Pediatric Behavioral Informatics to Prevent Cancer

描述(由申请人提供)：Julie A.Wright博士，行为改变科学家，正在申请癌症预防、控制、行为和人口科学的职业发展(K07)奖，以发展必要的技能，成为行为信息学领域的独立研究员，专注于癌症预防干预。她的目标是开发一个专门设计行为信息学干预措施的专业，这些干预措施在初级保健中提供，并针对与能量平衡有关的行为，即健康饮食和定期体力活动。职业发展计划。职业奖将使赖特博士能够通过提高她在三个领域的专业知识来实现她的目标：1)基于初级保健的干预措施，2)信息学，3)定性研究方法。发展计划包括正式的课程工作、年度科学会议以及与三个目标领域的主要专家组成的多学科指导小组的定期指导和咨询。研究计划。多项研究表明，通过健康饮食、定期体育锻炼和保持健康的体重，可以降低患某些癌症的风险。为了帮助减轻癌症负担，需要进行多层次、多行为的干预研究。初级保健是可以用来教育和增强父母及其子女养成与能量平衡有关的终身健康习惯的一个层面。这项研究将集中于开发一个基于计算机的办公系统的原型，称为TIDE(为饮食和锻炼量身定做的信息学)，它将帮助儿科医生促进符合专家建议的能量平衡行为，例如美国儿科学会。有三个目标：目标1是为开发一个计算机化的系统进行形成性研究，该系统可以改善与能量平衡行为咨询有关的患者-医生体验；目标2是开发一个基于办公室的系统的原型，该系统将被集成到现有的电子健康记录系统中，以提供定制的印刷材料，并便于儿科医生进行简短的咨询；目标3是测试TEDE的可行性和可接受性。该研究计划的目标是进行形成工作，这最终将导致提交一份针对能量平衡相关行为的癌症预防干预领域的R01研究提案。

DESCRIPTION (provided by applicant): Julie A. Wright, PhD, a behavior change scientist, is applying for a career development (K07) award in cancer prevention, control, behavioral and population sciences to develop the skills necessary to be an independent investigator in the field of behavioral informatics with a concentration in cancer prevention interventions. Her goal is to develop a specialty in designing behavioral informatics interventions which are delivered in primary care and target behaviors related to energy balance, i.e., healthy diet and regular physical activity. Career Development Plan. The career award will enable Dr. Wright to achieve her goals by advancing her expertise in three areas: 1) primary-care based interventions, 2) informatics, and 3) qualitative research methods. The development plan consists of formal course work, annual scientific meetings, and regular mentoring and consultation with a multidisciplinary mentoring team of leading experts in the three target areas. Research plan. Multiple studies have shown that the risk of some cancers can be reduced by consuming a healthy diet, engaging in regular physical activity, and maintaining a healthy body weight. To help reduce the burden of cancer, multi-level, multi-behavior intervention research is needed. Primary care is one level that can be used to educate and empower parents and their children to develop lifelong healthy habits related to energy-balance. The present study will focus on developing a prototype of a computerized office-based system called TIDE (Tailored Informatics for Diet and Exercise) which will assist pediatricians in promoting energy balance behaviors which are aligned with the expert recommendations, e.g. American Academy of Pediatrics. There are three aims: Aim 1 is to do formative research for the development of a computerized system that can improve the patient-physician experience related to counseling on energy balance behaviors; Aim 2 is to develop a prototype of an office-based system, TIDE, which will be integrated into an existing electronic health records system to deliver tailored print material and facilitate brief counseling by the pediatrician; and Aim 3 is to test the feasibility and acceptability of TIDE. The goal of the research plan is to do the formative work which will lead ultimately to the submission of a R01 research proposal in the area of cancer prevention interventions that target energy-balance related behaviors.