A family-based approach to reducing obesity risk among African American families

摘要 肥胖会带来严重的健康后果，包括增加患冠心病、糖尿病、 某些癌症(如乳腺癌、结肠癌)、高血压、中风和骨关节炎。此外，增加的风险 抑郁、焦虑和污名化只是肥胖的心理社会后果中的一小部分。 不幸的是，这一趋势也存在于黑人儿童和青少年中，导致黑人儿童 可能面临终身与肥胖的斗争，以及由此导致的糟糕的健康和心理社会后果。 学术机构与宗教组织之间的合作伙伴关系，具体而言 教会，可能是干预发展的最理想媒介之一。在现有的 与休斯顿黑人教堂的研究伙伴关系，拟议的项目计划寻求利用社区- 基于测试父母和家庭干预措施的可行性和可接受性的方法 黑人家庭中的肥胖问题。家长和家庭干预将包括健康指导、资源 由教会社区卫生工作者和教会支持团体提供的导航。这个 干预措施的不同之处在于对父母和家庭的关注。休斯顿--黑人教堂(n=6) 将被招募参加。父母/孩子二人组(每个教堂10人)将被登记并随机分配到 三组(家长干预、家庭干预、延迟比较干预)。这个 干预措施将在6个月内试行。

ABSTRACT Obesity carries grave health consequences, including increased risk for coronary heart disease, diabetes, certain cancers (e.g., breast, colon), hypertension, stroke, and osteoarthritis. In addition, increased risk of depression, anxiety, and stigmatization, are only a few of the psychosocial consequences of obesity. Unfortunately this trend is also present in black children and adolescents, resulting in black children to likely face a lifelong struggle with obesity and resulting poor health and psychosocial outcomes. Collaborative partnerships between academic institutions and faith-based organizations, specifically churches, may be one of the most optimal mediums for intervention development. Building upon an existing research partnership with black churches in Houston, the proposed project plans seeks to use community- based approaches to test the feasibility and acceptability of Parent and Family interventions to address obesity in black families. The Parent and Family interventions will involve health coaching, resource navigation provided by church-based Community Health Workers, and church-based support groups. The difference in the interventions is the focus on the parent vs. the family. Houston-area black churches (n=6) will be recruited to participate. Parent/child dyads (n=10 per church) will be enrolled and randomized to three groups (Parent Intervention, Family Intervention, Delayed Comparison Intervention). The interventions will be piloted over 6 months.