Parent-Focused Weight Management for Children with Intellectual Disabilities

描述（由申请人提供）：患有智力残疾（ID）的超重儿童的问题具有许多不利的医疗和心理影响，并且在残疾研究和宣传领域的专业人员中日益受到关注。为了解决这个问题，我们建议根据社会学习理论开发专门针对ID儿童父母的材料。该方案的目标是提高父母的积极性，提高他们的技能，增强他们在改变家庭健康生活方式行为方面的自我效能感，以促进他们的子女减肥。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角色。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，当父母致力于改变家庭健康环境并提供一致的健康模式时，儿童会养成更好的饮食习惯和活动模式。这个项目的总体研究目标，家长为重点的体重管理智障儿童，将证明我们的干预，使用修改后的行为家长培训计划是有效的家长管理的减肥计划成功地用于在一般人群中的研究。在第一阶段，研究小组将通过测试模块1和模块2来确定以父母为中心的体重管理计划的可行性。测试将在30名家长中进行。这项可行性研究将确定父母是否：a）参与、使用和喜欢这些材料，以及B）改善他们与建立更健康的家庭生活方式和帮助孩子减肥有关的自我效能感。这些因素的积极结果将确定拟议的产品是有效的，实用的和可行的。在第二阶段，研究小组将开发剩余的教学模块，并对大约150名超重或有超重风险的ID儿童的父母进行随机对照试验。第二阶段的研究将确定，该方案在家庭的体育活动和营养方面产生了积极的变化，并降低了超重或有可能超重的残疾儿童的体重指数。 公共卫生相关性：该项目旨在解决人们日益关注的智障儿童肥胖问题。儿童肥胖症会带来许多不良的医学影响，如糖尿病、哮喘、高血压、高胆固醇、骨骼问题、睡眠呼吸暂停，以及广泛的心理社会影响，如超重儿童所经历的早期和系统性的歧视和污名化。这项拟议中的研究将通过制定一项以家庭为基础的体重管理计划来解决这一重大健康问题。

DESCRIPTION (provided by applicant): The problem of overweight children with intellectual disabilities (ID) has many adverse medical and psychological effects and is of growing concern among professionals in the disability research and advocacy arenas. To address this issue, we propose to develop materials targeted specifically to parents of children with ID based on Social Learning Theory. The goal of this program is to increase parents' level of motivation, improve their skills, and enhance their 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, Parent-Focused Weight Management for Children with Intellectual Disabilities, will be to demonstrate that our intervention, using a modified behavioral parent training program is as effective as a parent managed weight loss programs successfully used in research studies in the general population. In Phase I, the research team will determine the feasibility of the Parent-Focused Weight Management program by testing Modules 1 and 2. The test will be conducted with a group of 30 parents. This feasibility study will determine whether parents: a) engaged with, used and liked the materials, and b) improved their feelings of self-efficacy related to establishing a healthier family lifestyle and helping their child to lose weight. Positie outcomes on these factors will establish that the proposed product is effective, practical and viable. In Phase II, the research team will develop the remaining instructional modules and conduct a randomized controlled trial with approximately 150 parents of a child with ID who are overweight or at risk of becoming overweight. 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 with disabilities who is overweight or at risk of becoming overweight. PUBLIC HEALTH RELEVANCE: This project addresses the growing concern over the problem of obesity in children with Intellectual Disabilities. 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 weight management program.