Web-based Family Intervention for Pediatric Obesity

基于网络的儿童肥胖家庭干预

• 批准号: 7405183
• 负责人: STEVEN M CHRISTIANSEN
• 金额: $ 19.86万
• 依托单位: DESCHUTES RESEARCH, INC.
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-02-15 至 2010-02-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7405183
• 关键词: Accounting; Address; Adolescence; African; African American; Arts; Attention; Attitude; Awareness; Behavior; Behavior Therapy; Behavioral; Bite; Body Weight Changes; Body Weight decreased; Body mass index; Cardiovascular Diseases; Child; Childhood; Clinical Research; Clinical Trials; Cognitive; Consumer Satisfaction; Contracts; Coping Skills; Daily; Development; Dietary intake; Documentation; Eating; Eating Behavior; Emotional; Epidemic; Ethnic group; Evaluation; Family; Feedback; Focus Groups; Food; Food and Beverages; Goals; Habits; Health; Health behavior; Height; Hispanic Americans; Hispanics; Home environment; Incidence; Individual; Internet; Intervention; Knowledge; Language; Learning; Life Style; Mastication; Methods; Minority; Modeling; Modification; Monitor; Motivation; Narration; Non-Insulin-Dependent Diabetes Mellitus; Obesity; Online Systems; Outcome; Outpatients; Overweight; Parents; Patients; Phase; Physical activity; Population; Positive Reinforcements; Prevalence; Primary Health Care; Public Health; Randomized; Reporting; Rest; Restaurants; Risk; Sampling; Site; Stimulus; System; Target Populations; Techniques; Testing; Text; Time; Visit; Weight; Weight maintenance regimen; base; behavior change; concept; design; disorder later incidence prevention; efficacy trial; ethnic minority population; fast food; follow-up; innovation; intervention program; nutrition; nutrition education; pediatrician; programs; prototype; psychosocial; sedentary; size; skills; social; theories; treatment program; trial comparing; usability

DESCRIPTION (provided by applicant): Recent studies indicate that the prevalence of overweight and obesity in children is very high (about 25-30 percent), and the incidence is increasing, especially among minority African- American and Hispanic children. Obesity in childhood is associated with a high risk of continued obesity into adolescence and adulthood. This is of great public health significance because obesity increases risk for the development of type 2 diabetes and cardiovascular disease. Empirically validated interventions are available for the treatment of pediatric obesity. However, one of the major difficulties with treatment of pediatric obesity is access to effective treatment programs; the majority of overweight children do not receive formal family-based behavioral weight control intervention. Therefore, a key issue in dealing with the epidemic of pediatric obesity is how to provide effective treatment to the population of overweight children. We believe that pediatricians' increased attention to this significant public health problem affords an opportunity for providing greater access to effective intervention. We propose to develop an innovative web program to support pediatric weight loss, based on those principles shown to be effective in clinical studies of obese children. We envision a system in which pediatricians identify overweight children as part of routine primary care, and then refer families to a web site designed to increase their awareness of the problem of obesity and its associated health risks, as well as increase their motivation to engage in lifestyle change to reduce overweight through the development of healthful dietary and physical activity habits. The web site will be accessed by children and parents over time and the system will generate reports on usage, as well as health behaviors and weight changes to be sent electronically to the referring pediatricians. During Phase I, we will develop an interactive prototype on a web site aimed at parents and their overweight children. The prototype will be developed using several of the concepts and skills from existing effective family-based behavioral interventions, as well as input from focus groups of overweight children, their parents, and pediatricians. We will evaluate the overall usability of the prototype by assessing health behaviors of overweight children and their parents, as well as their and the referring pediatricians' attitudes, knowledge, intent to use, perceived barriers, and consumer satisfaction both pre and post use of the interactive program presented via the internet web site.

描述（由申请人提供）：最近的研究表明，儿童超重和肥胖症的患病率很高（约25-30％），而且发病率正在增加，尤其是在少数非裔美国人和西班牙裔儿童中。童年时期的肥胖与持续肥胖至青春期和成年的高风险有关。这具有很大的公共卫生意义，因为肥胖会增加2型糖尿病和心血管疾病的发展风险。经验验证的干预措施可用于治疗小儿肥胖症。但是，小儿肥胖治疗的主要困难之一是获得有效的治疗计划。大多数超重儿童没有接受正式的基于家庭的行为体重控制干预措施。因此，处理小儿肥胖症流行的关键问题是如何为超重儿童的人群提供有效的治疗方法。我们认为，儿科医生对这一重大公共卫生问题的关注不断增加，这为提供有效干预的机会提供了机会。我们建议开发一项创新的网络计划，以支持小儿体重减轻，这是基于这些原则在肥胖儿童的临床研究中有效的原则。我们设想了一个系统，儿科医生将超重儿童识别为常规初级保健的一部分，然后将家庭推荐给一个网站，旨在提高他们对肥胖问题及其相关的健康风险的认识，并通过发展健康饮食和身体活动的发展来减少生活方式改变以减少超重的生活方式。随着时间的推移，孩子和父母将访问该网站，该系统将生成有关使用情况的报告，以及以电子方式将其行为和体重变化以电子方式发送给转诊儿科医生。在第一阶段，我们将在针对父母及其超重孩子的网站上开发一个交互式原型。该原型将使用现有有效的基于家庭行为干预措施的几种概念和技能以及超重儿童，父母和儿科医生的焦点小组的投入来开发。我们将通过评估超重儿童及其父母的健康行为，以及他们以及推荐的儿科医生的态度，知识，使用，感知的障碍以及消费者的满意度以及通过Internet网站提出的交互式计划的预先使用和后使用。