Culturally Appropriate Childhood Obesity Prevention Program for Hispanic Families

这项研究提出了肥胖预防研究的建议和优先事项 医学研究所报告，预防儿童肥胖：平衡中的健康(Koplan et 美国国立卫生研究院肥胖研究战略计划(NIH，2004年)。这些文件 建议使用以社区为基础的参与式方法来开发适合文化的 针对父母的预防儿童肥胖的干预措施，以解决营养问题， 体力活动，以及孩子久坐的行为。这两份文件都强调 探索潜在的以社区为基础的预防和治疗战略的价值 在文化上适当，并以不同的人口群体为目标，作为减少健康的战略 肥胖症的差异及相关后果。 这项研究解决了文献中的重要空白，即缺乏对 西班牙裔儿童肥胖预防干预的文化适应、以家庭为基础 人口。在我们的形成性研究阶段，我们改编了We Can！计划开发一种 为西班牙裔家庭量身定做的以家庭为基础的儿童肥胖计划。新的 对干预措施进行了调整，使其在语言和文化上都适合西班牙裔家庭 融入目标人群的文化价值观、规范和习俗，并通过提供 在社区中心环境中通过卫生防护中心进行干预。我们的形成性研究还发现 这是我们能做到的！计划材料是以相对较高的阅读水平编写的，不是 很容易理解。因此，我们进行了修改，重点是使 健康素养水平较低(例如，非技术性的)说西班牙语的人可获得的计划 语言、易于阅读的材料、互动活动)。拟议的研究旨在 展示这种为文化量身定制的儿童肥胖预防干预的有效性 通过随机对照试验。

This study addresses recommendations and priorities for obesity prevention research made in the Institute of Medicine report, Preventing Childhood Obesity: Health in the Balance (Koplan et al., 2005) and in the Strategic Plan for NIH Obesity Research (NIH, 2004). These documents recommend for community-based, participatory approaches to be used to develop culturallyappropriate interventions to prevent childhood obesity that target parents to address nutrition, physical activity, and sedentary behaviors in their children. Both documents emphasize the value of exploring potential community-based prevention and treatment strategies that are culturally-appropriate and target diverse population groups, as a strategy for reducing health disparities in obesity and related consequences. This study addresses important gaps in the literature¿namely, a dearth of research on culturally-appropriate, family-based childhood obesity prevention interventions for the Hispanic population. In our formative research phase, we adapted the We Can! program to develop a family-based childhood obesity program that is tailored for Hispanic families. The new intervention was adapted to be linguistically- and culturally-appropriate for Hispanic families to incorporate cultural values, norms, and customs of the target population, and by delivering the intervention through CHP's in a community center setting. Our formative research also found that the We Can! program materials were written at a relatively high reading level and were not easily comprehended. Thus, we made the modifications with an emphasis on making, the program accessible to Spanish-speaking persons with low health literacy levels (e.g., nontechnical language, easy-to-read materials, interactive activities). The proposed study aims to demonstrate the efficacy of this culturally-tailored childhood obesity prevention intervention through a randomized controlled trial.