Attrition in Pediatric Weight Management

儿童体重管理中的自然减员

基本信息

批准号：
8637096
负责人：
Joseph Arnold Skelton
金额：
$ 17.24万
依托单位：
WAKE FOREST UNIVERSITY HEALTH SCIENCES
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-04-01 至 2016-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8637096
关键词：
Active Learning Address Advocate Affect Area Award Behavior Therapy Body Weight decreased Caring Characteristics Child Childhood Chronic Clinic Clinical Clinical Research Communities Community Healthcare Competence Complex Controlled Study Data Development Development Plans Disease Drops Environment Epidemic Evidence based treatment Family Family Characteristics Foundations Goals Health Health Benefit Health Personnel Human Resources Intervention Interview K-Series Research Career Programs Knowledge Locales Medical Mentored Patient-Oriented Research Career Development Award Mentorship Modification Obesity Patients Pediatric Research Pediatrics Positioning Attribute Prevalence Primary Health Care Public Health Qualitative Research Recommendation Reporting Research Research Methodology Research Personnel Research Project Grants Resources Scientist Services Staging Structure Training Universities Weight Weight maintenance regimen base career career development community setting effective therapy expectation experience forest improved informant medical schools obesity in children obesity treatment prevent primary care setting professor programs public health relevance satisfaction skills sound tertiary care treatment program treatment site

项目摘要

DESCRIPTION (provided by applicant): Joseph A. Skelton, MD, is an Assistant Professor of Pediatrics at Wake Forest University School of Medicine (WFUSM) with extensive clinical experience in the treatment of pediatric obesity. He will utilize this K23 Award to expand his clinical research skills and develop unique approaches to improving the delivery of evidence based treatment to obese children and their families. His career goal is to become an independent researcher in pediatric obesity treatment, developing and evaluating family-centered interventions to improve the quality of obesity treatment resources. Dr. Skelton will capitalize on the strong research environment and excellent mentorship of WFUSM to gain: competence in child- and family-focused research; expertise in conducting research in primary care offices and community-based settings; skill in qualitative research methods; and knowledge of satisfaction with and attrition from medical and behavioral therapies. His Career Development Plan features structured mentorship by a diverse and experienced committee, interaction and training with experienced pediatric research staff, formal educational programs, and experiential learning through the completion of the Research Plan. This research is timely and of great importance, as the prevalence of pediatric obesity continues to grow. The overarching hypothesis of the candidate's research program is that attrition from obesity treatment, a significant impediment to successful weight loss, is mitigated by patient and family characteristics and by the treatment programs themselves. The candidate will investigate attrition from treatment through the recruitment of families of obese children from 3 different treatment sites. Predictors of attrition will be determined through qualitative and quantitative study of a) characteristics of participating families (sociodemographics, structure, health, and weight status), b) characteristics of treatment programs, and c) satisfaction of families in treatment. Treatment programs will then be engaged, through interviews with key informants who are community health care providers, to modify treatments based on study findings. This proposal will provide Dr. Skelton with the skills to become an independent investigator of pediatric obesity treatment. Public Health Relevance: Effective treatments for pediatric obesity have been developed, but attrition from care is a significant impediment to improving the health of an obese child. Given the burden of childhood obesity and its complications, efforts to understand and reduce attrition hold great promise for substantial public health benefit. The same approaches developed in this research program may also be effective in reducing attrition from treatment programs for other chronic childhood diseases, thereby greatly multiplying the potential public health impact of this research agenda over the long term.

描述（由申请人提供）：医学博士Joseph A. Skelton是Wake Forest University医学院（WFUSM）的儿科助理教授，在儿科肥胖症治疗方面具有丰富的临床经验。他将利用这一K23奖来扩大他的临床研究技能，并开发独特的方法来改善对肥胖儿童及其家人的基于证据的治疗。他的职业目标是成为小儿肥胖治疗的独立研究人员，开发和评估以家庭为中心的干预措施，以提高肥胖症治疗资源的质量。 Skelton博士将利用强大的研究环境和WFUSM的出色指导来获得：以儿童和家庭为中心的研究能力；在初级保健办公室和社区环境中进行研究方面的专业知识；定性研究方法的技能；以及对医疗和行为疗法的满意度和流失的了解。他的职业发展计划由多元化且经验丰富的委员会，与经验丰富的儿科研究人员，正规教育计划以及通过完成研究计划的经验丰富的互动和培训进行结构化指导。随着小儿肥胖症的流行率不断增长，这项研究非常及时且非常重要。候选人研究计划的总体假设是，肥胖治疗的损耗是患者和家庭特征以及治疗方案本身减轻成功体重减轻的重大障碍。候选人将通过招募来自3个不同治疗部位的肥胖儿童家庭来调查治疗的损耗。损耗的预测因素将通过对a）参与家庭特征（社会人口统计学，结构，健康和体重状况）的特征进行定性和定量研究确定，b）治疗方案的特征以及c）对家庭的满意度。然后，通过与社区医疗保健提供者的主要线人的访谈，将参与治疗计划，以根据研究结果修改治疗。该建议将为斯凯尔顿博士提供成为小儿肥胖治疗的独立研究者的技能。公共卫生相关性：已经开发了有效的小儿肥胖症治疗方法，但是护理中的消耗是改善肥胖儿童健康的重大障碍。鉴于儿童肥胖的负担及其并发症，理解和减少损耗的努力为实质性的公共卫生福利带来了巨大的希望。该研究计划中开发的相同方法也可能有效减少其他慢性儿童疾病的治疗计划的损耗，从而大大增加了这项研究议程的潜在公共卫生影响。

项目成果

期刊论文数量（29）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Addressing Childhood Obesity: Opportunities for Prevention.

DOI：
10.1016/j.pcl.2015.05.013
发表时间：
2015-10
期刊：
Pediatric clinics of North America
影响因子：
2.6
作者：
Brown CL;Halvorson EE;Cohen GM;Lazorick S;Skelton JA
通讯作者：
Skelton JA

Attrition in a Multidisciplinary Pediatric Weight Management Clinic.

DOI：
10.1089/chi.2011.0010
发表时间：
2011-06-20
期刊：
Childhood obesity (Print)
影响因子：
0
作者：
Skelton JA;Goff DC Jr;Ip E;Beech BM
通讯作者：
Beech BM

Pain as a Comorbidity of Pediatric Obesity.

DOI：
10.1177/1941406412458315
发表时间：
2012-10-01
期刊：
Infant, child & adolescent nutrition
影响因子：
0
作者：
Hainsworth KR;Miller LA;Stolzman SC;Fidlin BM;Davies WH;Weisman SJ;Skelton JA
通讯作者：
Skelton JA

Caregiver Expectations of Family-based Pediatric Obesity Treatment.

护理人员对以家庭为基础的小儿肥胖治疗的期望。