Incorporating Youth Voices in Community-Based Intervention Development to Improve Diet Quality and Physical Activity

项目总结/摘要 儿童肥胖症是一种全球流行病，具有严重的健康和社会后果。 在少数种族/民族人群和经济弱势群体中观察到肥胖 背景。1罗得岛（RI）特别受肥胖流行病的影响;儿童的患病率 符合超重/肥胖（OW/OB）标准的人在整个RI为35%，在Greater Providence为40% 57。 这项混合方法研究的目的是使用创译框架56， 制定行为干预措施，以改善青少年的饮食质量并增加体育活动 在大普罗维登斯，国际扶轮，一个城市地区与大量的种族/民族多样性。在目标1中，我们将进行 青少年超重和肥胖相关的流行病学、社会和环境因素的评估， 进行社区需求评估。在目标2中，我们将与利益相关者合作， 资产和未满足的需求，并评估现有循证生活方式改变的组成部分 程序（即，饮食、体育活动、自我监控、目标设定和解决问题、社会支持）。结果 目标1和目标2中的所有内容将为目标3提供信息，在目标3中，我们将设计干预原型的组成部分， 饮食质量和增加青少年的体育活动。这项研究将涉及建立一个小组， 青少年（即，青年之声小组），其成员将作为伙伴积极参与 该过程（例如，确定优先事项、数据收集/分析、制定干预措施）。我们将使用有目的的 抽样招募40名关键利益攸关方，包括社区青少年及其照顾者。 临床医生（医生、护士、专科诊所/儿科医生办公室的营养师）、 政府组织（例如，国际扶轮卫生部、住房机构）和 社区组织（例如，大普罗维登斯基督教青年会、国际扶轮粮食银行、学校、Progresso Latino）， 告知我们的社区需求评估和我们干预的发展。数据概述 目标1中收集的信息将提交给研究团队（即，赞助商和共同赞助商和年轻的声音 小组），以指导目标2中社区需求评估的定性部分。团体概念图 将用于识别和审查现有的科学证据，以确定 反映作用机制的行为干预。社区资产映射将用于获取 社区对现有循证方案的障碍和促进因素的投入，以及 当地开发的项目和社区资源。目标3将涉及制定干预协议 通过与青年志愿人员方案成员的讨论和内容开发的迭代过程， 社区利益相关者和学术研究团队。目前的研究将启动一项 改善青少年饮食质量和增加体力活动的手动干预方案 普罗维登斯，RI将在未来的项目中进行评估（即，K23奖）。

PROJECT SUMMARY/ABSTRACT Obesity in childhood is a global epidemic with serious health and social consequences.1-4 The highest rates of obesity are observed among racial/ethnic minority populations and those from economically disadvantaged backgrounds.1 Rhode Island (RI) is particularly affected by the obesity epidemic; the prevalence of children who meet criteria for overweight/obese (OW/OB) is 35% in RI as a whole and 40% in Greater Providence57. The purpose of this mixed methodological study will be to use the Transcreation Framework56 to inform the development of a behavioral intervention to improve diet quality and increase physical activity for adolescents in Greater Providence, RI, an urban area with substantial racial/ethnic diversity. In Aim 1 we will conduct an evaluation of epidemiological, social, and contextual factors related to overweight and obesity in adolescents to inform a community needs assessment. In Aim 2, we will partner with stakeholders to identify community assets and unmet needs and to evaluate components of existing evidenced-based lifestyle modification programs (i.e., diet, physical activity, self-monitoring, goal setting and problem solving, social support). Results from Aims 1 and 2 will inform Aim 3, in which we will design components of intervention prototype to improve diet quality and increase physical activity in adolescents. The study will involve the creation of a panel of adolescents (i.e., Young Voices Panel) whose members will be actively engaged as partners in each step of the process (e.g., priority setting, data collection/analyses, intervention development). We will use purposeful sampling to recruit 40 key stakeholders including adolescents from the community and their caregivers. clinicians (doctors, nurses, dietitians from specialty clinics/pediatricians’ offices), administrators from government organizations (e.g., RI Department of Health, Housing Agencies), and representatives from community organizations (e.g., the Greater Providence YMCA, RI Food Bank; Schools, Progresso Latino) to inform our community needs assessment and the development of our intervention. An overview of data gathered in Aim 1 will be presented to the research team (i.e., Sponsor and Cosponsors and Young Voices Panel) to guide the qualitative component of community needs assessment in Aim 2. Group Concept Mapping will be used to identifying and reviewing existing scientific evidence to determine core components of behavioral interventions that reflect mechanisms of action. Community Asset Mapping will be used to obtain input from the community about barriers and facilitators to existing evidenced-based programs as well as locally developed program and community resources. Aim 3 will involve the creation of intervention protocol modules through an iterative process of discussions and content development with members of the YVP, community stakeholders, and the academic research team. The current study will initiate the development of a manualized intervention protocol to improve diet quality and increase physical activity for adolescents in Providence, RI to be evaluated in a future project (i.e., K23 award).