UCLA/RAND CENTER FOR ADOLESCENT HEALTH PROMOTION-CATEGORY 1

加州大学洛杉矶分校/兰德青少年健康促进中心 - 1 类

• 批准号: 7922101
• 负责人: Roshan Bastani
• 金额: $ 109万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7922101
• 关键词: UCLA; RAND; CENTER; ADOLESCENT; HEALTH

DESCRIPTION (provided by applicant): The UCLA/RAND Center for Adolescent Health Promotion's mission is to conduct prevention research that (1) addresses the needs of children, adolescents, young adults, and their families; (2) builds empowering relationships with community partners in Los Angeles and beyond; and (3) directly benefits communities and/or transforms local, state, and national policies. For ten years, our partner community has been LA's large, diverse South Bay region. Our core research project, Parents and Students for Nutrition and eXercise (P-SNaX), is a community-based participatory research (CBPR) project to develop and test a parent-focused intervention to improve childhood nutrition and exercise in homes and neighborhoods. P-SNaX builds on one of our existing successful CBPR projects (SNaX), a child-focused intervention to improve student nutrition and exercise in middle schools. Together, SNaX and P-SNaX may offer a sustainable comprehensive approach to childhood obesity prevention that, although recommended, has been elusive in practice. In Year 1, we will conduct surveys assessing parent needs with respect to their child's nutrition and exercise. We will then work closely with communities, parents, students, and schools to develop P-SNaX to increase parent self-efficacy and to stimulate change in homes and neighborhoods. In Years 2-5, we will test the intervention in four South Bay schools (SNaX + P-SNaX vs. SNaX-only), disseminate preliminary and final results, and prepare for a large-scale cluster-randomized trial. Our specific aims are: (1) To assess parents' needs, self- efficacy, and behaviors with respect to childhood obesity prevention in their homes, schools, and neighborhoods; (2) To develop a school-based, parent-focused CBPR intervention (P-SNaX), administered in conjunction with SNaX, to increase parent self-efficacy and improve child and parent behaviors with respect to childhood obesity prevention; (3) To conduct a four-school controlled trial (P-SNaX + SNaX vs. SNaX only) to examine the incremental effects of P-SNaX on healthy eating and physical activity among students; and (4) To disseminate results of the combined parent and student-focused intervention to community stakeholders, and to develop plans for broad program dissemination and additional research. RELEVANCE (See instructions): Childhood obesity is a national public health concern. Comprehensive approaches to childhood obesity prevention involving children, parents, schools, and communities are widely recommended, but the ability to deliver and sustain such programs has been lacking. Participatory research among researchers, families, schools, and communities may be able to find new, effective solutions.

描述（由申请人提供）： 加州大学洛杉矶分校/兰德青少年促进促进的使命是进行预防研究，以满足儿童，青少年，年轻人及其家人的需求； （2）建立与洛杉矶及其他地区社区合作伙伴的关系； （3）直接受益于社区和/或改变地方，州和国家政策。十年来，我们的合作伙伴社区一直是洛杉矶庞大的南湾地区。我们的核心研究项目，营养与运动的父母和学生（P-SNAX）是一个基于社区的参与性研究（CBPR）项目，旨在开发和测试以父母为中心的干预措施，以改善家庭和社区中的儿童营养和运动。 P-SNAX建立在我们现有成功的CBPR项目（SNAX）的基础上，这是一种以儿童为中心的干预措施，可改善中学的学生营养和运动。 SNAX和P-SNAX共同提供了一种可持续的综合方法来预防儿童肥胖症，尽管建议在实践中难以捉摸。在第一年，我们将对父母的营养和运动进行评估的调查。然后，我们将与社区，父母，学生和学校紧密合作，以发展P-SNAX，以提高父母的自我效能感并刺激家庭和社区的变化。在2 - 5年中，我们将测试四所南湾学校的干预措施（SNAX + P-SNAX与仅Snax-仅），传播初步和最终结果，并为大规模的集群随机试验做准备。我们的具体目的是：（1）评估父母在家里，学校和社区中预防儿童肥胖方面的需求，自我效能和行为； （2）开发与SNAX结合使用的基于学校的，以父母为中心的CBPR干预（P-SNAX），以提高父母的自我效能感并改善有关儿童肥胖预防的孩子和父母行为； （3）进行四校对照试验（P-SNAX + SNAX与SNAX），以检查P-SNAX对学生健康饮食和学生体育锻炼的增量影响； （4）向社区利益相关者传播父母和以学生为中心的干预措施的结果，并制定了广泛的计划传播计划和其他研究计划。相关性（请参阅说明）：儿童肥胖是国家公共卫生的关注。广泛建议使用涉及儿童，父母，学校和社区的童年肥胖症的全面方法，但缺乏交付和维持此类计划的能力。研究人员，家庭，学校和社区之间的参与性研究可能能够找到新的有效解决方案。