Rural Community Partnership to Promote Fitness by Age 5

描述（由申请人提供）： 这项名为“农村社区伙伴关系促进5岁以前的健康”的提案，重点是通过针对儿童在开办幼儿保育中心（日托、学前班和启蒙中心）之前花费越来越多时间的环境，防止幼儿和学龄前儿童患肥胖症。“创新扩散”和“社会营销”的理论框架将指导研究人员和托儿中心主任和工作人员制定这种干预措施。来自社区、医疗和教育组织的支持，以及与当地麦当劳餐厅、Price Chopper杂货店和纽约州立大学科布斯基尔烹饪学院的合作，将促进信息的一致性。 我们建议评估儿童保育中心的食品和体育活动政策和环境，然后合作制定创新政策和环境变化，以促进健康饮食（特别是零食），减少鼓励暴饮暴食的行为，增加体育活动，并减少这些中心的电视/视频观看。我们建议为保育中心的工作人员开发和提供培训课程，以促进这些政策变化和环境创新。作为主要结果，我们将评估5岁儿童肥胖患病率的差异，即，在幼儿园入学时，干预社区和对照社区之间。在本研究项目结束时，将制定、实施和评估一种以儿童保育中心为基础的环境方法，以防止儿童肥胖症的发展。这项肥胖预防计划将被转移到其他儿童保育中心，以改善美国儿童的健康。

DESCRIPTION (provided by applicant): This proposal, Rural Community Partnership to Promote Fitness by Age 5, focuses on preventing the development of obesity among young, preschool-age children, by targeting the environment where children are increasingly spending time prior to the start of kindergarten-childcare centers (daycare, preschools, and Head Start centers). The theoretical frameworks of "Diffusion of Innovation" and "Social Marketing" will guide the development of this intervention by researchers and childcare center directors and staff. Support from community, medical, and educational organizations and collaboration with the local McDonald's restaurant, Price Chopper grocery stores, and SUNY-Cobleskill Culinary Institute will facilitate consistency of message. We propose to assess food and physical activity policies and environments at childcare centers, and then collaboratively develop innovative policy and environmental changes to promote healthy eating (especially snacking), decrease behaviors that encourage overeating, increase physical activity, and decrease TV/video viewing at these centers. We propose to develop and provide training sessions for staff at childcare centers that promote these policy changes and environmental innovations. As the primary outcome, we will evaluate the difference in the prevalence of child obesity at age 5, i.e., at the time of kindergarten entrance, between the intervention and the control communities. At the conclusion of this research project, a childcare center-based environmental approach to prevent the development of child obesity will have been developed, implemented, and evaluated. This obesity prevention program will be transferable to other childcare centers to improve the health of America's children.