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、行为和人口科学领域的职业发展（K07）奖，以培养成为行为信息学领域独立研究者所需的技能，专注于癌症预防干预。她的目标是在设计行为信息学干预方面发展专长，这些干预措施可用于初级保健和与能量平衡相关的目标行为，即健康饮食和定期体育活动。职业发展计划。职业奖将使赖特博士能够实现她的目标，通过推进她在三个领域的专业知识：1)基于初级保健的干预，2)信息学，和3)定性研究方法。该发展计划包括正式的课程作业、年度科学会议，以及由三个目标领域的主要专家组成的多学科指导团队的定期指导和咨询。研究计划。多项研究表明，一些癌症的风险可以通过健康饮食、定期体育锻炼和保持健康的体重来降低。为了减轻癌症负担，需要开展多层次、多行为干预研究。初级保健可用于教育和增强父母及其子女的能力，以养成与能量平衡有关的终身健康习惯。目前的研究将侧重于开发一个名为TIDE（饮食和运动定制信息）的电脑化办公室系统的原型，该系统将帮助儿科医生促进与专家建议一致的能量平衡行为，例如美国儿科学会。有三个目标：目标1是为计算机化系统的开发做形成性研究，该系统可以改善与能量平衡行为咨询相关的医患体验；目标2是开发一个以办公室为基础的系统，即TIDE的原型，该系统将被整合到现有的电子健康记录系统中，以提供量身定制的印刷材料，并便利儿科医生提供简短咨询；目的3是测试TIDE的可行性和可接受性。研究计划的目标是做一些形成性的工作最终会导致提交一份R01研究提案在针对能量平衡相关行为的癌症预防干预领域。

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.