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计划，暴露了遏制这一严重公共卫生问题流行的根本差距。拟议的研究直接涉及父母干预，以预防儿童肥胖，并建立在以前的研究基础上，通过开发健康促进干预措施，鼓励定期和营养健全的膳食，其中家庭成员一起吃饭（家庭餐）。Pi的长期目标是制定有效的家庭肥胖预防计划，重点关注家庭内可用和供应的食物的营养质量。拟议项目的目标是通过用餐环境试点方案，开发和测试健康家庭办公室的可行性和可接受性，这是一种创新的以家庭为基础的家庭用餐干预措施，以防止儿童超重。建立在社会认知理论的概念框架，家庭计划解决家庭或家庭在启动，支持和加强食品和饮料消费的作用和机制。这一以社区为基础的方案旨在与父母和儿童合作，积极影响家庭提供的食物种类、用餐时提供的食物种类、家庭用餐的频率以及用餐时看电视的情况。这项新的研究是第一个通过促进定期和健康的家庭膳食来制定以家庭为基础的肥胖预防计划。本研究将针对8-10岁儿童及其父母/监护人开展HOME项目的随机化试点试验。该研究旨在确定HOME方案的可行性和可接受性，并将测试该方案对家庭提供和供应的食物种类以及儿童对水果和蔬菜、脂肪和糖的消费产生影响的能力;它还将评估儿童的体重变化。将通过明尼苏达州明尼阿波利斯/圣保罗市的学龄儿童保育计划招募60个家庭，并随机分配至干预组或对照组。本项目中开发的干预措施和初步试验结果（包括形成性和过程评价数据）将用于为未来的全面和全面研究提供信息。

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.