Adolescents Committed To Improvement Of Nutrition and Physical Activity (ACTION)

青少年致力于改善营养和身体活动（行动）

• 批准号: 7433383
• 负责人: Alberta Sum-Yu Kong
• 金额: $ 26.25万
• 依托单位: UNIVERSITY OF NEW MEXICO
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-01 至 2010-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7433383
• 关键词: Address; Adherence; Adolescent; Adolescent Medicine; Adopted; Adult; Affect; Age; Behavior; Behavioral; Beverages; Biometry; Blood Pressure; Body Weight; Body mass index; Centers for Disease Control and Prevention (U.S.); Child; Childhood; Chronic; Clinical; Commit; Communities; Condition; Consumption; Control Groups; Cross-Sectional Studies; Data; Development; Dyslipidemias; Epidemic; Experimental Designs; Fatty acid glycerol esters; Food; Health; Healthy People 2010; High Prevalence; Hispanics; Hypertension; Institutional Policy; Insulin Resistance; Intervention; Life Style; Measurement; Measures; Medical; Metabolic; Metabolic syndrome; Methodology; Modeling; Modification; National Health and Nutrition Examination Survey; New Mexico; Nutritionist; Obesity; Outpatients; Overweight; Parents; Physical Fitness; Physical activity; Printing; Production; Provider; Public Health; Purpose; Qualitative Research; Recruitment Activity; Relative (related person); Research; Research Personnel; Risk; Risk Behaviors; Risk Factors; Schools; Score; Site; Social Marketing; Staging; Students; Testing; Time; Training; Translational Research; Triglycerides; United States; United States Dept. of Health and Human Services; Universities; alginic acid compound; base; community based participatory research; comparison group; design; diet and exercise; expectation; fruits and vegetables; glucose metabolism; high school; improved; innovation; interdisciplinary approach; intervention program; motivational enhancement therapy; multidisciplinary; nutrition; obesity risk; prevent; school health; sedentary; social; sugar; teenage parents

DESCRIPTION (provided by applicant): Obesity has become epidemic in U.S. children and adolescents. An unfortunate consequence of this epidemic is the recent recognition of the metabolic syndrome in adolescents, a condition that was historically an adult entity. The main purpose of the proposed R-21 study is to use Community Based Participatory Research (CBPR) methodology to create, implement and evaluate a culturally relevant and age-appropriate obesity intervention (ACTION) for primarily Hispanic adolescents who are overweight. The intervention will be implemented through Albuquerque Public Schools' School-Based Health Centers (SBHCs). ACTION has 3 primary components that were jointly determined with SBHC providers and students in preparing the current proposal: biweekly clinical encounters with SBHC providers, use of Motivational Enhancement Therapy to help overweight adolescents adopt healthier behaviors (specifically increase fruits and vegetable, decrease high fat foods, decrease high sugar beverages, increase physical activity and decrease sedentary behavior), and use of a community advisory council to develop strategies specific to the Stages of Change which will be delivered by print and DVD media. Additional formative research with teens, parents, and school staff will be conducted to explore the potential social, institutional and policy level mechanisms that can be added to ACTION to support high school students in achieving a healthier lifestyle. Intervention components will be modified as suggested by the community advisory council. To test efficacy of the ACTION intervention in one semester, overweight adolescents who are ready to change will be recruited. The study will employ a quasi-experimental design in which one SBHC will deliver the intervention condition and another SBHC will deliver the control condition. Students will have pre- and post- intervention measurements at both SBHC sites to assess if adolescents in the intervention condition will have improved risk factor profile for metabolic syndrome, improved nutrition and improved physical activity when compared with students in the control condition. Analytical approaches will include both cross-sectional analyses at each point in time, pre-post comparisons within each group and comparison of change between the intervention and control groups. This study will provide formative data on potential social, institutional and policy level mechanisms to support high school students in achieving a healthier lifestyle and pilot data on the efficacy of the developed intervention which will be used to plan and design a full-scale intervention for an R34/R01 submission. PUBLIC HEALTH RELEVANCE: Recent estimate of overweight and obese adolescents, ages 12-19 years, in the U.S. is 11%. Healthy People 2010 has set an objective to reduce the proportion of adolescents who are overweight or obese to 5%. The proposed study, ACTION, will contribute greatly to addressing this critical public health problem of childhood obesity through the innovative mechanism of using School-Based Health Centers.

描述（由申请人提供）：在美国儿童和青少年中，肥胖已成为流行病。这种流行病的不幸后果是最近对青少年代谢综合征的认识，这种疾病在历史上是成年实体。拟议的R-21研究的主要目的是使用基于社区的参与性研究（CBPR）方法来创建，实施和评估与超重的西班牙裔青少年相关的文化相关且适合年龄的肥胖干预（行动）。干预措施将通过阿尔伯克基公立学校的学校医疗中心（SBHC）实施。动作具有3个主要组成部分，由SBHC提供者和学生共同确定当前的提议：与SBHC提供者进行双周临床相遇，使用动机增强疗法，以帮助超重的青少年采用更健康的行为（通常会增加果实和高脂肪的态度，减少糖果的行为，降低糖尿病的行为，并减少糖尿病的行为，并减少糖尿病的行为，并减少糖尿病的行为，并减少糖尿病的行为。制定特定于印刷和DVD媒体将提供的变革阶段的策略。将与青少年，父母和学校工作人员进行进一步的形成性研究，以探索可以将其添加到行动中的潜在社会，机构和政策水平机制，以支持高中生实现更健康的生活方式。干预组件将按照社区咨询委员会的建议进行修改。为了测试一个学期的行动干预功效，将招募准备更改的超重青少年。该研究将采用准实验设计，其中一个SBHC将提供干预条件，而另一项SBHC将提供控制条件。学生将在两个SBHC站点进行干预前和后干预测量，以评估与对照条件的学生相比，在干预条件下的青少年是否会改善代谢综合征的风险因素特征，改善营养和改善的体育活动。分析方法将包括每个时间点的横截面分析，每个组内的前比较以及干预组和对照组之间的变化比较。这项研究将提供有关潜在的社会，机构和政策水平机制的形成性数据，以支持高中生获得有关开发干预措施有效性更健康的生活方式和试点数据，该数据将用于计划和设计R34/R01提交的全面干预措施。公共卫生相关性：美国超重和肥胖青少年的最新估计在美国，年龄在12-19岁之间的估计为11％。 Healthy People 2010设定了一个目标，可以将超重或肥胖的青少年比例减少到5％。拟议的研究，行动将通过使用基于学校的健康中心的创新机制来解决这个关键的公共卫生问题。