VIVA: Obesity Intervention in the West Oso Independent School District

描述(由申请人提供)：在过去的十年里，肥胖已被确定为美国一个重要的健康问题，并成为疾病和残疾负担的主要贡献者。美国的种族和少数民族群体，特别是这些群体中的儿童，受到了不同程度的影响：拉美裔和非裔美国人的超重和肥胖率高于其他群体。肥胖对身体健康问题的直接影响被各种心理问题和社会问题混淆。显然，有必要从受影响最严重的社区的各自立场来理解这些差异。显然，需要一个长期的研究计划，这是通过在社区中已经在与这些问题作斗争的人之间的合作而产生的。显然，需要真正奏效的预防和治疗战略。该项目将重点关注一个由1,959名儿童组成的学区的肥胖干预战略，其中98%是少数民族。该项目的成果将使儿童能够充分发挥其健康和富有成效的生活的潜力，没有疾病或残疾，从而与国家儿童健康和人类发展研究所的使命相一致。此外，通过促进拉美裔儿童及其父母/照顾者的健康，该项目将推动国家少数民族健康和健康差距中心的使命。VIVA：西奥索独立学区肥胖干预的主要目标是通过社区和学校的协作参与，制定干预措施，减少中学生及其家长的肥胖。Viva将把拉美裔社区关于什么将在他们的社区奏效的观点落实到战略中，通过与文化相关的传播技术有效地减少肥胖。VIVA的基本原理是，了解社区定义的干预障碍对于这些干预措施的设计和最终成功至关重要。短期目标是确定社区对儿童肥胖的理解和关注，并评估现有健康信息的有效性。长期目标是制定社区确定的研究议程，并提交广泛的申请，以制定和实施与文化相关的预防和治疗西班牙裔儿童肥胖症的健康运动。通过实现这项应用的具体目标，学术界和社区的合作伙伴关系将确定控制肥胖的预防和干预策略，并实施有效的传播技术。VIVA的具体目标是：1.社区参与：利用社区洞察力和专业知识，开发一种文化定制的程序，以评估围绕德克萨斯州南部儿童肥胖的看法、问题和障碍。2.招募和数据收集：确定参与者并进行焦点小组访谈和调查，以评估对肥胖的关切和看法、社区定义的健康障碍以及将在该社区取得成功的干预战略。学术团体合作伙伴将分析结果。3.实施和传播：通过VIVA网站、VIVA会议和其他交流渠道以及通过学生编写和交付的戏剧的实施/表演来传播成果。设计额外的、与文化相关的干预策略，以减少中学生和家长的肥胖。 与公共健康相关：VIVA将与西奥索独立学区(98%为少数民族)社区进行对话，重点讨论儿童肥胖问题，以评估社区对肥胖、饮食摄入量、体育活动和身体形象的看法。在社区的帮助下，VIVA将确定控制肥胖的预防和干预策略，并在西班牙裔儿童中实施有效的健康传播技术。Viva-社区伙伴关系将制定战略，以保护和促进儿童的健康，确保他们能够充分发挥其健康和富有成效的生活的潜力，并解决健康差距问题。

DESCRIPTION (provided by applicant): Within the last decade obesity has been identified as a significant health problem in the United States and a major contributor to the burden of illness and disability. U.S. racial and ethnic minority groups, particularly children in these groups, are disparately affected: Overweight and obesity rates are higher in Hispanics and African Americans than in other groups. The direct effect of obesity on physical health problems is confounded by a variety of psychological problems and social issues. Clearly there is a need to understand these disparities from the respective standpoints of the communities most affected. Clearly needed is a long-term research program that arises from collaboration among people who are already struggling with these problems in their communities. Clearly needed are prevention and treatment strategies that truly work. This project will focus on obesity intervention strategies in a school district composed of 1,959 children of whom 98% are minorities. Results of this project will enable the children to achieve their full potential for healthy and productive lives, free from disease or disability, thus aligning with the mission of the National Institute of Child Health and Human Development. Furthermore, by promoting the health of Hispanic children and their parents/caregivers, this project will further the mission of the National Center on Minority Health and Health Disparities. The primary goal of Viva: Obesity Intervention in West Oso Independent School District is to develop, through collaborative community and school engagement, interventions to reduce obesity among middle school students and their parents. Viva will implement the views of the Hispanic community of what will work in their neighborhoods into strategies that can effectively decrease obesity through culturally relevant dissemination techniques. The rationale for Viva is that understanding community-defined barriers to interventions is vital to the design and ultimate success of these interventions. The short-term goal is to determine community understanding and concerns related to obesity in children, and to assess the effectiveness of existing health information. The long-term objective is the development of a community-identified research agenda and the submission of an extensive application to develop and implement culturally relevant health campaigns for the prevention and treatment of obesity in Hispanic children. By achieving the specific aims of this application, the academic-community partnerships will identify prevention and intervention strategies to control obesity and implement effective dissemination techniques. The intervention strategies will be designed according to community specifications and be exportable to similar communities in the U.S. The specific aims of Viva are: 1. Community Engagement: Utilize community insight and professional knowledge to develop a culturally tailored process for assessing perceptions, issues and barriers surrounding childhood obesity in south Texas. 2. Recruitment and Data Collection: Identify the participants of and conduct focus group interviews and surveys to assess concerns and perceptions of obesity, community defined barriers to health and intervention strategies that will be successful with this community. Academic-community partners will analyze the results. 3. Implementation and Dissemination: Disseminate results thorough the Viva website, the Viva Conference and other communication channels and through the implementation/performance of a student written and delivered play. Design additional, culturally relevant intervention strategies to reduce obesity in middle school students and parents. PUBLIC HEALTH RELEVANCE: Viva will engage the community of the West Oso Independent School District, which is 98% minority, in dialogues focused on obesity in children to evaluate the community's perceptions of obesity, dietary intake, physical activity and body image. With the community's assistance, Viva will identify prevention and intervention strategies to control obesity and implement effective health dissemination techniques among Hispanic children. The Viva-community partnership will develop strategies to protect and promote the health of children, ensure that they are able to reach their full potential for healthy, productive lives and address issues of health disparities