Pilot Project 1: H-PACE: Promoting Healthy Living Through Behavior Change

摘要 在新墨西哥州，15.2%的6-15岁儿童肥胖，在所有儿童中排名第23位。 美国states.肥胖症患病率也随着年龄的增长而增加。2018年，只有13%的新墨西哥州2-4岁的儿童 与18岁及以上的成年人相比，32%的人肥胖。2016年的华盛顿也是如此， 12%的2-4岁儿童肥胖，而成年人为29%。为了解决肥胖症的流行问题 以及糖尿病、心脏病、中风和几种癌症等相关疾病， 增加积极生活和健康饮食的机会是必要的。多元校本 肥胖预防计划已经证明PA的增加和饮食习惯的改善;然而， 大多数课外活动都是短期的;需要证据来证实长期效果。此外，委员会认为， 有父母参与的项目在帮助孩子选择更健康的食物方面更成功。 行为。因此，本建议的目的是对健康父母和儿童进行试点测试 增强（H-PACE）计划-一个社区参与的研究项目-通过现有的课后 项目在拉斯克鲁塞斯，新墨西哥州和一个新的伙伴关系在桑尼塞德，华盛顿州的儿童8-11岁（第三- 五年级）。预计实施H-PACE计划将是可行的，并在临床上得到证明 改善儿童生活方式的重要变化。除了参加课外活动 活动，其中将包括结构，积极发挥以及教育课程和活动，儿童将 把家庭参与的活动带回家，如水果和蔬菜，以便在家里做有趣的准备， 父母家长们还将通过一个私人的、仅限邀请的Facebook与彼此和项目工作人员联系起来 小组，将提供定期更新的课后活动，特别是家庭为基础的每周 分配任务。该计划的生活技能部分旨在对儿童产生持久的影响， 社会经济地位较低的家庭及其家庭成员。目前的试点项目还将 加强当地学区，新墨西哥州州立大学， 和弗雷德哈钦森癌症中心提供一个课后计划，是低成本，互利， 和可持续性。适当的营养和身体活动（PA）是整体健康的重要组成部分。他们一起 可降低肥胖症及相关疾病如糖尿病、心脏病、 中风和几种癌症与积极生活相关的健康差异导致CDC呼吁 为儿童提供更多积极的生活方案。目前的项目将满足北地中海南部的这一需要， 在华盛顿的下亚基马山谷，在四个学校实施一个积极的课后生活计划。

ABSTRACT In New Mexico, 15.2% of children between the ages of 6-15 are obese, ranking New Mexico 23rd among all U.S. states. Obesity prevalence also increases with age. In 2018, only 13% of New Mexico children ages 2-4 years were obese compared with 32% of adults 18 years of age and older. Likewise for Washington in 2016, 12% of children ages 2-4 years were obese compared to 29% of adults. To address the prevalence of obesity and related diseases such as diabetes, heart disease, stroke, and several types of cancer, programs focusing on increasing opportunities for active living and healthy eating are necessary. Multi-component school-based obesity prevention programs have demonstrated increases in PA and improvement in dietary habits; however, most afterschool programs are short term; evidence is needed to confirm long-term effects. Moreover, programs that involve parents have shown to be more successful in helping children choose healthier behaviors. Therefore, the purpose of this proposal is to pilot test the Healthy Parents and Children Enhancement (H-PACE) program -- a community-engaged research project – through an existing after-school program in Las Cruces, NM and a new partnership in Sunnyside, WA among children 8-11 years of age (3rd- 5th grade). It is expected that implementing the H-PACE program will be feasible and demonstrate clinically important changes in improving children’s lifestyle behaviors. In addition to participating in after-school activities, which will include structural, active play as well as educational lessons and activities, children will take home family-based engaging activities such as fruits and veggies for fun preparation at home with parents. Parents will also be connected to each other and program staff via a private, invitation-only Facebook group, which will provide regular updates on after-school activities and particular family-based weekly assignments. The life skill portion of this program is designed to have lasting impact on children from households of lower socioeconomic status (SES) and their family members. The current pilot project will also enhance the community-academic partnerships between the local school district, New Mexico State University, and Fred Hutchinson Cancer Center to deliver an after-school program that is low cost, mutually beneficial, and sustainable. Proper nutrition and physical activity (PA) are essential parts of overall health. Together, they can decrease the risk of developing obesity as well as related diseases such as diabetes, heart disease, stroke, and several types of cancer. Health disparities associated with active living have led the CDC to call for greater active living programing for children. The current project will address this need in southern NM and the Lower Yakima Valley of Washington by implementing an active living after-school program at four school sites.