A Home-Based Parent-Child Intervention to Promote Children's Energy Balance

家庭亲子干预促进儿童能量平衡

基本信息

批准号：
7496957
负责人：
CHRISTINE JACKSON
金额：
$ 21.81万
依托单位：
RESEARCH TRIANGLE INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2007
资助国家：
美国
起止时间：
2007-09-15 至 2010-08-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7496957
关键词：
7 year old Active Learning Address Affect Age Attention Behavior Behavioral Biological Child Childhood Chronic Disease Concept Review Condition Consultations Critiques Data Collection Diet Disease regression Eating Effectiveness of Interventions Energy Intake Ensure Ethnic Origin Exploratory/Developmental Grant Family Female Fostering Health Benefit Health behavior Home environment Informal Social Control Intervention Investigation Knowledge Measures Methods Modeling Mothers North Carolina Obesity Outcome Overweight Parent-Child Relations Parenting behavior Parents Participant Pattern Physical activity Pilot Projects Prevention strategy Principal Investigator Process Program Development Protocols documentation Randomized Recruitment Activity Reporting Research Research Personnel Risk Sampling Screening procedure Series Site Smoking Prevention Socialization Source Telephone Interviews Testing Universities Weight Gain anti-smoking base boys concept design efficacy evaluation energy balance expectation experience follow-up girls innovation method development nutrition programs prototype psychologic sex skills sound therapy development tool

项目摘要

DESCRIPTION (provided by applicant): This investigation will develop and pilot test a home-based intervention to modify parenting practices that influence children's eating patterns, physical activity, and media use behaviors and thereby influence children's risk of unhealthy weight gain. Aim 1: Develop a home-based intervention to modify parenting practices that influence children's risk of unhealthy weight gain. During program development the investigators will apply a successful model of a home-based parenting program for smoking prevention developed by the Principal Investigator in prior research, they will involve parents and children in screening the intervention concepts and field testing intervention prototypes, and they will utilize expert consultation on nutrition and physical activity intervention and assessment. The complete intervention will be a six month series of intervention activity guides that rely on interactive games and other forms of experiential learning to engage parents and children jointly in modifying diet, physical activity, and media use practices that promote unhealthy weight gain. Aim 2: Conduct a small sample pilot study to measure the effects of the intervention on parenting practices and on children's dietary, physical activity, and media use behaviors. At baseline, 240 dyads of mothers and seven year old children will be recruited. Mothers will be biological mothers, step- mothers, foster mothers, or other female guardians of any racial/ethnicity group; children will be boys or girls who are at-risk or nearly-at-risk of becoming overweight (defined as sex-specific BMI-for-age = 80th and < 95th percentile). Following baseline assessments completed by mothers and children on site (at Principal InvestigatorRE), participants will be randomly assigned to a 6-month treatment or to a delayed treatment control condition (controls will receive intervention materials after follow-up). Intervention exposure and fidelity will be measured using telephone interviews conducted monthly with random subsets of treatment group parents. Follow-up data collection will repeat the baseline assessment protocol for mothers and children. Regression models will be used to test the hypothesis that parents exposed to the intervention will be significantly more likely than controls to use parenting practices that promote healthy weight gain. Regression models will also test whether children in the treatment group are significantly more likely than controls to report recommended dietary, physical activity, and media use behaviors. Pediatric obesity has become increasingly prevalent and is associated with increased risk of multiple chronic diseases. Children whose diet, physical activity, and media use behaviors promote energy balance could experience long-term health benefits. For children to benefit, parents must have the knowledge, basic skills, and socialization tools they need to modify relevant socialization processes. The proposed research aims to develop a program that will meet this need.

描述（由申请人提供）：本调查将开发并试点测试一种以家庭为基础的干预措施，以改变影响儿童饮食模式、身体活动和媒体使用行为的养育方式，从而影响儿童不健康体重增加的风险。目标 1：制定家庭干预措施，改变影响儿童不健康体重增加风险的养育方式。在项目开发过程中，研究人员将应用首席研究员在先前研究中开发的预防吸烟家庭育儿项目的成功模式，他们将让父母和孩子参与筛选干预概念和现场测试干预原型，并利用营养和身体活动干预与评估专家咨询。完整的干预将是为期六个月的系列干预活动指南，依靠互动游戏和其他形式的体验式学习，让父母和孩子共同改变导致不健康体重增加的饮食、身体活动和媒体使用习惯。目标 2：进行小样本试点研究，衡量干预措施对养育方式以及儿童饮食、身体活动和媒体使用行为的影响。基线时，将招募 240 名母亲和 7 岁儿童。母亲可以是任何种族/族裔群体的亲生母亲、继母、养母或其他女性监护人；儿童是有超重风险或接近风险的男孩或女孩（定义为特定性别的年龄别 BMI = 第 80 个百分位且 < 95 个百分位）。母亲和儿童在现场（在首席研究员RE）完成基线评估后，参与者将被随机分配接受为期 6 个月的治疗或延迟治疗对照条件（对照组将在随访后收到干预材料）。干预暴露和忠诚度将通过每月对治疗组父母的随机子集进行电话访谈来衡量。后续数据收集将为母亲和儿童重复基线评估方案。回归模型将用于检验以下假设：接受干预的父母比对照组更有可能采取促进健康体重增加的育儿做法。回归模型还将测试治疗组的儿童是否比对照组更有可能报告推荐的饮食、身体活动和媒体使用行为。儿童肥胖已变得越来越普遍，并且与多种慢性疾病的风险增加有关。饮食、身体活动和媒体使用行为促进能量平衡的儿童可以获得长期的健康益处。为了让孩子受益，父母必须拥有改变相关社会化过程所需的知识、基本技能和社会化工具。拟议的研究旨在开发一个能够满足这一需求的计划。