The Impact of Negative Familial Weight Talk on Weight Bias Internalization and Preliminary Efficacy of Intervention in Early Adolescents

项目摘要 体重耻辱损害了青少年的健康和生活质量。消极的家庭体重谈话， 指的是体重取笑和家庭成员对体重的批评，是一个重要的贡献者， 青少年体重耻辱。一个未被探索的后果，消极的家庭体重谈话在青少年早期， 体重偏见内化（WBI），一种与身体不满，自我感觉不佳， 不健康的体重控制行为。鉴于这些严重的后果，至关重要的是要阐明 WBI的决定因素，特别是在发展的早期阶段。此外，没有干预，最好的 我们的知识，已经被设计为减少负权重谈话的发生， 家庭环境。这项拟议中的研究旨在扩大我们对消极的家庭体重谈话的理解 并检验一项旨在减少负家族体重的创新干预措施的初步效果 谈谈此外，作为一种简短、普遍的预防干预措施，这种方法对重要的公众有希望。 健康影响，因为它节省资源，这是未来采用和传播的一个重要特点。的 具体的研究目的是：评估消极的家庭体重谈话和WBI之间的关联，在不同的 早期青少年队列，5 - 7年级学生，（目的1），实施和检查简短的初步疗效， 对参与者父母负性家庭体重谈话频率的普遍预防干预 (Aim 2），以及改善有关体重的亲子对话内容（目标3）。所有研究目标 将使用来自正在进行的普遍预防性疾病研究项目（R01 DA045073）的数据进行处理 对大波士顿地区青少年父母的干预。BACHEER是一项随机对照试验 其中干预组关注物质使用，对照组关注阴性 家族的体重问题对于拟议的研究，负家族体重谈话条件作为治疗 组基线调查问卷数据将用于横断面检查阴性和阴性之间的关联。 所有家庭成员的家庭体重谈话和青少年早期的WBI（目标1）。问卷数据和音频- 将分别使用基线、随机化后3个月和6个月时记录的亲子对话 检查干预对消极家庭体重谈话频率的影响（目标2）， 改善父母与孩子关于体重的对话（目标3）。这项研究解决了一个重要的差距， 扩大我们对青年WBI的理解。如果有效，干预有可能减少青少年的 减轻耻辱感，并可能防止相关的不良后果，支持青年的长期福祉。 研究金培训计划的目标是提供以下方面的指导和实践培训：1）重视耻辱感， WBI，2）先进的统计方法，3）研究设计，实施和操作，以及4）提供 培养长期职业目标核心能力的机会。培训将由申办者提供 由塔夫茨大学医学院和弗里德曼医学院的Must博士（主要赞助商）领导的团队 营养科学与政策。

PROJECT SUMMARY Weight stigma undermines the health and quality of life of early adolescents. Negative familial weight talk, which refers to weight teasing and critical comments about weight from family members, is a significant contributor to adolescent weight stigma. An unexplored consequence of negative familial weight talk in early adolescents is weight bias internalization (WBI), a type of self-directed stigma associated with body dissatisfaction, poor self- esteem, and unhealthy weight control behaviors. Given these serious consequences, it is critical to elucidate the determinants of WBI, especially during early stages of development. Moreover, no intervention, to the best of our knowledge, has been designed to reduce the occurrence of negative weight talk within the context of the family environment. The proposed research seeks to expand our understanding of negative familial weight talk and examine the preliminary efficacy of an innovative intervention designed to reduce negative familial weight talk. Furthermore, as a brief, universal prevention intervention, the approach holds promise for significant public health impact because it is resource efficient, a critical characteristic for future adoption and dissemination. The specific research aims are: to evaluate the association between negative familial weight talk and WBI in a diverse cohort of early adolescents, 5th-7th graders, (Aim 1), to implement and examine the preliminary efficacy of a brief, universal prevention intervention on the frequency of negative familial weight talk from the participant parent (Aim 2), and improvements in the content of parent-child conversations about weight (Aim 3). All research aims will be addressed using data from the SUPPER Project (R01 DA045073), an ongoing universal prevention intervention for parents of early adolescents in the Greater Boston Area. SUPPER is a randomized-control trial with clustering wherein the intervention group focuses on substance use and the comparison group on negative familial weight talk. For the proposed research, the negative familial weight talk condition serves as the treatment group. Baseline questionnaire data will be used to cross-sectionally examine the association between negative familial weight talk from all family members and WBI in early adolescents (Aim 1). Questionnaire data and audio- recorded parent-child conversation at baseline, 3-, and 6-months post-randomization will respectively be used to examine the effect of the intervention on the frequency of negative familial weight talk (Aim 2) and improvements in parent-child conversations about weight (Aim 3). This research addresses an important gap in expanding our understanding of WBI in youth. If effective, the intervention has the potential to reduce adolescent weight stigma and may prevent associated adverse outcomes and support the long-term well-being of youth. The goals of the fellowship training plan are to provide mentorship and practical training in 1) weight stigma and WBI, 2) advanced statistical methods, 3) study design, implementation, and operations, and 4) provide opportunities to build competencies central to long-term career goals. Training will be provided by a Sponsor Team lead by Dr. Must (Primary Sponsor) at Tufts University School of Medicine and Friedman School of Nutrition Science and Policy.