可能 部分原因是父母在夏天放松了与致胖行为有关的规则/惯例。期间 暑假家长对孩子们的规定更加宽松，比如允许孩子晚一点睡觉， 更频繁地使用屏幕。然而，当孩子参加一个在预先指定的日子发生的节目， 在像学校这样的时候，父母可以强制实施健康促进规则/惯例（例如，更早的就寝时间，屏幕上的限制）。 由于夏令营的典型运营时间模仿学校提供的结构， 夏令营也可能影响父母促进健康的规则/惯例。这将促进更大的 夏季家长健康促进规则/惯例的一致性;类似于夏季的规则/惯例 学年我们假设参加夏令营会影响父母的健康促进 在没有正式的育儿行为干预的情况下制定规则/惯例，并导致孩子更健康的行为 孩子们在家。这种溢出效应-夏令营影响父母的健康促进规则/例程， 家庭-可以在夏季肥胖干预的重要影响。F32博士后 奖学金申请将利用随机临床试验（NIDDK R 01 DK 120490，PI Beets）的数据 招收280名来自低收入家庭的小学年龄儿童，其中一半随机接受免费入学 为期8周的社区夏令营。我们将定量和定性地研究 提供夏令营对父母与睡眠、屏幕时间 和饮食。此外，我们将客观地研究父母健康促进规则/惯例对儿童的影响。 测量肥胖行为和儿童zBMI。主要目的是评估夏季进入的影响， 与对照组相比，从学校到夏季家长健康促进规则/惯例的变化 不接受免费夏令营的团体。第二个目的是评估父母健康的影响- 从学年开始，促进关于儿童致肥胖行为和体重（zBMI）变化的规则/惯例， 夏天最后的目的是描述父母对他们如何/为什么保持/改变健康促进的看法。 夏天的规则/惯例。这项研究是有意义的，因为它是必要的，以了解机制 孩子的肥胖行为在夏天会发生变化。这项研究将为未来的夏季儿童提供信息 肥胖预防计划。这项研究是创新的，因为它是第一个评估的影响， 在RCT中，根据父母健康促进规则/惯例参加夏令营。