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.

 描述（由适用提供）：美国的儿科超重和肥胖症的高度流行，需要开发有效但具有成本效益且易于克服的干预措施，以改善和维持更好的儿科体重成果。累积的证据发现，基于小学的儿童的中度至高度强度（> 25个接触时间）家庭治疗（FBT）的初始和长期有效性，但是由于高人员成本（行为健康专业人员的交付），因此禁止这种治疗价格昂贵，因此有限，因此可用性，覆盖范围和影响力有限。很少有超重/肥胖儿童获得基于证据的治疗，以改善其体重状况或健康状况。我们的试点数据表明，一种新的模型，基于码头的FBT，经过FBT处理的父母接受培训，随后向其他家庭提供FBT，这是可行的，并证明了初始效率。该交付模型的初步数据还表明，担任同伴干预主义者也可能使同伴本身和他们的孩子更好地维持自己的体重成果。本研究旨在对同伴交往专业交付的FBT对儿童体重结果的短期和长期有效性提供更确定的测试。在此比较中嵌入了对基于同伴的FBT交付的可行性的检查，研究了作为同伴干预者对同伴自己及其孩子的长期体重状况的影响，以及对专业与同行的不同成本进行基于专业的FBT FBT交付的更全面检查。本研究还将通过研究同伴干预者的同伴递送FBT的有效性来测试潜在的传播和可持续性，他们自己从其他同伴而不是专业干预者那里收到了FBT。还检查了治疗结果的适度，重点是同伴干预主义和儿童特征。这项多相试验将招募304个家庭在我们地区多个地点拥有7-11岁的超重/肥胖儿童，包括短期（治疗后）和长期（治疗后1年）评估。这种创新方法的投资可以显着降低FBT的交付成本，同时也可以改善治疗效果的维持，这对于改善许多已经超重儿童的健康至关重要。