Feasibility of Network Interventions to Facilitate Community Coalition Adoption of Evidence-Based Strategies for Child Obesity Prevention

项目总结/摘要 儿童肥胖是许多成年慢性疾病的可改变的决定因素，包括心脏病和大多数类型的癌症，来自社会经济不利家庭的儿童患有儿童肥胖和相关慢性疾病的风险增加，与高收入家庭的儿童相比，肥胖患病率高出23-33%。社区联盟，由代表多个部门的组织的成员组成（例如，公共卫生、学校、社区组织）已经证明他们有能力通过使用循证策略（EBS）来减少儿童肥胖。然而.联盟采用EBS仍然是一个被广泛引用的挑战。特别是在贫困程度较高的社区。由于联盟是伙伴关系的网络，研究人员已经开始使用网络干预与联盟领导人共同修改联盟伙伴关系，以加速行为改变和增加肥胖预防知识的传播。此外，研究人员正在使用系统科学模拟来深入了解个人关系随时间变化的机制以及个人行为如何传播。因此，在模拟的帮助下，本研究的目的是开发和测试网络干预措施，以增加儿童肥胖预防联盟服务于社会经济劣势社区的循证策略（EBS）的采用。这将首先通过与联盟领导人和建模专家合作开发网络干预措施来实现，其次，通过使用双臂群集随机对照试验来测试部署网络干预措施的可行性，旨在增加在社会经济弱势人群中工作的联盟中采用EBS。该补助金将为摩尔博士的发展提供重要的培训，使其成为慢性病预防的独立调查员，重点关注社区联盟行动对儿童健康公平的影响，该申请的培训目标是获得：（1）网络科学和模拟的理论知识和实践技能;（2）实施科学研究和健康差异研究的知识和技能;（3）小n试验设计的设计与分析技巧。摩尔博士拥有一个支持性的机构环境和一个多学科的导师团队，他们在肥胖预防、网络科学和建模、实施科学、健康差异和基于社区的研究方面具有专业知识。这个职业发展奖将通过NIH研究管道推进摩尔博士，为他成功申请R 01拨款做好准备，帮助他实现他的长期职业目标，成为一名独立的科学研究人员，在开发和测试干预措施方面具有专业知识，旨在使联盟能够改善他们的证据翻译和健康公平实践。

PROJECT SUMMARY/ABSTRACT Childhood obesity is a modifiable determinant of many adulthood chronic diseases, including heart disease and most types of cancer, Children from families with socioeconomic disadvantage suffer from increased risk of childhood obesity and related chronic conditions, experiencing 23-33% greater obesity prevalence when compared to children in higher-income households. Community coalitions, consisting of members from organizations that represent multiple sectors (e.g., public health, schools, community-based organizations), have proven their ability to reduce childhood obesity by using evidence-based strategies (EBS). However. coalition adoption of EBS remains a well-cited challenge. particularly within communities with higher levels of poverty. Because coalitions are networks of partnerships, researchers have started using network interventions with coalition leaders to jointly modify coalition partnerships to accelerate behavior change and increase the diffusion of obesity prevention knowledge. Further, researchers are using systems science simulation to provide insight into the mechanisms through which individuals' relationships change over time and how individual behavior spreads. Thus, with the help of simulation, this study aims to develop and test network interventions to increase the adoption of evidence-based strategies (EBS) among childhood obesity prevention coalitions serving communities with socioeconomic disadvantage. This will be accomplished first by collaboratively developing network interventions using simulation with coalition leaders and modeling experts, and second, by using a 2- arm cluster-randomized control trial to test the feasibility of deploying the network interventions aimed at increasing the adoption of EBS among coalitions working in populations with socioeconomic disadvantage. This grant will generate crucial training for Dr. Moore's advancement to become an independent investigator in chronic disease prevention, focusing on the effects of community coalition action on child health equity, The training goals for this application are to acquire: (1) theoretical knowledge and practical skills in network science and simulation; (2) knowledge and skills in implementation science research and health disparities research; and (3) skills in the design and analysis of small-n experimental designs. Dr. Moore has a supportive institutional environment and a multidisciplinary mentorship team with expertise in obesity prevention, network science and modeling, implementation science, health disparities, and community-based research. This career development award will advance Dr. Moore through the NIH research pipeline, preparing him for a successful R01 grant application, helping him achieve his long-term career goal of becoming an independent scientific researcher with expertise in developing and testing interventions aimed at enabling coalitions to improve their evidence translation and health equity practices.