MA Childhood Obesity Research

儿童肥胖研究硕士

• 批准号: 8530031
• 负责人: Thomas Grover Land
• 金额: $ 174.61万
• 依托单位: MASSACHUSETTS STATE DEPT OF PUB HEALTH
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-30 至 2016-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8530031
• 关键词: MA; Childhood; Obesity; Research

DESCRIPTION (provided by applicant): Project abstract The proposed Mass in Motion: Community-Clinical Partnerships to Reduce Childhood Obesity will use the Obesity Chronic Care Model to implement and evaluate a comprehensive, systematic intervention to reduce childhood obesity among underserved children. The Massachusetts Department of Public Health (MDPH), in partnership with the Department of Population Medicine at Harvard Medical School, the Harvard School of Public Health, and the National Initiative for Children's Healthcare Quality, seeks to build on promising community-level experience and related clinical obesity prevention work in communities through the statewide Mass in Motion wellness initiative to develop an intervention in two cities, Fitchburg and New Bedford, that could be replicated throughout the state. The study proposes an integrated multi-sector and multi-level approach. It incorporates evidence-based interventions in primary health care (High Five for Kids), child care (I Am Moving, I am Learning; NAP SACC) and schools/after-school programs (Food & Fun, Eat Well and Keep Moving, and Planet Health), as well as policy change and a community-wide social marketing campaign to prevent or reduce obesity among predominantly low-income 2-12-year- old children. Using a combination of pre- post time series and quasi-experimental designs, we will examine the effectiveness of our intervention on individual-level lifestyle behaviors, change in body mass index (BMI), satisfaction with health care services, and quality of life. The Specific Aims are: (1) In intervention v. comparison communities, examine the extent to which a multi-level, multi-sector intervention for children, based in pediatric primary care, early educatin and child care programs, elementary and middle schools, after school programs, and a community-wide social marketing campaign results in improvements in obesogenic behaviors. (2) In intervention v. comparison communities, achieve smaller age associated increases in BMI. (3) In health centers in the intervention communities, demonstrate increases in: BMI screening and counseling on the 5 targeted obesity-related behaviors for all children ages 2-12 years; Coordinated care by a multi-disciplinary clinical team and community health workers for children with an age- and sex-specific BMI e 85th percentile; Parental satisfaction with services and child obesity-related quality of life. (4) Collect data on the costs of the intervention activiies in preparation for cost-effectiveness analyses. (5) Develop a detailed implementation and dissemination guide for MDPH to use to support adoption in other communities across the state.

描述（由申请人提供）：项目摘要拟议中的运动：减少儿童肥胖的社区临床合作伙伴关系将使用肥胖症慢性护理模型来实施和评估全面的，系统的干预措施，以减少贫困儿童的儿童肥胖症。 The Massachusetts Department of Public Health (MDPH), in partnership with the Department of Population Medicine at Harvard Medical School, the Harvard School of Public Health, and the National Initiative for Children's Healthcare Quality, seeks to build on promising community-level experience and related clinical obesity prevention work in communities through the statewide Mass in Motion wellness initiative to develop an intervention in two cities, Fitchburg and New Bedford, that could be replicated throughout国家。该研究提出了一种综合的多部门和多层方法。它纳入了基于证据的初级保健（儿童高五个），儿童保育（我正在搬家，我正在学习； NAP SACC）和学校/课后课程（食物与娱乐，饮食和饮食良好，保持健康以及行星健康）以及政策变化以及社区范围内的社会营销活动，以预防或减少低年份的2年代2至12年级的社会营销活动。我们将结合发布时间序列和准实验设计，研究我们干预对个人水平生活方式行为的有效性，体重指数的变化（BMI），对医疗保健服务的满意度以及生活质量。具体目的是：（1）在干预案中，比较社区，研究基于儿科初级保健，早期的教育和儿童保育计划，小学和中学的多层次，多部门的干预，以及课后课程，以及社区范围内的社会营销活动成果。 （2）在干预案中，比较群落，实现BMI年龄较小的相关增长。 （3）在干预社区的卫生中心中，证明了以下情况：BMI筛查和咨询对2-12岁儿童的5种针对性肥胖相关行为；由多学科临床团队和社区卫生工作者为年龄和性别特定BMI E 85％的儿童进行协调的护理；父母对服务和儿童肥胖相关的生活质量的满意。 （4）收集有关干预活动成本的数据，以准备成本效益分析。 （5）为MDPH使用详细的实施和传播指南，以支持全州其他社区的采用。