Culturally Appropriate Childhood Obesity Prevention Program for Hispanic Families

这项研究提出的建议和重点肥胖预防研究， 医学研究所报告，预防儿童肥胖：平衡中的健康（Koplan et 例如，2005年）和NIH肥胖研究战略计划（NIH，2004年）。这些文件 建议采用以社区为基础的参与性办法， 针对父母的预防儿童肥胖干预措施， 身体活动和久坐行为。这两份文件都强调， 探讨潜在的以社区为基础的预防和治疗战略的价值， 文化上适当的，针对不同的人口群体，作为减少健康问题的战略， 肥胖和相关后果的差异。 这项研究解决了文献中的重要空白，即缺乏对 文化上适当的，以家庭为基础的西班牙裔儿童肥胖预防干预措施 人口在我们的形成研究阶段，我们适应了我们可以！计划开发一个 为西班牙裔家庭量身定制的以家庭为基础的儿童肥胖计划。新 干预是适应语言和文化适合西班牙裔家庭， 纳入目标人群的文化价值观、规范和习俗， 透过卫生防护中心在社区中心进行干预。我们的形成性研究还发现 我们可以！程序材料是在相对较高的阅读水平上编写的， 容易理解。因此，我们进行了修改，重点是使， 健康知识水平低的讲西班牙语的人可以获得的方案（例如，非技术 语言、易读材料、互动活动）。拟议的研究旨在 证明这种文化定制的儿童肥胖预防干预措施的有效性 通过随机对照试验。

This study addresses recommendations and priorities for obesity prevention research made in the Institute of Medicine report, Preventing Childhood Obesity: Health in the Balance (Koplan et al., 2005) and in the Strategic Plan for NIH Obesity Research (NIH, 2004). These documents recommend for community-based, participatory approaches to be used to develop culturallyappropriate interventions to prevent childhood obesity that target parents to address nutrition, physical activity, and sedentary behaviors in their children. Both documents emphasize the value of exploring potential community-based prevention and treatment strategies that are culturally-appropriate and target diverse population groups, as a strategy for reducing health disparities in obesity and related consequences. This study addresses important gaps in the literature¿namely, a dearth of research on culturally-appropriate, family-based childhood obesity prevention interventions for the Hispanic population. In our formative research phase, we adapted the We Can! program to develop a family-based childhood obesity program that is tailored for Hispanic families. The new intervention was adapted to be linguistically- and culturally-appropriate for Hispanic families to incorporate cultural values, norms, and customs of the target population, and by delivering the intervention through CHP's in a community center setting. Our formative research also found that the We Can! program materials were written at a relatively high reading level and were not easily comprehended. Thus, we made the modifications with an emphasis on making, the program accessible to Spanish-speaking persons with low health literacy levels (e.g., nontechnical language, easy-to-read materials, interactive activities). The proposed study aims to demonstrate the efficacy of this culturally-tailored childhood obesity prevention intervention through a randomized controlled trial.