Tailoring of Childhood Obesity Screening and Counseling for Latino Families with Preschool-Aged Children

 描述(由申请人提供)：这是一份修改后的K23奖项申请，是为了一名受过研究员培训的儿科医生，专门从事儿科营养和儿童肥胖。这位候选人致力于学术生涯，作为一名内科科学家，从事以患者为导向的儿童肥胖症研究。该奖项将支持候选人在三个领域的培训和专业知识的获得：定性研究方法、基于技术的干预措施的文化定制和实施科学。这次培训将支持他设计和严格测试儿童肥胖干预措施的总体目标，这些干预措施可以很容易地翻译和传播，并将为不同环境和患者群体的护理提供重要的洞察力。为了实现这些目标，海默博士组建了一个跨学科的指导团队，每个人都在研究方法方面拥有卓越的经验，并有成功指导的良好记录：格拉斯哥博士，在实施科学领域享有盛名的行为科学家；布尔博士，基于技术的健康促进方面的专家研究员；克雷布斯博士，儿科医生和营养专家，在儿童肥胖症方面拥有广泛的研究和临床经验，并有长期指导年轻研究人员的历史。这项拟议的研究解决了医疗系统在成本效益方面影响儿童肥胖症患者水平和人群水平结果的巨大知识缺口。基于证据的监测、筛查、预防和治疗方法在很大程度上仍然不确定或未经检验，特别是对于肥胖相关健康差距风险最高的群体中最年幼的儿童。这项K23奖将研究适用于低收入家庭的拉丁裔学龄前儿童的预防和治疗方法。这项研究将检验中心假设，即根据文化定制的筛查和咨询将比常规护理更有效地降低BMI轨迹。具体目标包括：1.描述初级保健互动的组成部分，这些组成部分应该在文化上量身定做，以增强有学龄前儿童的拉丁裔父母改变健康生活方式的动机2.设计一个技术用户界面，最大限度地提高拉美裔父母对幼儿的接受度。3.利用AIMS 1和AIMS 2的研究结果，试行为拉美裔父母量身定做的技术支持的筛查和咨询方案。我们将从实施科学的角度，在试点RCT期间评估干预措施在临床实践中的覆盖范围、有效性、采用率、实施保真度和可持续维持。这项研究和培训将构成RO1提案的基础，该提案旨在测试针对低收入拉丁裔家庭幼儿的技术支持的儿童肥胖症预防和治疗干预措施。OMB编号0925-0001/0002(08/12版批准至2015年8月31日)页面续格式页面

 DESCRIPTION (provided by applicant): This is a revised application for a K23 award for a fellowship trained pediatrician specializing in Pediatric Nutrition and childhood obesity. The candidate is committed to an academic career as a physician scientist conducting patient-oriented research in childhood obesity. This award will support the candidate's training and attainment of expertise in three areas: qualitative research methods, cultural tailoring of technology-based interventions, and implementation science. This training will support his overall goals of designing and rigorously testing childhood obesity interventions that can be readily translated and disseminated and that will provide critical insight for care in diverse settings and patient groups. To achieve these goals, Dr. Haemer has assembled a cross-disciplinary mentoring team, each with outstanding experience in research methods and strong records of successful mentoring: Dr. Glasgow, a behavioral scientist who is renown within the field of implementation science; Dr. Bull, an expert researcher in technology-based health promotion; and Dr. Krebs, a pediatrician and nutrition specialist with extensive research and clinical experience in childhood obesity and with a long history of mentoring young investigators. The proposed research addresses the huge knowledge gap in cost-effective ways for the healthcare system to influence both patient-level and population-level outcomes for childhood obesity. Evidence-based approaches of surveillance, screening, prevention and treatment largely remain uncertain or untested, especially for the youngest children from groups at highest risk of obesity-related health disparity. This K23 award will study methods for prevention and treatment applied to Latino preschool-aged children from low- income families. The research will test the central hypothesis that culturally tailored screening and counseling will be more effective at decreasing BMI trajectory than usual care. Specific aims include: 1. To characterize components of primary care interactions that should be culturally tailored to enhance motivation for healthy lifestyle change among Latino parents with preschoolers 2. To design a technology-user interface that maximizes acceptance by Latino parents of young children. 3. To pilot test a technology-supported screening and counseling protocol tailored to Latino parents using findings of Aims 1 and 2. Using an implementation science perspective, we will assess the reach, effectiveness, adoption, implementation fidelity, and sustainable maintenance of the intervention in clinical practice during the pilot RCT. This research and training will form the basis for an RO1 proposal to test technology-supported childhood obesity prevention and treatment interventions targeting young children from low-income Latino families. OMB No. 0925-0001/0002 (Rev. 08/12 Approved Through 8/31/2015) Page Continuation Format Page