Role of parenting skills, style, and family functioning in pediatric weight loss

这个以患者为导向的导师研究事业奖(K23)的目标是让李博士成为一名 儿科体重管理领域的独立研究员。这个培训计划，通过一个 授课和直接指导的培训经验相结合，为她提供了机会 在以下方面发展其他技能和专长：1)儿童超重的行为管理；2)研究 亲子互动、教养方式和教养干预，这些都可能影响儿童行为的有效性 儿童体重控制计划，以及3)临床研究的方法学、统计学和伦理学 儿童肥胖症。米里亚姆医院/布朗医学院的资源和与她的密切接触 专家指导团队(Wing博士、Dickstein博士、Jelian博士和Seifer博士)将为李博士提供理想的 环境，以实现她的培训和研究目标。儿童肥胖仍然是一个严重的公共问题 健康问题。基于家庭的行为治疗方案可以取得成功，但在以下方面存在很大的变异性 功效。有几个因素可能会影响这些项目的成功：养育技能的采用和 父母教养方式对家庭行为改变实施的影响。这项提案的目标是 是为了更好地理解父母的养育技能/风格在以下行为体重控制成功中的作用 孩子们。我们将首先为家庭聚餐期间发生的育儿技能开发一个编码方案。在.期间 第二阶段，当我们实施基于家庭的行为体重控制计划时，我们将使用这个和其他 现有的直接观察措施，可以在录像家庭聚餐期间评估父母的育儿技能和风格。 父母和孩子完成的其他自我报告措施将补充收集的信息 在录像带里。然后，我们将确定育儿技能和育儿方式在儿童变化中的作用 体重状况以及当前以家庭为基础的计划是否可以改变这些父母级别的因素。作为一名 次要目标是，我们将调查不同家庭在育儿技巧或教育风格上是否存在差异。 超重和正常体重的儿童。 相关性(请参阅说明)： 这项研究的结果将为加强或改进行为治疗的开发提供参考 针对儿童的计划，解决被发现是重要的父母层面的因素。归根结底， 这项建议是为了开发一种更全面有效的治疗超重儿童的方法，并减少 发病率。

The goal of this Mentored Patient-Oriented Research Career Award (K23) is to allow Dr. Rhee to become an independent researcher in the area of pediatric weight management. This training plan, through a combination of didactic and direct mentored training experiences, provides her with the opportunity to develop additional skills and expertise in: 1) the behavioral management of child overweight, 2) the study of parent-child interactions, parenting style, and parenting interventions, which may impact the efficacy of pediatric weight control programs, and 3) the methodology, statistics and ethics of clinical research in childhood obesity. The resources at The Miriam Hospital/ Brown Medical School and close contact with her expert mentoring team (Drs. Wing, Dickstein, Jelalian, and Seifer) will provide Dr. Rhee with the ideal environment to achieve her training and research goals. Childhood obesity continues to be a serious public health concern. Family-based behavioral treatment programs can be successful, but have great variability in efficacy. Several factors may impact the success of these programs: the adoption of parenting skills and the impact of parenting style on the implementation of behavioral changes in the home. The goal of this proposal is to better understand the role of parenting skills/style in the success of behavioral weight control for children. We will first develop a coding schema for parenting skills that occur during a family meal. During phase II, when we implement a family-based behavioral weight control program, we will use this and other existing direct observation measures to evaluate parenting skills and style during a videotaped family meal. Additional self-report measures completed by the parent and child will supplement the information gathered in the videotapes. We will then determine the role of parenting skills and parenting style on change in child weight status and whether or not current family-based programs can change these parent level factors. As a secondary aim, we will examine whether there are differences in parenting skills or style between families of overweight and normal weight children. RELEVANCE fSee instructions): The results of this study will inform the development of an enhanced or modified behavioral treatment program for children that addresses the parent level factors found to be significant. Ultimately, the goal of this proposal is to develop a more comprehensive and effective treatment for overweight children and reduce morbidity.