Packaging and Spreading the Stanford Pediatric Weight Control Program - A Family-Based, Group, Behavioral Weight Control Program for Children with Obesity and their Families

包装和传播斯坦福儿童体重控制计划 - 针对肥胖儿童及其家庭的基于家庭、团体、行为的体重控制计划

• 批准号: 10517268
• 负责人: THOMAS N. ROBINSON
• 金额: $ 50万
• 依托单位: STANFORD UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-04-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10517268
• 关键词: Packaging; Spreading; Stanford; Pediatric; Weight

Many clinicians consider childhood obesity to be one of the most frustrating problems they face. Yet, efficacious treatments do exist. A recent evidence review for The US Preventive Services Task Force concluded that family-based, group, behavioral treatments with 26 or more hours of intervention contact were most likely to help reduce excess weight in children and adolescents with obesity. The Stanford Pediatric Weight Control Program (SPWCP) is a family-based group behavioral treatment program producing outstanding retention and outcomes in real world clinical settings. We propose to utilize technology, design, behavioral theory and biomedical business innovation strategies to package and spread the Stanford Pediatric Weight Control Program to reach low- income children throughout the U.S. To accomplish this aim, we are guided by an approach that merges design thinking, behavioral science, and business development strategy. Our proposed solution includes the following components: 1. User-friendly, human subjects and HIPAA compliant web-based and mobile software that guides providers through every step of SPWCP implementation. 2. The delivery of key content components of the SPWCP via brief videos highlighting past participants. 3. Web and mobile apps for patients. 4. Onsite and online provider training. 5. Ongoing technical assistance/support. 6. Certification of providers based on process parameters and outcomes. We will develop the packaging described above over the first two years of the award. Year 3 of the award will include beta testing of all components with one to two groups of participants by several local partner providers and organizations representing different settings serving low-income families. A pilot implementation study will commence at the end of Year 3 and continue through the middle of Year 5. We will partner with at least 4 different community partners representing different types of providers serving low income families. We will evaluate six-month changes in percent over median BMI for age and sex (the primary outcome measure) using generalized linear mixed effects regression techniques, in a one- arm interventional trial conducted in an intent-to-treat cohort of 80 children with BMI ≥ 95th percentile for age and sex on the 2000 CDC growth reference or with BMI ≥ 85th percentile for age and sex and at least one parent with obesity (BMI ≥ 30 kg/m2) and/or prior diagnosis of an obesity-related co-morbid condition. Results and additional testing will inform a dissemination and sustainability strategy for widespread dissemination, adoption, implementation and maintenance by a wide array for providers nationwide.

许多临床医生认为儿童肥胖是他们面临的最令人沮丧的问题之一。然而， 最近对美国预防服务工作队的证据审查 得出结论，基于家庭的，小组的行为治疗与26个或更长时间的干预接触 他们很可能有助于减轻肥胖儿童和青少年的体重超过体重。 斯坦福小儿体重控制计划（SPWCP）是基于家庭的团体行为 在现实世界临床环境中产生出色的保留率和结果的治疗计划。我们 利用技术，设计，行为理论和生物医学业务创新的建议 包装和传播斯坦福小儿体重控制计划的策略，以达到低 - 全美的收入儿童 为了实现这一目标，我们以一种合并设计思维和行为的方法来指导 科学和业务发展策略。我们提出的解决方案包括以下组件： 1。用户友好，人类主题和符合HIPAA的基于Web和移动软件的指导 提供者通过SPWCP实施的每个步骤。 2。SPWCP通过简短视频的交付，突出了过去的参与者。 3。适用于患者的网络和移动应用。 4。现场和在线提供商培训。 5。正在进行的技术援助/支持。 6。根据过程参数和结果认证提供商。 我们将在该奖项的前两年中开发上述包装。第三年 奖项将包括对所有组件的Beta测试，其中几个本地参与者一对一组参与者 代表为低收入家庭服务的不同设置的合作伙伴提供者和组织。 试点实施研究将从3年底开始，并继续前进 5年级。我们将与至少4个不同的社区合作伙伴合作，代表不同类型的提供者 服务低收入家庭。我们将评估BMI年龄中位数的六个月变化，并且 性别（主要结局指标）使用广义线性混合效应回归技术，在一个人中 在80名BMI≥95％年龄的儿童的意图对治疗队列中进行的手臂介入试验 与2000 CDC增长参考或BMI≥85％的年龄和性别的性别以及至少一个 肥胖症（BMI≥30kg/m2）和/或肥胖相关的合并症的事先诊断。 结果和其他测试将为宽度的传播和可持续性策略提供信息 全国提供者的广泛阵列传播，采用，实施和维护。