Healthy Lifestyle: Family Based Intervention Overweight

项目摘要/摘要：儿童超重问题具有许多不良的医学和心理影响，在美国受到越来越多的关注。为了解决这一问题，我们建议以社会学习理论为基础开发家长教育教材。这个项目的目标是提高父母在改变家庭健康生活方式行为方面的积极性和自我效能感，以促进他们的孩子减肥。虽然儿童肥胖的风险取决于许多因素，但父母是塑造家庭环境、饮食、食物偏好和体育活动水平的关键人物。然而，父母对孩子饮食行为的过度控制或控制不足都会产生不良影响。另一方面，当父母努力改变家庭健康环境并提供一致的健康模式时，儿童就会养成改善的饮食习惯和活动模式。这个名为“健康的生活方式”的项目的总体研究目标是，证明我们采用家庭为基础的干预方法，与Moria Golan博士在研究中成功使用的以中心为基础的小组方法一样有效。在第一阶段，研究团队将通过测试模块1来确定健康生活方式的可行性。这项测试将在俄勒冈州学校卫生保健网络、中拉丁美洲和和平卫生医疗集团合作招募的40名家长中进行。这项可行性研究将确定父母是否：a)参与、使用并喜欢这些材料，b)提高他们在建立更健康的家庭生活方式和帮助孩子减肥方面的自我效能感，c)增加他们的营养知识，d)在材料中推荐的家庭生活方式实践中至少做出了一项改变，e)使用了该计划的互联网功能。这些因素的积极结果将确定提议的产品是有效的、实用的和可行的。在第二阶段，研究团队将开发剩余的7个互动教育模块，并对大约150名家长及其超重或有超重风险的孩子进行随机对照试验。第二阶段的研究将证实，该项目在家庭的身体活动和营养方面产生了积极的变化，并降低了超重或有超重风险的儿童的体重指数。项目简介：这个项目解决了日益增长的国家对儿童肥胖问题的关注。儿童肥胖带来许多不利的医疗影响，如糖尿病、哮喘、高血压、高胆固醇、骨骼问题、睡眠呼吸暂停和广泛的社会心理影响，如超重儿童早期遭受的系统性歧视和污名化。拟议的研究将通过发展以家庭为基础的肥胖预防计划来解决这一主要的健康问题。

DESCRIPTION (provided by applicant): Project Summary/Abstract: The problem of overweight children has many adverse medical and psychological effects and is of growing concern in the United States. To address this issue, we propose to develop parent education materials based on Social Learning Theory. The goal of this program is to increase parents' level of motivation and sense of self-efficacy in bringing about changes in family healthy lifestyle behaviors in order to promote weight loss in their children. While children's risk of obesity depends on many factors, parents are the key players in shaping the home environment, diet, food preferences, and physical activity levels. Yet over-control or under-control of child eating behaviors by parents has adverse effects. On the other hand, when parents work on changing the home health environment and on providing consistent health models, children develop improved eating habits and activity patterns. The overall research aim of this project, The Healthy Lifestyle, will be to demonstrate that our intervention, using a home-based delivery method, is as effective as the center-based group approach successfully used in research studies conducted by Dr. Moria Golan. In Phase I, the research team will determine the feasibility of The Healthy Lifestyle by testing Module 1. The test will be conducted with a group of 40 parents recruited with the collaboration of the Oregon School-based Health Care Network, Centro LatinoAmericano, and PeaceHealth Medical Groups. This feasibility study will determine whether parents: a) engaged with, used and liked the materials, b) improved their feelings of self-efficacy related to establishing a healthier family lifestyle and helping their child to lose weight, c) increased their knowledge of nutrition, d) made at least 1 of the changes in family lifestyle practices recommended in the materials and e) used the internet features of the program. Positive outcomes on these factors will establish that the proposed product is effective, practical and viable. In Phase II, the research team will develop the 7 remaining interactive educational modules and conduct a randomized controlled trial with approximately 150 parents and their overweight or at risk of becoming overweight children. Phase II research will establish that the program produces positive changes in physical activity and nutrition in the family and lowers the body mass index of the child who is overweight or at risk of becoming overweight. Project Narrative: This project addresses the growing national concern over the problem of obesity in children. Childhood obesity presents many adverse medical effects, such as diabetes, asthma, high blood pressure, high cholesterol, bone problems, sleep apnea, and widespread psychosocial effects, such as the early and systematic discrimination and stigmatization experienced by overweight children. The proposed research will address this major health problem by developing a family-based obesity prevention program.