Role of parenting skills, style, and family functioning in pediatric weight loss

描述(由申请者提供)：这个以患者为导向的指导研究事业奖(K23)的目标是让李博士成为儿科体重管理领域的独立研究员。这一培训计划，通过教学和直接指导培训经验的结合，为她提供了在以下方面发展更多技能和专业知识的机会：1)儿童超重的行为管理，2)可能影响儿童体重控制计划有效性的亲子互动、父母教养方式和父母干预研究，以及3)儿童肥胖临床研究的方法、统计和伦理。Miriam医院/Brown医学院的资源以及与她的专家指导团队(Wing博士、Dickstein博士、Jelian博士和Seifer博士)的密切联系将为Rhee博士提供实现她的培训和研究目标的理想环境。儿童肥胖症仍然是一个严重的公共卫生问题。以家庭为基础的行为治疗方案可以取得成功，但在疗效上存在很大的差异。有几个因素可能会影响这些项目的成功：父母养育技能的采用，以及父母养育方式对家庭行为改变实施的影响。这项建议的目的是为了更好地理解父母技能/风格在成功控制儿童行为体重中的作用。我们将首先为家庭聚餐期间发生的育儿技能开发一个编码方案。在第二阶段，当我们实施以家庭为基础的行为体重控制计划时，我们将使用这一方法和其他现有的直接观察措施来评估录像家庭聚餐期间的育儿技能和风格。家长和孩子完成的其他自我报告措施将补充录像带中收集的信息。然后，我们将确定育儿技能和育儿风格在儿童体重状况变化中的作用，以及当前以家庭为基础的计划是否可以改变这些父母层面的因素。作为第二个目标，我们将研究超重和正常体重儿童的家庭在育儿技巧或教育风格方面是否存在差异。 公共卫生相关性：这项研究的结果将为为儿童制定增强或修改的行为治疗计划提供信息，以解决被发现是重要的父母层面的因素。最终，这项提案的目标是开发一种更全面、更有效的治疗超重儿童的方法。

DESCRIPTION (provided by applicant): The goal of this Mentored Patient-Oriented Research Career Award (K23) is to allow Dr. Rhee to become an independent researcher in the area of pediatric weight management. This training plan, through a combination of didactic and direct mentored training experiences, provides her with the opportunity to develop additional skills and expertise in: 1) the behavioral management of child overweight, 2) the study of parent-child interactions, parenting style, and parenting interventions, which may impact the efficacy of pediatric weight control programs, and 3) the methodology, statistics and ethics of clinical research in childhood obesity. The resources at The Miriam Hospital/ Brown Medical School and close contact with her expert mentoring team (Drs. Wing, Dickstein, Jelalian, and Seifer) will provide Dr. Rhee with the ideal environment to achieve her training and research goals. Childhood obesity continues to be a serious public health concern. Family-based behavioral treatment programs can be successful, but have great variability in efficacy. Several factors may impact the success of these programs: the adoption of parenting skills and the impact of parenting style on the implementation of behavioral changes in the home. The goal of this proposal is to better understand the role of parenting skills/style in the success of behavioral weight control for children. We will first develop a coding schema for parenting skills that occur during a family meal. During phase II, when we implement a family-based behavioral weight control program, we will use this and other existing direct observation measures to evaluate parenting skills and style during a videotaped family meal. Additional self-report measures completed by the parent and child will supplement the information gathered in the videotapes. We will then determine the role of parenting skills and parenting style on change in child weight status and whether or not current family-based programs can change these parent level factors. As a secondary aim, we will examine whether there are differences in parenting skills or style between families of overweight and normal weight children. PUBLIC HEALTH RELEVANCE: The results of this study will inform the development of an enhanced or modified behavioral treatment program for children that addresses the parent level factors found to be significant. Ultimately, the goal of this proposal is to develop a more comprehensive and effective treatment for overweight children.