Healthy Home Offerings via the Mealtime Environment:HOME

描述（由申请人提供）：缺乏以家庭和家庭为基础的预防儿童肥胖的项目，暴露出在遏制这一严重公共卫生问题的流行方面存在根本性的差距。拟议中的研究直接让父母参与预防儿童肥胖的干预措施，并在先前研究的基础上，开发了一种促进健康的干预措施，鼓励家庭成员一起吃饭，定期吃营养健康的饭菜（家庭餐）。Pi的长期目标是开发有效的家庭肥胖预防项目，重点关注家庭提供的食物的营养质量。拟议项目的目标是通过用餐时间环境（Home）试点方案开发和测试健康家庭产品的可行性和可接受性，这是一项创新的以家庭为基础的家庭膳食干预措施，以防止儿童超重。HOME计划建立在社会认知理论的概念框架上，探讨家庭或家庭在食品和饮料消费的发起、支持和加强中的作用和机制。这项以社区为基础的方案旨在与父母和儿童合作，积极影响家中可提供的食物类型、用餐时供应的食物类型、家庭用餐的频率以及用餐时看电视的情况。这项新颖的研究首次通过促进定期和健康的家庭膳食来发展以家庭为基础的肥胖预防计划。这项研究将需要一个HOME项目的随机试点试验，目标是8-10岁的儿童及其父母/监护人。该研究旨在确定HOME计划的可行性和可接受性，并将测试该计划对家庭提供和供应的食物类型以及儿童对水果和蔬菜、脂肪和糖的消费的影响；它还将评估儿童的体重变化。60个家庭将通过明尼阿波利斯大都会/圣路易斯市的学龄儿童保育项目招募。Paul， MN，随机分为干预组和对照组。本项目开发的干预措施和初步试验结果，包括形成性和过程性评估数据，将用于未来的全规模和全动力研究。

DESCRIPTION (provided by applicant): The lack of home-and family-based programs for the prevention of pediatric obesity exposes a fundamental gap in efforts to curb the prevalence of this serious public health problem. The proposed research directly involves parents in an intervention to prevent childhood obesity and builds on previous research by developing a health promotion intervention that encourages regular and nutritionally-sound meals in which families members eat together (family meals). The Pi's long-term goal is to develop effective home-based obesity prevention programs focused on the nutritional quality of foods available and served within the home. The goal of the proposed project is to develop and test the feasibility and acceptability of the Healthy Home Offerings via the Mealtime Environment (HOME) pilot program, an innovative home-based family meals intervention to prevent overweight among children. Built on a Social Cognitive Theory conceptual framework, the HOME program addresses the role and mechanism of families or households at home in the initiation, support, and reinforcement of food and beverage consumption. This community-based program aims to work with parents and children to influence positively the types of foods available in the home, the types of foods served at meals, the frequency of family meals, and television viewing during meals. The novel study is the first to develop a home-based obesity prevention program through the promotion of regular and healthful family meals. This study will entail a randomized pilot trial of the HOME program, targeting 8-10 year old children and their parent(s)/guardian(s). The study aims to determine the HOME program's feasibility and acceptability, and will test the program's ability to affect the types of foods available and served in the home and children's consumption of fruits and vegetables, fat and sugar; it will also assess weight change among children. Sixty families will be recruited via school-age childcare programs in metropolitan Minneapolis/St. Paul, MN and randomized to either an intervention or a control condition. The intervention developed in this project and the preliminary trial results, including formative and process evaluation data, will be used to inform a future full- scale and fully-powered research study.