Mindfulness Training to Promote Healthy Diet and Physical Activity inTeens

正念训练促进青少年健康饮食和身体活动

• 批准号: 8564654
• 负责人: LORI PBERT
• 金额: $ 19.81万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-15 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8564654
• 关键词: Adolescence; Adolescent; Adopted; Adult; Age; Awareness; Behavior; Behavior Therapy; Behavioral; Body mass index; Cardiovascular Diseases; Cause of Death; Child; Complementary and alternative medicine; Development; Diabetes Mellitus; Diet; Diet Habits; Drops; Eating; Educational Intervention; Esthesia; Event; Exercise; Freedom; Gender; Goals; Habits; Health; Health Benefit; Health behavior; Health education; Impulsive Behavior; Impulsivity; Intake; Intervention; Intervention Studies; Knowledge; Lead; Life; Life Style; Link; Massachusetts; Mediating; Mediation; Mediator of activation protein; Metabolic; Modeling; Obesity; Observational Study; Outcome; Participant; Physical activity; Pilot Projects; Population; Program Evaluation; Psyche structure; Public Health; Published Comment; Quality of life; Randomized; Recruitment Activity; Risk; Risk Factors; Role; Schools; Self-control as a personality trait; Specific qualifier value; Teenagers; Testing; Time; Training; Translations; United States; Weight; Youth; design; diet and exercise; effective intervention; experience; follow-up; fruits and vegetables; good diet; high school; improved; innovation; intervention effect; meetings; mindfulness; modifiable risk; novel; premature; programs; public health relevance; response; saturated fat; secondary outcome; sedentary; therapy design; university student; Adolescence; Adolescent; Adopted; Adult; Age; Awareness; Behavior; Behavior Therapy; Behavioral; Body mass index; Cardiovascular Diseases; Cause of Death; Child; Complementary and alternative medicine; Development; Diabetes Mellitus; Diet; Diet Habits; Drops; Eating; Educational Intervention; Esthesia; Event; Exercise; Freedom; Gender; Goals; Habits; Health; Health Benefit; Health behavior; Health education; Impulsive Behavior; Impulsivity; Intake; Intervention; Intervention Studies; Knowledge; Lead; Life; Life Style; Link; Massachusetts; Mediating; Mediation; Mediator of activation protein; Metabolic; Modeling; Obesity; Observational Study; Outcome; Participant; Physical activity; Pilot Projects; Population; Program Evaluation; Psyche structure; Public Health; Published Comment; Quality of life; Randomized; Recruitment Activity; Risk; Risk Factors; Role; Schools; Self-control as a personality trait; Specific qualifier value; Teenagers; Testing; Time; Training; Translations; United States; Weight; Youth; design; diet and exercise; effective intervention; experience; follow-up; fruits and vegetables; good diet; high school; improved; innovation; intervention effect; meetings; mindfulness; modifiable risk; novel; premature; programs; public health relevance; response; saturated fat; secondary outcome; sedentary; therapy design; university student

DESCRIPTION (provided by applicant): Unhealthy dietary habits and physical inactivity are important modifiable behavioral risk factors for the development of cardiovascular disease. Both behaviors are often established during adolescence and are highly prevalent in teenagers. Conversely, the establishment of healthy dietary and physical activity habits in youth leads to significant health benefits in adulthood, highlighting the need to develop programs aimed at improving dietary and physical activity habits in youth. However, thus far, interventions designed to promote healthy dietary and exercise habits in adolescents have had modest effects on these behaviors, and there is limited knowledge on how to maintain positive changes in these habits over time. Current evidence from observational studies suggests that higher mindfulness levels in adolescents are associated with better eating and exercise habits. In addition, mindfulness is associated with lower impulsivity and better self-control, which are important determinants of healthy behaviors in younger populations. Multiple studies have shown that mindfulness levels increase in response to mindfulness training, and that an increase in mindfulness mediates the effect of mindfulness interventions on health outcomes. Consistent with the goals of PA-11-329 "to determine the influence of complementary and alternative medicine approaches on developing and sustaining healthy behavior habits in children and youth" this multi-PI application seeks to study the role of mindfulness training in promoting and maintaining healthy dietary and physical activity habits. We posit that the addition of mindfulness training to an educational program, compared to an educational program alone, will improve diet and physical activity, and these changes will be maintained over time. In addition, we expect to observe a decrease in impulsivity, indicating that impulsivity may serve as a potential mediator of the effec of the mindfulness intervention on diet and physical activity. This pilot study will test the feasibility and preliminary efficacy of a school-delivered, mindfulness + health education intervention (MHE) compared to health education (HE) alone on dietary habits and physical activity in 80 adolescents recruited among 9th graders (average age, 14) in 2 high schools in Massachusetts; each school will be randomized to either the MHE or HE intervention. Assessments will be performed at baseline, at the end of the intervention (2 months post- baseline), and at 8- months (end of academic year) follow-up. Innovative aspects of this proposal include studying the effect of mindfulness training on health behaviors among youth and the development of a new model linking mindfulness, impulsivity and behavioral change in this population. The study is significant due to the importance of the behaviors targeted and to the potential for translation to high school settings if an effect is demonstrated.

描述（由申请人提供）：不健康的饮食习惯和身体不活动是心血管疾病发展的重要可修改行为风险因素。这两种行为通常在青春期建立，在青少年中非常普遍。相反，在青年中建立健康的饮食和体育锻炼习惯会在成年期间带来重大健康益处，强调需要开发旨在改善青年饮食和体育锻炼习惯的计划。但是，到目前为止，旨在促进青少年健康饮食和运动习惯的干预措施对这些行为产生了适度的影响，并且关于如何随着时间的推移如何维持这些习惯的积极变化的知识有限。观察性研究的当前证据表明，青少年的正念水平较高，与更好的饮食和运动习惯有关。此外，正念与较低的冲动性和更好的自我控制有关，这是年轻人口健康行为的重要决定因素。多项研究表明，正念水平会随着正念训练的响应而增加，而正念的增加介导了正念干预对健康结果的影响。与PA-11-11-329的目标一致，以确定互补和替代医学方法对儿童和青少年的健康行为习惯的影响。我们认为，仅与教育计划相比，在教育计划中增加正念培训将改善饮食和体育锻炼，这些变化将随着时间的推移而保持。此外，我们预计会观察到冲动性的下降，表明冲动性可能是正念干预饮食和体育活动的潜在介体。这项试点研究将测试与健康教育（HE）相比，在马萨诸塞州2家高中的9年级招募的80名青少年（平均年龄，14个）中，在80名青少年招募的饮食习惯和体育活动中，与健康教育（HE）相比，与健康教育（HE）相比，将测试一名学校提供的，正念 +健康教育干预（MHE）的可行性和初步疗效；每所学校将被随机分配给MHE或HE干预。评估将在干预措施结束时（基线后2个月）以及8个月（学年结束）随访时进行评估。该提案的创新方面包括研究正念训练对青年人健康行为的影响以及将正念，冲动性和行为变化联系起来的新模型的发展。这项研究非常重要，这是由于针对性行为的重要性以及如果证明了效果，则可能会转化为高中环境。