Fit24: Using technology to improve activity and sleep in Hispanic youth

Fit24：利用技术改善西班牙裔青少年的活动和睡眠

• 批准号: 10609866
• 负责人: Erica Soltero
• 金额: $ 17.98万
• 依托单位: BAYLOR COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-04-15 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10609866
• 关键词: 16 year old; Address; Adolescence; Adolescent; Adult; Age; Behavior; Body mass index; Cellular Phone; Childhood; Chronic Disease; Collaborations; Communications Media; Control Groups; Data; Data Collection; Development; Devices; Diabetes Mellitus; Diabetes prevention; Disease Outcome; Disparity; Dose; Exhibits; Family; Feasibility Studies; General Population; Glucose; Goals; Guidelines; Health Promotion; Health behavior; Hispanic; Hour; Insulin Resistance; Intervention; Interview; Life; Literature; Measures; Methods; Minority Groups; Minority Participation; Monitor; Motivation; Nature; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; OGTT; Obesity; Outcome; Participant; Persons; Physical activity; Physiological; Pilot Projects; Prevention Research; Prevention strategy; Protocols documentation; Proxy; Public Health; Randomized; Research; Risk; Sampling; Self Determination; Sleep; Subgroup; Surveys; Technology; Testing; Text Messaging; Time; Waiting Lists; Work; Youth; acceptability and feasibility; behavior change; design; diabetes risk; disorder prevention; efficacy trial; exercise intervention; feasibility testing; fitbit; healthy lifestyle; high risk; high risk population; implementation intervention; improved; innovation; insight; lifestyle intervention; lifetime risk; meetings; minority children; monitoring device; novel; obesity prevention; prevent; preventive intervention; public health relevance; recruit; response; satisfaction; sedentary lifestyle; sleep behavior; smartphone application; theories; tool; tv watching; unhealthy lifestyle; vulnerable community; wearable device

PROJECT SUMMARY Hispanic adolescents are disproportionately burdened by obesity and exhibit greater risk for type 2 diabetes (T2D) compared to non-Hispanic white youth. These disparities are driven in part by unhealthy wake time physical activity (PA) and sedentary behaviors (SB), and short sleep durations. Lifestyle interventions that address these behaviors have effectively reduced T2D risk in high-risk adults. However, few studies have developed and tested T2D prevention interventions for Hispanic youth and even fewer have focused on improving both wake time and sleep behaviors. Technology-based devices like Fitbit activity monitors have been increasingly used as behavior change tools in obesity prevention interventions. Studies that have utilized wearable devices in conjunction with text-messaging have been effective in increasing physical activity in adults. However, more research is needed to test the feasibility of wearable devices as a health promotion and disease prevention strategy among minority youth. The purpose of this study is to examine the feasibility of a 12-week goal-setting intervention that utilizes a Fitbit device and text messages grounded in the Self-Determination Theory (SDT) to promote healthy wake time (PA,SB) and sleep behaviors in Hispanic adolescents (14-16 years old) with obesity (BMI%≥95th). In collaboration with Hispanic youth (N=20) and an expert panel (N=6), text message content will be adapted and refined from a previously conducted pilot study. A mixed methods approach (surveys and interviews) will be applied to ensure that text message content adheres to the SDT and is age and culturally appropriate. A different sample of Hispanic youth (N=48) will be recruited and randomized to the intervention or a wait-list control group. In the intervention, youth will receive guidance from the research team on setting weekly steps/day and hours of sleep/night goals, a Fitbit device to self-monitor progress towards goals, and theory informed text messages that promote autonomous motivation for behavior change. Feasibility will be evaluated using a priori criteria for recruitment, data collection, intervention implementation, and acceptability. This proposal builds on preliminary data and leverages a strong, transdisciplinary investigative team to address critical gaps in diabetes prevention research among high-risk Hispanic adolescents. This feasibility study will be instrumental in providing the preliminary data needed to build towards a more rigorous, fully powered efficacy trial (R01). If this innovative approach is found to be feasible, it has the potential to be an affordable and scalable solution-oriented approach to T2D prevention in Hispanic youth and other populations of high-risk youth.

项目摘要 西班牙裔青少年因肥胖而过分燃烧，并暴露于2型糖尿病的风险更大 （T2D）与非西班牙裔白人青年相比。这些差异部分由不健康的唤醒时间驱动 体育锻炼（PA）和久坐行为（SB）和短睡眠时间。生活方式的干预措施 解决这些行为有效地降低了高危成年人的T2D风险。但是，很少有研究 开发和测试了针对西班牙裔青年的T2D预防干预措施，甚至更少关注 改善唤醒时间和睡眠行为。基于技术的设备，例如Fitbit活动监视器 越来越多地用作肥胖预防干预措施中的行为改变工具。利用的研究 可穿戴设备与文本测量结合使用，可以有效地增加成人的体育锻炼。 但是，需要更多的研究来测试可穿戴设备作为健康促进和疾病的可行性 少数民族青年的预防策略。这项研究的目的是检查12周的可行性 利用Fitbit设备和基于自决的文本消息的目标干预措施 理论（SDT）促进西班牙裔青少年的健康唤醒时间（PA，SB）和睡眠行为（14-16岁 老）肥胖（BMI％≥95th）。与西班牙裔青年（n = 20）和专家小组（n = 6）合作，文字 消息内容将从先前进行的试点研究中进行调整和完善。一种混合方法方法 （调查和访谈）将应用于确保短信内容遵守SDT并且是年龄和 在文化上适当。将招募不同的西班牙裔青年样本（n = 48） 干预或等待名单对照组。在干预中，青年将获得研究小组的指导 设定每周的步骤/白天和小时的睡眠/夜间目标，是一种自我监视的Fitbit设备，以实现目标， 理论告知文本信息，这些消息促进了行为改变的自主动机。可行性将是 使用招聘，数据收集，干预实施和可接受性的先验标准进行评估。 该提案以初步数据为基础，并利用一个强大的跨学科调查团队来解决 高风险的西班牙裔青少年糖尿病预防研究的关键差距。这项可行性研究将是 为提供更严格，完全动力的效率提供所需的初步数据有助于 试验（R01）。如果发现这种创新的方法是可行的，则有可能成为一种负担得起的可扩展性 在西班牙裔青年和其他高风险青年人群中，以解决方案为导向的T2D预防方法。