Guided self-help for families with am overweight child

为有超重儿童的家庭提供指导自助

• 批准号: 7677417
• 负责人: Kerri N Boutelle
• 金额: $ 22.94万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-09-01 至 2011-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7677417
• 关键词: 12 year old; Adolescent; Adult; Affect; Aftercare; Age; Anxiety; Area; Behavior Therapy; Body Weight; Body Weight decreased; Child; Childhood; Clinic; Clinic Visits; Clinical Research; Clinical Treatment; Clinical Trials; Data; Development; Eating Disorders; Employee Strikes; Environment; Epidemic; Exploratory/Developmental Grant; Family; Food; Goals; Grant; Health; Health Professional; Home environment; Intake; Intervention; Mental Depression; Methods; Modality; Mood Disorders; National Health and Nutrition Examination Survey; Obesity; Outcome; Overweight; Panic Disorder; Parents; Participant; Phobic anxiety disorder; Physical activity; Pilot Projects; Population; Prevalence; Publishing; Randomized; Randomized Clinical Trials; Recruitment Activity; Reporting; Research; Research Personnel; Research Project Grants; Resources; Risk; Risk Factors; Surveys; Target Populations; Testing; Time; Training; Translating; Treatment Efficacy; Treatment Protocols; United States; United States National Institutes of Health; Weight; Work; active method; aged; base; behavior change; cost; cost effective; design; efficacy testing; efficacy trial; experience; follow-up; fruits and vegetables; improved; innovation; metropolitan; obesity in children; obesity treatment; prevent; programs; psychologic; psychosocial; public health relevance; response; sedentary; self help; treatment program

DESCRIPTION (provided by investigator): The prevalence of obesity continues to rise, and the striking increases in childhood obesity over the past several decades are particularly alarming. There is clearly an unmet need for more resources for treating overweight children. Published studies show that clinic-based childhood obesity treatments are more successful than adult treatments, as one third of children are no longer overweight ten years following treatment. There are a number of barriers to translating empirically based programs to a greater amount of the population, including a shortage of clinic programs with the expertise needed, cost and lack of resources. Clinic based programs are often time and cost intensive, as they require a parent and child to attend lengthy clinic visits weekly for up to 6 months. Guided self-help is a method that offers an opportunity to provide these empirically based programs to a larger amount of the target population. The guidance offered is not therapy in its purest sense, but includes clarifying material, answering questions, and helping the participant remain on task. Guided self-help treatments can be provided by health professionals who are not specifically trained in behavior therapy, can be less time intensive, and can potentially be provided through other modalities besides clinic visits. Guided self help has been utilized in a number of psychological treatment protocols, including phobia/panic disorders, depression, anxiety, eating disorders and obesity treatment in adult populations and naturally could be applied to the treatment of childhood obesity. The objective of this application is to test the efficacy of a guided self-help method for providing obesity treatment to parents and their overweight child. Specifically, this proposed study evaluates the use of a guided self-help method for treating 52 overweight children (aged 8-12 years old) and their parents for 6 months. Parents and children will be recruited from San Diego Metropolitan area and will be randomized to either an active treatment or a delayed treatment condition. The central hypothesis is that the guided self-help treatment will result in a larger weight loss in the overweight child as compared to a delayed treatment control. The specific aims of this application are to 1) determine the extent to which the guided self-help program affects body weight in the target child, and 2) determine the extent to which the guided self-help program affects physical activity and dietary quality of parent and child, parent body weight, and home food environment. Participants will attend 12 20-minute clinic visits over 6 months, and assessment sessions at baseline, post-treatment and 6 months post-treatment. This efficacy study will be used as preliminary data to support the design of a full powered R01 randomized clinical trial. This program of research is critical for developing and disseminating interventions that can be translated to a larger amount of families with an overweight child. PUBLIC HEALTH RELEVANCE: Almost a third of the children in the United States are overweight, and there is an unmet need to for more resources for treating overweight children. This research project could provide a treatment method for families with an overweight child that is efficacious, translatable and logically feasible, to ultimately provide treatment to more of the target population.

描述（由研究者提供）：肥胖的患病率持续上升，在过去的几十年里，儿童肥胖的惊人增长尤其令人担忧。治疗超重儿童显然需要更多的资源。已发表的研究表明，基于临床的儿童肥胖治疗比成人治疗更成功，因为三分之一的儿童在治疗十年后不再超重。将基于经验的项目推广到更广泛的人群中存在许多障碍，包括缺乏具有所需专业知识的诊所项目、成本和资源缺乏。基于诊所的项目通常是时间和成本密集的，因为他们需要父母和孩子每周参加长达6个月的冗长的诊所访问。引导自助是一种方法，它提供了一个机会，将这些基于经验的方案提供给更多的目标人群。提供的指导不是最纯粹意义上的治疗，但包括澄清材料，回答问题，并帮助参与者保持任务。指导自助治疗可以由没有接受过行为治疗专门培训的卫生专业人员提供，可以节省时间，并且可以通过诊所就诊以外的其他方式提供。引导性自助已被用于许多心理治疗方案，包括成人的恐惧症/恐慌症、抑郁、焦虑、饮食失调和肥胖治疗，自然也可以应用于儿童肥胖的治疗。本应用程序的目的是测试一种引导自助方法的有效性，为父母和他们超重的孩子提供肥胖治疗。具体而言，本研究评估了使用引导自助方法治疗52名超重儿童（8-12岁）及其父母6个月的情况。父母和孩子将从圣地亚哥大都会区招募并随机分为积极治疗组和延迟治疗组。中心假设是，与延迟治疗控制相比，引导自助治疗将导致超重儿童体重减轻更大。该应用程序的具体目的是：1)确定指导自助计划对目标儿童体重的影响程度；2)确定指导自助计划对父母和孩子的身体活动和饮食质量、父母体重和家庭食物环境的影响程度。参与者将在6个月内参加12次20分钟的门诊就诊，并在基线、治疗后和治疗后6个月进行评估。该疗效研究将作为支持全功率R01随机临床试验设计的初步数据。这一研究项目对于制定和传播干预措施至关重要，这些干预措施可以转化为更多有超重儿童的家庭。公共卫生相关性：美国几乎有三分之一的儿童超重，治疗超重儿童的资源需求尚未得到满足。这个研究项目可以为有超重儿童的家庭提供一种有效、可翻译且逻辑上可行的治疗方法，最终为更多的目标人群提供治疗。