PACEi-OK A Web-Based Weight Program for Overweight Kids

描述（由申请人提供）：尽管青少年超重和肥胖的增加，但很少有基于证据的临床治疗计划解决该人群的体重减轻和健康体重维持。与圣地亚哥健康干预中心相关的研究人员，LLC拥有超过12年的设计和测试干预措施以改善身体活动和饮食行为的经验，并创建了基于计算机和网络的程序，为各种人群提供个性化的干预措施，包括超重青少年。 第一阶段SBIR项目的目的是完成医生可以为青少年患者提供的体重控制干预措施的开发- PACEi-OK（超重儿童的互联网PACE）。这一干预措施包括：a）关于如何使用和“开处方”PACEi-OK的健康护理提供者的简短在线指导;和B）他们可以提供给他们的青少年患者和他们的父母的个性化的、基于网络的体重控制程序。PACEi-OK使医生能够为超重患者提供特定的服务，然后让青少年参与一整年的特定体重控制活动，他们和他们的父母可以按照医生的建议减肥，并在青春期保持健康的体重。 我们将在6个月的时间内开展两组活动：1）将现有的纸质提供者培训材料改编为基于网络的格式，并将其与我们目前的基于网络的计划相结合，解决青少年及其家庭中与体重相关的身体活动和饮食行为;以及2）两轮初步工作，第一轮由8名医疗保健提供者组成的3个焦点小组就提供者培训部分提供投入;第二，用4个医生对组合的PACEi-OK产品进行beta测试，每个医生通过系统了解PACEi-OK，然后将其用于他们的两个患者。然后，来自该形成性研究的输入将指导最终产品的创建，以在第二阶段中测试其有效性。 PACEi-OK干预特别具有创新性，因为其组成部分-提供者的标准化在线培训，患者及其父母的网络评估和行为改变计划，以及正在进行的基于网络的干预-通过共同的理论和行为框架统一起来。

DESCRIPTION (provided by applicant): Despite the increase in overweight and obesity in adolescents, there are few evidence-based clinical treatment programs that address weight loss and healthy weight maintenance in this population. Researchers associated with the San Diego Center for Health Interventions, LLC have over 12 years experience designing and testing interventions to improve physical activity and eating behaviors, and have created computer and web-based programs to deliver individually-tailored interventions to a variety of populations, including overweight adolescents. The purpose of this Phase I SBIR project is to finalize the development of a weight control intervention that physicians can offer their adolescent patients - PACEi-OK (Internet PACE for Overweight Kids). This intervention integrates: a) brief on-line instruction for health care providers about how to use and "prescribe" PACEi-OK; and b) an individualized, web-based weight control program they can offer to their adolescent patients and their parents. PACEi- OK enables physicians to offer a specific service to their overweight patients and then engages adolescents for a full year in specific weight control activities they and their parents can take as they follow their doctor's advice to lose excess weight and maintain a healthy weight through adolescence. We will perform two sets of activities over a 6-month period of time: 1) adapting existing paper-based provider training materials to a web-based format and integrating this with our current web-based programs addressing weight related behaviors of physical activity and diet in adolescents and their families; and 2) two rounds of formative work, first with 3 focus groups of 8 healthcare providers to provide input on the provider training component; second, beta testing the combined PACEi-OK product with 4 physicians, each learning about PACEi-OK via the system and then using it with two of their patients. Input from this formative research will then guide creation of the final product to be tested for effectiveness in Phase II. The PACEi-OK intervention is particularly innovative because its components--standardized online training for providers, web assessment and behavior change planning for patients and their parents, and the ongoing web-based intervention- are unified through a common theoretical and behavioral framework.