Addressing Barriers to Physical Activity in Inner-City Schoolchildren with Asthma

解决内城区哮喘学童体育活动的障碍

• 批准号: 9250341
• 负责人: Marina Reznik
• 金额: $ 6.19万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE, INC
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-09-01 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9250341
• 关键词: Addressing; Barriers; Physical; Activity; Inner

DESCRIPTION (provided by applicant): The candidate, Marina Reznik, MD, MS is an Assistant Professor of Pediatrics at the Albert Einstein College of Medicine (Einstein), Children's Hospital at Montefiore (CHAM). Her long-term goal is to become a productive, independently funded clinical investigator with expertise in developing community-based interventions to improve the health care services and outcomes for medically underserved minority children with chronic diseases such as asthma and obesity. To achieve her goal, Dr. Reznik seeks to augment her prior basic training in clinical research methods and gain skills through combination of advanced didactic courses in behavioral methodology, qualitative research, advanced experimental designs and Community-Based Participatory Research (CBPR) and conducting proposed research. Her research is aimed at developing an intervention that will address barriers and facilitators to physical activity in inner-city minority elementary school students with asthma, more than half of whom are also overweight. Her research agenda is to generate rigorous evidence to improve physical activity in this vulnerable population through an intervention targeted to the needs of the community and developed in partnership with the community. Dr. Reznik proposes a two- phase project to develop and then evaluate a pilot intervention. In phase I, she will identify barriers and facilitators to physical activity using qualitative methods and inform intervention development (Specific Aims 1 and 2). Semi-structured interviews will be conducted with students, parents, school personnel and representatives from the community to identify barriers and facilitators to physical activity in children with asthma. Guided by the results of the qualitative analysis and CBPR principles, a Collaborative Board with representatives from the New York City Departments of Education and Health, South Bronx Asthma Partnership, schools, and parents will be established to provide feedback on intervention development. In phase II, the intervention will be tested via a pilot randomized controlled trial (RCT) for scientific and practical feasibility while assessing the proximal goal of improved physical activity levels, measured objectively with an accelerometer (Specific Aim 3). This pilot study will take place at four resource-poor elementary schools in the Bronx, New York. This study will inform a future large-scale cluster RCT to test the effectiveness of the developed intervention on improving physical activity and fitness levels, motivating behavior change, achieving healthier weight trajectories, and reducing asthma-related morbidity in inner-city minority students with asthma. In the rich research environment of Einstein and CHAM, Dr. Reznik will be guided by a team of three local experts in community-based clinical trials of obesity prevention (Dr. Wylie-Rosett); qualitative research, behavioral intervention trials and CBPR (Dr. Bauman); and clinical trials of school-based exercise intervention (Dr. Ozuah). Advisory committee includes strong foundation in clinical trials of asthma interventions (Drs. Crain and Cabana), design and analysis of clinical trials (Dr. Kim) and exercise physiology (Dr. Rowlands).

描述（由申请人提供）：候选人 Marina Reznik，医学博士、理学硕士，是阿尔伯特·爱因斯坦医学院 (Einstein) 蒙蒂菲奥里儿童医院 (CHAM) 的儿科助理教授。她的长期目标是成为一名富有成效、独立资助的临床研究者，拥有开发基于社区的干预措施的专业知识，以改善患有哮喘和肥胖等慢性疾病的医疗服务不足的少数族裔儿童的医疗保健服务和结果。为了实现她的目标，Reznik 博士寻求加强她之前在临床研究方法方面的基础培训，并通过结合行为方法学、定性研究、先进实验设计和社区参与性研究 (CBPR) 方面的高级教学课程来获得技能，并进行拟议的研究研究。她的研究旨在开发一种干预措施，解决患有哮喘的市中心少数民族小学生体育活动的障碍和促进因素，其中一半以上也超重。她的研究议程是通过针对社区需求并与社区合作开发的干预措施来提供严格的证据，以改善这一弱势群体的身体活动。雷兹尼克博士提出了一个两阶段项目来开发然后评估试点干预措施。在第一阶段，她将使用定性方法确定身体活动的障碍和促进因素，并为干预措施的制定提供信息（具体目标 1 和 2）。将对学生、家长、学校工作人员和社区代表进行半结构化访谈，以确定哮喘儿童体育活动的障碍和促进因素。在定性分析结果和 CBPR 原则的指导下，将成立一个由纽约市教育和卫生部、南布朗克斯哮喘合作组织、学校和家长代表组成的合作委员会，以提供有关干预措施发展的反馈。在第二阶段，将通过试点随机对照试验 (RCT) 测试干预措施的科学性和实践可行性，同时评估通过加速度计客观测量的改善体力活动水平的近期目标（具体目标 3）。这项试点研究将在纽约布朗克斯区的四所资源匮乏的小学进行。这项研究将为未来的大规模集群随机对照试验提供信息，以测试所开发的干预措施在改善体力活动和健身水平、激励行为改变、实现更健康的体重轨迹以及降低患有哮喘的内城少数民族学生中与哮喘相关的发病率方面的有效性。在Einstein和CHAM丰富的研究环境中，Reznik博士将在由三名当地专家组成的团队的指导下进行基于社区的肥胖预防临床试验（Wylie-Rosett博士）；定性研究、行为干预试验和 CBPR（鲍曼博士）；以及基于学校的运动干预的临床试验（Ozuah 博士）。咨询委员会包括哮喘干预临床试验（Crain 和 Cabana 博士）、临床试验设计和分析（Kim 博士）以及运动生理学（Rowlands 博士）方面的坚实基础。

项目成果

Do United States' teachers know and adhere to the national guidelines on asthma management in the classroom? A systematic review.

• DOI: 10.1155/2015/624828
• 发表时间: 2015-01-01
• 期刊: TheScientificWorldJournal
• 作者: Jaramillo, Yudilyn;Reznik, Marina
• 通讯作者: Reznik, Marina

Asthma management in New York City schools: A physical education teacher perspective.

纽约市学校的哮喘管理：体育教师的观点。

• DOI: 10.1080/02770903.2018.1463380
• 发表时间: 2019
• 期刊: The Journal of asthma : official journal of the Association for the Care of Asthma
• 作者: McClelland,QiYingLi;Avalos,MariaIvanna;Reznik,Marina
• 通讯作者: Reznik,Marina

Parental Perspectives of Barriers to Physical Activity in Urban Schoolchildren With Asthma.

• DOI: 10.1016/j.acap.2017.12.011
• 发表时间: 2018-04
• 期刊: Academic pediatrics
• 影响因子: 3.1
• 作者: Kornblit A;Cain A;Bauman LJ;Brown NM;Reznik M
• 通讯作者: Reznik M