Parents as peer interventionists in treatment for pediatric weight management

家长作为同伴干预者参与儿科体重管理治疗

• 批准号: 9150588
• 负责人: BRIAN E SAELENS
• 金额: $ 64.17万
• 依托单位: SEATTLE CHILDREN'S HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-25 至 2020-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9150588
• 关键词: 11 year old; 12 year old; AIDS prevention; Address; Adult; Advisory Committees; Aftercare; American Medical Association; Behavior Therapy; Behavioral; Characteristics; Child; Child Care; Child health care; Childhood; Chronic Disease; Counseling; Data; Development; Diet; Enrollment; Evaluation; Evidence based treatment; Family; Generations; Health; Health Insurance; Health Professional; Health behavior; High Prevalence; Hour; Human Resources; Insurance Carriers; Intervention; Investigation; Investments; Maintenance; Modeling; Obesity; Outcome; Overweight; Parents; Phase; Physical activity; Pilot Projects; Preventive service; Research; Risk; School-Age Population; Services; Site; Testing; Time; Training; Treatment Cost; Treatment Efficacy; Treatment outcome; Weight; Weight maintenance regimen; base; behavioral health; cost; cost effective; cost effectiveness; elementary school; improved; innovation; obesity in children; peer; programs; psychosocial; screening; treatment effect; willingness

 DESCRIPTION (provided by applicant): The high prevalence of pediatric overweight and obesity in the U.S. necessitates the development of efficacious, but cost-effective and easily disseminable interventions that improve and sustain better pediatric weight outcomes. Accumulated evidence finds initial and long-term efficacy of moderate-to-high intensity (>25 contact hours) family-based treatment (FBT) for elementary school-aged children, but such treatment is prohibitively expensive because of high personnel costs (delivery by behavioral health professionals) and therefore limited in availability, reach, and impact. Very few overweight/obese children receive evidence-based treatment to improve their weight status or health. Our pilot data suggest a new model, peer-based delivery FBT with FBT-treated parents trained and subsequently delivering FBT to other families, is feasible and demonstrates initial efficacy. This delivery model could dramatically reduce FBT costs and increase FBT availability. Preliminary data also suggest that serving as a peer interventionist may also benefit the peers themselves and their children in better sustaining their own weight outcomes. The present study aims to provide a more definitive test of the short- and long-term efficacy of peer- versus professionally-delivered FBT on child weight outcomes. Embedded in this comparison is an examination of the feasibility of peer-based FBT delivery, investigating the impact of serving as a peer interventionist on the peers' own and their child's long- term weight status, and a more comprehensive examination of differential costs of professional- versus peer- based FBT delivery. The present study will also test potential dissemination and sustainability by examining the efficacy of peer-delivered FBT among peer interventionists who themselves received FBT from other peers and not from professional interventionists. Moderation of treatment outcome is also examined, focusing on peer interventionist and child characteristics. This multi-phase trial will enroll 304 families with 7-11 year old overweight/obese children in multiple sites throughout our region, and include short-term (post-treatment) and long-term (up through 1 year after treatment cessation) assessments. This investigation of an innovative approach that could significantly reduce FBT delivery costs, while also improving the maintenance of treatment effects, is critical to improving the health of the many already overweight children at risk for chronic disease.