BM12: Brief Motivational Interviewing to Reduce Child BMI
BM12:减少儿童体重指数的简短动机访谈
基本信息
- 批准号:7372612
- 负责人:
- 金额:$ 66.85万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2008
- 资助国家:美国
- 起止时间:2008-04-01 至 2013-01-31
- 项目状态:已结题
- 来源:
- 关键词:AcademyAccident and Emergency departmentAddressAgeAmericanAmerican Dietetic AssociationBehaviorBehavior TherapyBehavioralBody mass indexCaringCenters for Disease Control and Prevention (U.S.)ChildChildhoodCollaborationsConsumptionContinuing EducationCounselingData ReportingDietDietitianEducational InterventionEducational MaterialsEducational workshopEffectiveness of InterventionsEnrollmentEvidence based interventionHealthIntakeInterventionLife StyleMediationMetricModelingNumbersObesityOutcomeOutpatientsOverweightParentsPatient Self-ReportPatientsPediatric ResearchPediatricsPersonsPhysical activityPilot ProjectsPoliciesPrimary Health CareProcessPublic HealthQuestionnairesRandomizedRelative (related person)ReportingSERPINI2 geneScheduleScreening procedureSeriesSupervisionSystemTarget PopulationsTelephoneTelevisionTestingTrainingVideotapeVisitWeightWorkYouthbasecohortcostcost effectivenessdaydesigndrinkingefficacy trialfeedingfollow-upfruits and vegetablesheme oxygenase-1indexinginstrumentmotivational enhancement therapynutritionobesity treatmentpediatricianprogramsresponsesugartooltv watching
项目摘要
DESCRIPTION (provided by applicant): Working with the PROS (Pediatric Research in Office Settings) Network of the American Academy of Pediatrics (AAP), the American Dietetic Association (ADA), and the Centers for Disease Control (CDC), we will conduct an efficacy trial among 30 PROS practices to test two interventions that address many of the key barriers to obesity counseling in pediatric primary care. The target population will be 600 youth ages 2-8 with a BMI >= 85th and =< 97th percentile. We will employ a cluster-randomized design with PROS practice as the unit of randomization with three experimental groups. Group 1 (Usual Care-UC) will include determination of BMI percentile at baseline, 1 year, and 2 year follow up. UC practitioners will provide parents with a series of educational tip sheets as well as an educational video tape. UC pediatricians (PEDS) will also receive a = day study orientation session that will include a brief CME-type workshop addressing obesity treatment. Group 2 (PED only) will include the same assessments, enrollment criterion and educational materials as UC. In addition, Group 2 PEDs will receive 2.0 days of in-person training in Motivational Interviewing (MI) plus 2 telephone based counseling supervision sessions, and an interactive DVD MI booster training system to be developed during year 1. PEDs in Group 2 will schedule 3 proactive counseling sessions with a parent of the index child in Year 1 and 1 additional visits in year 2. Group 2 PEDS will be reimbursed $50 per visit. Group 3 (PED+RD) will include the same training and intervention components as Group 2, but will add counseling from a trained dietitian (RD). RDs will deliver 6 MI-based counseling sessions over 2 years, frontloaded with 4 contacts in year 1 and 2 in year 2. The RD sessions will be delivered both in-person and by telephone. RDs will receive 2.0 days of in-person MI training jointly with PEDS, plus 2 telephone-based supervision sessions. RDs will be compensated $50 per in-person visit and $35 for telephone sessions. The project is significantly informed by a recently completed pilot study conducted with AAP PROS, along with the team that will conduct the proposed study. The primary outcome for the trial will be child's BMI percentile at 2 year followup. Secondary outcomes include physical activity by accelerometry, diet and activity via 24hr recall and self report questionnaire, and parental feeding practices. Process, mediation, and cost effectiveness analyses will also be conducted. Pediatric obesity remains a major public health problem. There is a paucity of evidenced- based intervention models to assist primary care practitioners to treat their overweight pediatric patients. The results of this study could impact training, policy, and reimbursement of obesity care in pediatric practice.
描述(由申请人提供):与美国儿科学会(AAP),美国饮食协会(ADA)和疾病控制中心(CDC)的专业人士(办公室环境中的儿科研究)一起工作,我们将进行在30种优点实践中进行了两项干预措施中的有效试验,以解决小儿初级保健中肥胖症咨询的许多关键障碍。目标人群将为600名2-8岁的年轻人,BMI> = 85,= <97%。我们将采用专业实践的群集随机设计,作为三个实验组的随机单位。第1组(通常的Care-UC)将包括在基线,1年和2年随访时确定BMI百分位数。加州大学从业者将为父母提供一系列的教育小费和教育录像带。加州大学儿科医生(PED)还将接受A =一日研究导向课程,其中包括简短的CME型研讨会,以解决肥胖治疗。第2组(仅PED)将包括与UC相同的评估,入学标准和教育材料。此外,第2组PED将接受2.0天的动机访谈(MI)以及2个基于电话的咨询监督课程的面对面培训,以及将在第1年开发的交互式DVD MI助推器培训系统。 3在第1年与指数儿童的父母进行主动咨询会议,第2年的另外1次访问。第2组PED将每访50美元。第3组(PED+RD)将包括与第2组相同的培训和干预组件,但会增加受过训练的营养师(RD)的咨询。 RDS将在2年内提供6个基于MI的咨询会议,并在第2年的第1年和2年中有4个联系。RD会议将在面对面和电话上进行。 RDS将与PED共同接受2.0天的面对面MI培训,以及2个基于电话的监督课程。 RDS每人访问$ 50和电话会议的$ 35。最近完成的一项与AAP Pros一起进行的试点研究以及将进行拟议的研究的团队大大了解了该项目。试验的主要结果将是2年随访时儿童的BMI百分位数。次要结果包括通过24小时召回和自我报告问卷和父母喂养实践的加速度计,饮食和活动进行体育锻炼。还将进行过程,调解和成本效益分析。小儿肥胖仍然是一个主要的公共卫生问题。基于证据的干预模型很少,以帮助初级保健从业人员治疗其超重儿科患者。这项研究的结果可能会影响小儿实践中肥胖护理的培训,政策和报销。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Ken A. Resnicow其他文献
Ken A. Resnicow的其他文献
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{{ truncateString('Ken A. Resnicow', 18)}}的其他基金
Population Effects of Motivation Interviewing on Pediatric Obesity in Primary Care
动机访谈对初级保健儿童肥胖的人群影响
- 批准号:
9313304 - 财政年份:2016
- 资助金额:
$ 66.85万 - 项目类别:
Population Effects of Motivation Interviewing on Pediatric Obesity in Primary Care
动机访谈对初级保健儿童肥胖的人群影响
- 批准号:
9098302 - 财政年份:2016
- 资助金额:
$ 66.85万 - 项目类别:
Increasing Enrollment in Clinical Trials through Faith-Based Intitiative
通过基于信仰的举措增加临床试验的注册人数
- 批准号:
8147751 - 财政年份:2010
- 资助金额:
$ 66.85万 - 项目类别:
Increasing Enrollment in Clinical Trials through Faith-Based Intitiative
通过基于信仰的举措增加临床试验的注册人数
- 批准号:
8048337 - 财政年份:2010
- 资助金额:
$ 66.85万 - 项目类别:
BM12: Brief Motivational Interviewing to Reduce Child BMI
BM12:减少儿童体重指数的简短动机访谈
- 批准号:
7599068 - 财政年份:2008
- 资助金额:
$ 66.85万 - 项目类别:
BM12: Brief Motivational Interviewing to Reduce Child BMI
BM12:减少儿童体重指数的简短动机访谈
- 批准号:
8214633 - 财政年份:2008
- 资助金额:
$ 66.85万 - 项目类别:
BM12: Brief Motivational Interviewing to Reduce Child BMI
BM12:减少儿童体重指数的简短动机访谈
- 批准号:
7776905 - 财政年份:2008
- 资助金额:
$ 66.85万 - 项目类别:
Tobacco Control in S.Africa: Prevention and Capacity Bu*
南非的烟草控制:预防和能力建设*
- 批准号:
7093638 - 财政年份:2002
- 资助金额:
$ 66.85万 - 项目类别:
Tobacco Control in S.Africa: Prevention and Capacity Bu*
南非的烟草控制:预防和能力建设*
- 批准号:
6779164 - 财政年份:2002
- 资助金额:
$ 66.85万 - 项目类别:
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