VIVA: Obesity Intervention in the West Oso Independent School District

描述（由申请人提供）：在过去十年中，肥胖已被确定为美国的一个重大健康问题，也是造成疾病和残疾负担的主要因素。美国的少数种族和少数民族群体，特别是这些群体中的儿童，受到不同程度的影响：西班牙裔和非洲裔美国人的超重和肥胖率高于其他群体。肥胖对身体健康问题的直接影响与各种心理问题和社会问题相混淆。显然，有必要从受影响最严重的社区各自的立场来了解这些差异。显然需要的是一个长期的研究项目，由已经在社区中与这些问题作斗争的人们之间的合作产生。显然需要真正有效的预防和治疗策略。该项目将侧重于一个由1959名儿童组成的学区的肥胖干预策略，其中98%是少数民族。这一项目的成果将使儿童能够充分发挥潜力，在没有疾病或残疾的情况下过上健康和有益的生活，从而符合国家儿童健康和人类发展研究所的使命。此外，通过促进西班牙裔儿童及其父母/照料者的健康，该项目将进一步推进国家少数民族健康和健康差距问题中心的使命。西奥索独立学区“Viva：肥胖干预”的主要目标是通过社区和学校的合作，采取干预措施，减少中学生及其家长的肥胖。Viva将把西班牙裔社区的观点付诸实践，通过与文化相关的传播技术，有效地减少肥胖。Viva的基本原理是，了解社区定义的干预障碍对这些干预措施的设计和最终成功至关重要。短期目标是确定社区对儿童肥胖的理解和关注，并评估现有健康信息的有效性。长期目标是制定一项由社区确定的研究议程，并提交一份广泛的申请，以制定和实施与文化相关的健康运动，预防和治疗西班牙裔儿童的肥胖。通过实现这一应用的具体目标，学术界与社区的伙伴关系将确定预防和干预策略，以控制肥胖，并实施有效的传播技术。干预策略将根据社区规范设计，并可输出到美国的类似社区。社区参与：利用社区洞察力和专业知识开发一个文化定制的过程，以评估南德克萨斯州儿童肥胖的看法、问题和障碍。招募和数据收集：确定参与者并进行焦点小组访谈和调查，以评估对肥胖的关注和看法、社区确定的健康障碍以及将在该社区取得成功的干预战略。学术界合作伙伴将分析研究结果。3. 实施和传播：通过Viva网站、Viva大会等传播渠道，通过学生编写和交付的剧本的实施/表演，传播成果。设计额外的、与文化相关的干预策略，以减少中学生和家长的肥胖。

DESCRIPTION (provided by applicant): Within the last decade obesity has been identified as a significant health problem in the United States and a major contributor to the burden of illness and disability. U.S. racial and ethnic minority groups, particularly children in these groups, are disparately affected: Overweight and obesity rates are higher in Hispanics and African Americans than in other groups. The direct effect of obesity on physical health problems is confounded by a variety of psychological problems and social issues. Clearly there is a need to understand these disparities from the respective standpoints of the communities most affected. Clearly needed is a long-term research program that arises from collaboration among people who are already struggling with these problems in their communities. Clearly needed are prevention and treatment strategies that truly work. This project will focus on obesity intervention strategies in a school district composed of 1,959 children of whom 98% are minorities. Results of this project will enable the children to achieve their full potential for healthy and productive lives, free from disease or disability, thus aligning with the mission of the National Institute of Child Health and Human Development. Furthermore, by promoting the health of Hispanic children and their parents/caregivers, this project will further the mission of the National Center on Minority Health and Health Disparities. The primary goal of Viva: Obesity Intervention in West Oso Independent School District is to develop, through collaborative community and school engagement, interventions to reduce obesity among middle school students and their parents. Viva will implement the views of the Hispanic community of what will work in their neighborhoods into strategies that can effectively decrease obesity through culturally relevant dissemination techniques. The rationale for Viva is that understanding community-defined barriers to interventions is vital to the design and ultimate success of these interventions. The short-term goal is to determine community understanding and concerns related to obesity in children, and to assess the effectiveness of existing health information. The long-term objective is the development of a community-identified research agenda and the submission of an extensive application to develop and implement culturally relevant health campaigns for the prevention and treatment of obesity in Hispanic children. By achieving the specific aims of this application, the academic-community partnerships will identify prevention and intervention strategies to control obesity and implement effective dissemination techniques. The intervention strategies will be designed according to community specifications and be exportable to similar communities in the U.S. The specific aims of Viva are: 1. Community Engagement: Utilize community insight and professional knowledge to develop a culturally tailored process for assessing perceptions, issues and barriers surrounding childhood obesity in south Texas. 2. Recruitment and Data Collection: Identify the participants of and conduct focus group interviews and surveys to assess concerns and perceptions of obesity, community defined barriers to health and intervention strategies that will be successful with this community. Academic-community partners will analyze the results. 3. Implementation and Dissemination: Disseminate results thorough the Viva website, the Viva Conference and other communication channels and through the implementation/performance of a student written and delivered play. Design additional, culturally relevant intervention strategies to reduce obesity in middle school students and parents. PUBLIC HEALTH RELEVANCE: Viva will engage the community of the West Oso Independent School District, which is 98% minority, in dialogues focused on obesity in children to evaluate the community's perceptions of obesity, dietary intake, physical activity and body image. With the community's assistance, Viva will identify prevention and intervention strategies to control obesity and implement effective health dissemination techniques among Hispanic children. The Viva-community partnership will develop strategies to protect and promote the health of children, ensure that they are able to reach their full potential for healthy, productive lives and address issues of health disparities