A Childhood Obesity Prevention Program Designed by Families for Families

描述(申请人提供)：这项儿童早期肥胖预防研究的重点是小城市中肥胖率高得不成比例的低收入家庭，通常是少数族裔家庭。在儿童肥胖、家庭发展、健康差距和基于社区的参与性研究(CBPR)方面拥有专业知识的跨学科研究团队将使家庭照顾者和社区组织(CBO)能够在纽约州北部的特洛伊市解决肥胖问题。具体目标包括建立一个由家庭照顾者和社区组织组成的社区咨询委员会(CAB)(目标1)，开展一项混合方法的社区评估，以确定家庭及其社区的优势和需要领域(目标2)，利用这些信息制定和实施以家庭为中心的肥胖干预措施，并将其纳入护理系统(目标3)，以及评估由此产生的干预措施(目标4)以及CBPR进程(目标5)。这项研究的创新包括：(A)以家庭为中心的干预框架，承认家庭生活的生态现实；(B)跨专业干预框架，其中与家庭的肥胖预防被整合到现有的基于社区的计划和组织中；以及(C)评估计划，使用严格的受试者内重复措施设计，与非同等的对照组(接受传统的肥胖预防)一起测试以家庭为中心的干预和CBPR过程的有效性。在这项研究中，通过使用CBPR方法来设计肥胖和肥胖相关变量的干预和传统的金标准科学衡量标准，以及现有的赋权措施，以评估其有效性，从而平衡了经验的严谨性和实践的相关性。总体目标是建设社区预防儿童肥胖症的能力，并确定使用CBPR开发的以家庭为中心的肥胖症预防计划的有效性。此外，该项目将衍生工具和最佳做法，以指导未来CBPR儿童肥胖倡议在面临健康差距挑战的低收入社区中的作用。 相关性(见说明)：儿童肥胖已达到流行水平，是公共卫生的重中之重。儿童肥胖与不健康的饮食和缺乏运动交织在一起，在很小的时候进行干预是建立健康习惯的关键。儿童肥胖与以前仅限于成年的疾病(如II型糖尿病)有关，持续性肥胖是成人死亡和残疾的主要原因。

DESCRIPTION (provided by applicant): This early childhood obesity prevention study focuses on low-income and often minority families in a small city who have disproportionately high obesity rates. The interdisciplinary research team with expertise in childhood obesity, family development, health disparities, and community-based participatory research (CBPR) will empower family caregivers and community-based organizations (CBOs) to address obesity in the city of Troy, NY in Upstate, NY. Specific aims include developing a Community Advisory Board (CAB) comprised of family caregivers and CBOs (aim 1), conducting a mixed-methods community assessment to identify strengths and areas of need in families and their communities (aim 2), using this information to develop and implement a family-centered obesity intervention and integrating it into systems of care (aim 3), and evaluating the resulting intervention (aim 4) as well as the CBPR process (aim 5). This study's innovations are numerous and include: (a) A family-centered intervention framework that recognizes the ecological realities of families' lives; (b) An inter-professional intervention framework in which obesity prevention with families is integrated within existing community-based programs and organizations; and (c) an evaluation plan that uses a rigorous within-subject, repeated-measures design with a non-equivalent control group (exposed to a conventional obesity prevention) to test the effectiveness of the family-centered intervention and the CBPR process. Empirical rigor and practical relevance are balanced in this study by using a CBPR approach to design the intervention and conventional gold-standard scientific measures of obesity and obesity-related variables, as well as existing measures of empowerment, to evaluate its effectiveness. The overarching goal is to build community capacity for childhood obesity prevention and determine the effectiveness of a family-centered obesity prevention program developed using CBPR. In addition, this project will derive tools and best practices to guide future CBPR childhood obesity initiatives in low-income communities challenged by health disparities. RELEVANCE (See instructions): Obesity among children has reached epidemic levels and is a top public health priority. Childhood obesity is intertwined with unhealthy diet and physical inactivity and intervening at a young age is key for establishing healthy habits. Childhood obesity is linked with diseases previously limited to adulthood (e.g., type II diabetes) and persistent obesity is a major cause of death and disability among adults.