Improving communication and collaboration for weight management in mother-daughter dyads

 描述(由申请者提供)：这个指导职业发展奖(K01)的目标是使Becky Marquez博士成为一名独立的调查员，专注于开发干预措施，通过针对社会支持网络，促进有利于拉丁裔体重控制的饮食和锻炼行为，减少心血管疾病风险因素。鉴于肥胖和心血管疾病之间的关系，干预研究必须解决墨西哥裔美国女性的体重管理问题，这一群体受到肥胖的影响不成比例。将母亲和她们成年的女儿配对可能是一种在文化上突出和有效的改善饮食和体力活动的方法。由于家庭成员之间的沟通会影响健康行为，促进有利于健康饮食和身体活动的沟通可以帮助建立一个支持母女之间体重管理的人际环境。解决沟通能力问题的干预措施对拉丁裔家庭尤其必要，因为父母和孩子之间在适应文化方面的不和谐可能会干扰有效的沟通并增加冲突。这项拟议研究的目的是为墨西哥裔美国妇女开发、实施和评估具有沟通训练成分的行为体重管理干预措施。这项研究有三个具体目标。目的1：开发一种行为减肥干预，利用从墨西哥裔美国母女二人组收集的形成性数据的结果，修改基于证据的行为减肥治疗。适应性干预将侧重于改善二元沟通和合作，为健康饮食和体育活动行为提供互惠支持。目的2：实施和评估一项适用于母女二人组的试点体重管理计划。双方将被随机分配到以合作伙伴为基础的治疗中，接受或不接受沟通技能培训。我们假设，与仅接受基于伙伴的治疗相比，接受基于伙伴的治疗并接受沟通技能培训的参与者将有更好的治疗依从性、学习保留率和体重减轻。目的3：评估体重变化、与体重相关的行为和心理社会变量与评估人际沟通的指标变化之间的关系。我们预计，体重减轻和饮食、体力活动以及社会心理变量(如社会支持)的改善将与沟通的改善密切相关。通过教学教育和直接指导，培训计划将使Marquez博士在以下方面发展技能和经验：1)随机临床试验的进行和分析(重点是基于伙伴的干预)，2)肥胖症的病因、病理生理学和治疗，3)人际沟通技能培训，以及4)科学工作的写作和交流。加州大学圣地亚哥分校的环境和专家导师团队将使Marquez博士能够实现她的培训和研究目标。(摘要结束)

 DESCRIPTION (provided by applicant): The goal of this Mentored Career Development Award (K01) is to enable Dr. Becky Marquez to become an independent investigator focused on developing interventions to reduce cardiovascular disease risk factors by targeting social support networks to promote eating and exercise behaviors conducive to weight management for Latinas. Given the relationship between obesity and cardiovascular disease, it is imperative that intervention studies address weight management among Mexican-American women, a group disproportionately affected by obesity. A dyad-level intervention partnering mothers and their adult daughters may be a culturally salient and effective approach to improve diet and physical activity. Because communication among family members can impact health behaviors, promoting communication that facilitates healthy eating and physical activity could help build an interpersonal environment that supports weight management among mothers and daughters. An intervention that addresses communication competency is especially warranted for Latino families as dissonance in acculturation between parent and child can interfere with effective communication and increase conflict. The purpose of the proposed study is to develop, implement, and evaluate a behavioral weight management intervention with a communication training component for Mexican-American women. The study has three specific aims. Aim 1: Develop a behavioral weight loss intervention that modifies evidence-based behavioral weight loss treatment using results from formative data collected from Mexican-American mother-daughter dyads. The adapted intervention will focus on improving dyadic communication and collaboration for providing reciprocal support for healthy eating and physical activity behaviors. Aim 2: Implement and evaluate a pilot weight management program adapted for mother-daughter dyads. Dyads will be randomly assigned to partner-based treatment with or without communication skills training. We hypothesize that participants receiving partner-based treatment with communication skills training will have better treatment adherence, study retention, and weight loss compared to those receiving partner-based treatment alone. Aim 3: Evaluate associations between changes in weight, weight-related behaviors, and psychosocial variables with changes in measures assessing interpersonal communication. We expect weight loss and improvements in diet, physical activity and psychosocial variables, such as social support, to be significantly associated with improvements in communication. The training plan, through didactic education and direct mentorship, will allow Dr. Marquez to develop skills and experience in: 1) the conduct and analysis of randomized clinical trials (with an emphasis on partner-based interventions), 2) the etiology, pathophysiology, and treatment of obesity, 3) interpersonal communication skills training, and 4) writing and communication of scientific work. The environment at UC San Diego and expert team of mentors will enable Dr. Marquez to achieve her training and research goals. (End of Abstract)