UCLA/RAND CENTER FOR ADOLESCENT HEALTH PROMOTION-CATEGORY 1

加州大学洛杉矶分校/兰德青少年健康促进中心 - 1 类

• 批准号: 8142224
• 负责人: Roshan Bastani
• 金额: $ 131.5万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8142224
• 关键词: UCLA; RAND; CENTER; ADOLESCENT; HEALTH

DESCRIPTION (provided by applicant): The UCLA/RAND Center for Adolescent Health Promotion's mission is to conduct prevention research that (1) addresses the needs of children, adolescents, young adults, and their families; (2) builds empowering relationships with community partners in Los Angeles and beyond; and (3) directly benefits communities and/or transforms local, state, and national policies. For ten years, our partner community has been LA's large, diverse South Bay region. Our core research project, Parents and Students for Nutrition and eXercise (P-SNaX), is a community-based participatory research (CBPR) project to develop and test a parent-focused intervention to improve childhood nutrition and exercise in homes and neighborhoods. P-SNaX builds on one of our existing successful CBPR projects (SNaX), a child-focused intervention to improve student nutrition and exercise in middle schools. Together, SNaX and P-SNaX may offer a sustainable comprehensive approach to childhood obesity prevention that, although recommended, has been elusive in practice. In Year 1, we will conduct surveys assessing parent needs with respect to their child's nutrition and exercise. We will then work closely with communities, parents, students, and schools to develop P-SNaX to increase parent self-efficacy and to stimulate change in homes and neighborhoods. In Years 2-5, we will test the intervention in four South Bay schools (SNaX + P-SNaX vs. SNaX-only), disseminate preliminary and final results, and prepare for a large-scale cluster-randomized trial. Our specific aims are: (1) To assess parents' needs, self- efficacy, and behaviors with respect to childhood obesity prevention in their homes, schools, and neighborhoods; (2) To develop a school-based, parent-focused CBPR intervention (P-SNaX), administered in conjunction with SNaX, to increase parent self-efficacy and improve child and parent behaviors with respect to childhood obesity prevention; (3) To conduct a four-school controlled trial (P-SNaX + SNaX vs. SNaX only) to examine the incremental effects of P-SNaX on healthy eating and physical activity among students; and (4) To disseminate results of the combined parent and student-focused intervention to community stakeholders, and to develop plans for broad program dissemination and additional research. RELEVANCE (See instructions): Childhood obesity is a national public health concern. Comprehensive approaches to childhood obesity prevention involving children, parents, schools, and communities are widely recommended, but the ability to deliver and sustain such programs has been lacking. Participatory research among researchers, families, schools, and communities may be able to find new, effective solutions.

描述(由申请人提供)： 加州大学洛杉矶分校/兰德青少年健康促进中心的使命是进行预防研究，以(1)满足儿童、青少年、年轻人及其家庭的需求；(2)与洛杉矶及其他地区的社区合作伙伴建立授权关系；以及(3)直接惠及社区和/或改变地方、州和国家政策。十年来，我们的合作伙伴社区一直是洛杉矶庞大、多样化的南湾地区。我们的核心研究项目是家长和学生营养与锻炼(P-SNAX)，这是一个基于社区的参与性研究(CBPR)项目，旨在开发和测试以家长为中心的干预措施，以改善家庭和社区的儿童营养和锻炼。P-Snax建立在我们现有的一个成功的CBPR项目(Snax)的基础上，这是一个以儿童为中心的干预措施，旨在改善学生的营养和中学锻炼。Snax和P-Snax结合在一起，可能会提供一种可持续的综合方法来预防儿童肥胖，尽管建议这样做，但在实践中一直难以捉摸。在第一年，我们会进行调查，评估家长对子女的营养和运动的需求。然后，我们将与社区、家长、学生和学校密切合作，开发P-Snax，以提高父母的自我效能感，并刺激家庭和社区的变化。在第二至第五年，我们将在南湾的四所学校(Snax+P-Snax与纯Snax)测试干预措施，公布初步和最终结果，并准备进行大规模的整群随机试验。我们的具体目标是：(1)评估家长在家庭、学校和社区预防儿童肥胖方面的需求、自我效能和行为；(2)开发以学校为基础、以家长为中心的CBPR干预(P-Snax)，与Snax一起实施，以提高家长的自我效能，并改善儿童和家长在儿童肥胖预防方面的行为；(3)进行四所学校的对照试验(P-Snax+Snax vs Snax)，以检验P-Snax对学生健康饮食和体育活动的增量影响；以及(4)向社区利益相关者传播以家长和学生为中心的综合干预的结果，并为广泛的计划传播和额外的研究制定计划。相关性(见说明)：儿童肥胖是一个全国性的公共卫生问题。广泛推荐儿童肥胖预防的综合方法，包括儿童、父母、学校和社区，但缺乏提供和维持此类计划的能力。研究人员、家庭、学校和社区之间的参与性研究可能能够找到新的有效解决方案。