Web-Based 5 A Day Education for Adolescents

描述（由申请人提供）：这个第二阶段的SBIR申请提议开发一个交互式的、基于网络的营养和身体活动（PA）计划，称为www.JiveforFive.com，通过战略分销渠道，包括学校、健康保险公司和个人和家庭的个人健康管理计划，向14至18岁的青少年提供。该项目是基于“每天5天促进健康计划”和美国农业部关于营养和体育活动的指导方针，以及行为改变、社会学习和青少年发展的理论。众所周知，不良的饮食摄入、最少的水果和蔬菜（FandV）摄入、过量的甜饮料摄入以及低频率的体育活动会增加肥胖和严重健康问题的风险，包括癌症、糖尿病和心脏病。肥胖预防措施至关重要，因为超重儿童的比例在过去三十年中几乎翻了两番。目前在营养和个人教育方面的努力要么取得了有限的成功，要么取得了成功，需要投入大量的资源。拟议的第二阶段产品将在学校进行测试，因为(1)青少年每天大部分时间都在教育环境中度过，(2)由于预算削减和资源重新分配，学校越来越限制获得健康和PA计划的机会。值得注意的是，针对大龄青少年的针对性教育存在差距，高中资源不断减少，这使青少年、父母或健康保险公司有责任开展预防/干预工作。因此，需要一种多功能、经济且易于融入老年青少年生活方式的循证营养和PA计划。因此，JiveforFive.com将为数百万不同环境下的青少年提供全面便捷的健康生活方式项目。NIDDK综合征集（PA-07-280）支持计算机干预措施的发展，以增加身体活动，并评估预防肥胖的能量摄入。JiveforFive.com利用计算机编程算法来个性化和定制营养和PA信息，以满足每个青少年当前的需求，同时在身体形象领域提供适合发展和吸引人的内容。社交网络和互动游戏既强调了同伴对青少年的重要性，也强调了基于电脑的游戏的高度吸引力，以努力使青少年参与学习过程。JiveforFive.com将整合无线活动监测器的使用，进一步增强基于网络的计划的激励和自我管理方面，并提高体育活动的比例。如果JiveforFive.com在第二阶段充分发展时显示出有效性，那么青少年、家长、学校人员和健康保险公司很可能会将其视为一种具有成本效益的方式，为高中年龄的青少年提供营养和PA教育。公共健康相关性：JiveforFive.com解决了14-18岁青少年预防肥胖的关键公共健康问题，通过使用基于网络的程序，利用算法来个性化和定制健康目标，重点关注营养教育，体育活动动机和身体形象问题。

DESCRIPTION (provided by applicant): This Phase II SBIR application proposes the development of an interactive, web-based nutrition and physical activity (PA) program, called www.JiveforFive.com, to be offered to adolescents ages 14 to 18 through strategic distribution channels including schools, health insurers, and personal health management programs for individuals and families. This program is based on the 5-A-Day for Better Health Program and the USDA guidelines for nutrition and physical activity, as well as theories of behavior change, social learning, and adolescent development. It is well established that poor dietary intake, minimal fruit and vegetable (FandV) consumption, excessive sweetened beverage intake, and low frequency of physical activity increase the risk for obesity and serious health concerns, including cancer, diabetes, and heart disease. Obesity prevention initiatives are critical, as the percentage of overweight children has nearly quadrupled over the past three decades. Current efforts in nutrition and PA education have either met with limited success, or when successful, have involved a tremendous amount of resources. The proposed Phase II product will be tested in schools as (1) adolescents spend the majority of their day in educational settings, and (2) schools are increasingly limiting access to health and PA programs due to budget cuts and reallocation of resources. Notably, gaps in targeted education for the older adolescent and diminishing resources in high schools place the responsibility on the teen, parents or health insurers to address prevention/intervention efforts. Thus, there is a need for evidence-based nutrition and PA programs that are versatile, economical and easily integrated into the lifestyles of older adolescents. Thus, JiveforFive.com will serve as a comprehensive and convenient healthy lifestyle program for millions of adolescents across a variety of settings. The NIDDK omnibus solicitation (PA-07-280) supports the development of computerized interventions for increasing physical activity as well as assessing energy intake in the prevention of obesity. JiveforFive.com capitalizes on computer programming algorithms to personalize and tailor nutrition and PA information to meet the current needs of each adolescent, while providing developmentally appropriate and appealing content in the area of body image. Social networking and interactive games address both the importance of peers for adolescents and the high appeal of computer-based games, in an effort to engage adolescents in the learning process. JiveforFive.com will integrate the use of wireless activity monitors to further enhance motivational and self-management aspects of the web-based program and increase rates of physical activity. If JiveforFive.com demonstrates effectiveness when it is fully developed in Phase II, it is likely that teens, parents, school personnel, and health insurers would regard it as a cost-effective way to provide nutrition and PA education for high school-aged adolescents. Public Health Relevance: JiveforFive.com addresses a key public health issue of obesity prevention among adolescents ages 14-18 by focusing on nutrition education, physical activity motivation, and body image concerns through the use of a web-based program utilizing algorithms to personalize and tailor health goals.