Wise Social Psychological Interventions to Improve Outcomes of Behavioral Weight Control in Children with Obesity

明智的社会心理干预可改善肥胖儿童行为体重控制的结果

基本信息

批准号：
10441294
负责人：
THOMAS N. ROBINSON
金额：
$ 61.27万
依托单位：
STANFORD UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2019
资助国家：
美国
起止时间：
2019-09-17 至 2024-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10441294
关键词：
12 year old Achievement Address Anxiety Attenuated Attitude Behavior Behavior Therapy Behavioral Behavioral Sciences Behavioral Weight Control Belief Biological Body Weight Body Weight decreased Body mass index Child Childhood Development Education Energy Intake Environment Exercise Face Family Feedback Future Growth Health Health behavior change Hour Intention Intervention Measures Mediating Mediator of activation protein Methods Morbidity - disease rate Obesity Outcome Outcome Measure Overweight Parents Participant Perception Persons Physical activity Physiological Pilot Projects Process Randomized Randomized Controlled Trials Readiness Research Resources Risk Risk Factors Schools Science Skinfold Thickness Social Psychology Source Stereotyping Testing Theory of Change Time Treatment outcome Triceps Brachii Muscle Weight Weight maintenance regimen Work arm base behavior change dietary distraction efficacy testing follow-up improved improved outcome innovation intervention delivery intervention effect minority student novel obesity in children primary outcome programs psychologic racial and ethnic secondary analysis secondary outcome sex social success theories treatment as usual tv watching waist circumference

项目摘要

We propose a 2-arm, parallel group, randomized controlled trial to test the efficacy of adding two innovative “wise” social psychological interventions—growth mindset and self-affirmation—to 6-month family-based, group behavioral intervention for weight control in children with obesity, to reduce body mass index trajectory over 12 months, compared to the behavioral intervention alone. A total of 200 8-12 year old children with obesity (BMI ≥ 95th percentile) will be randomized to the two conditions. All children will participate with their parents in a usual care six-month, family-based, group, behavioral weight control program. In addition, families randomized to the social psychological intervention condition will receive two innovative “wise” social psychological interventions—growth mindset and self- affirmation—strategically selected and timed to enhance the behavioral intervention. There remains a great need for innovative approaches to increase and sustain weight loss among children with obesity. Weight control interventions may be limited in their success in many children in part because of psychological barriers and threats they face when attempting to manage their weight. One of the most exciting recent breakthroughs in the behavioral sciences is the development of seemingly small but “wise” interventions—typically consisting of brief exercises and messages grounded in social psychological science—that produce powerful and positive long-term changes in behavior. These interventions help people flourish by altering the ways in which they think about themselves and their environments. We propose that two of these interventions with some of the strongest empirical support will be particularly useful in creating the right psychological landscape for more consistent and successful behavior change and weight loss. A growth mindset of body weight creates the vital belief that success is possible with effort and hard work. Self-affirmation helps people cope with stereotype threat by allowing them to focus on other sources of self-worth, thus freeing them from the distraction and anxiety of possibly confirming the stereotype that they won't succeed. As a result, this approach has the potential to substantially improve treatment outcomes and reduce the concurrent and future morbidities that accompany childhood obesity. Measures will be collected at baseline, 3 mos, 6 mos (end of the behavioral treatment), and 12 months (6 months after the end of treatment). Primary Hypothesis: Compared to children randomized to receive the usual care family-based, group behavioral weight control program alone, children randomized to receive the usual care family-based, group behavioral weight control program plus the wise social psychological interventions will have a significantly attenuated BMI trajectory over 12-months.

我们提出了一个2臂平行组，随机对照试验，以测试添加两个的效率创新的“明智”社会心理干预措施 - 成长的心态和自我肯定 - 至6个月基于家庭的，肥胖儿童体重控制体重控制的小组行为干预，以减少体重与仅行为干预相比，索引轨迹在12个月内。共有200个8-12岁的肥胖儿童（BMI≥95％）将随机分配给两个状况。所有孩子将与父母一起参加通常的六个月，家庭，小组，行为体重控制计划。此外，家庭随机进行社会心理干预条件将获得两种创新的“明智”社会心理干预措施 - 成长的心态和自我情感 - 在战略上选择和定时以增强行为干预。仍需要创新方法来增加和维持体重减轻肥胖的孩子。体重控制干预措施在许多孩子的成功中可能受到限制由于心理障碍和威胁，他们试图管理自己的体重。中的一个行为科学中最近最令人兴奋的突破是看似很小但 “明智”干预措施 - 通常由以社会心理为基础的简短练习和信息组成科学 - 行为产生强大而积极的长期变化。这些干预措施有帮助人们通过改变思考自己和环境的方式来荧光。我们提议，其中两种干预措施具有一些强有力的经验支持，尤其是有助于创建正确的心理局势，以实现更一致和成功的行为改变和减肥。体重的成长心态创造了一种至关重要的信念，即成功付出了可能的成功和辛勤工作。自我确认可以通过允许他们专注于其他人来帮助人们应对刻板印象的威胁自我价值的来源，从而使他们摆脱了可能的分心和焦虑确认他们不会成功的刻板印象。结果，这种方法有可能大大改善治疗结果并减少适应儿童对象的并发和未来的病毒。将在基线，3个MOS，6个MO（行为治疗结束）和12个月时收集措施（治疗结束后6个月）。主要假设：与随机接收基于护理家庭的儿童相比仅行为体重控制计划，儿童就随机接收通常的基于Care的家庭，小组行为体重控制计划以及明智的社会心理干预措施将有很大超过12个月的BMI轨迹减弱。