Community Based Approaches to Reducing Childhood Obesity in Providence

普罗维登斯以社区为基础的减少儿童肥胖的方法

• 批准号: 8756433
• 负责人: Kim M. Gans
• 金额: $ 3万
• 依托单位: BROWN UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2014
• 资助国家: 美国
• 起止时间: 2014-08-09 至 2017-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8756433
• 关键词: Address; Adult; Affect; Agreement; Area; Behavior; Behavioral; Build-it; Child; Cities; Communities; Community Outreach; Complex; Data; Data Analyses; Data Collection; Development; Diet; Eating; Economic Factors; Economics; Ensure; Evaluation; Event; Family; Focus Groups; Food; Goals; Influentials; Intervention; Intervention Studies; Interview; Leadership; Learning; Low income; Maps; Methodology; Minority Groups; Mission; Neighborhoods; Obesity; Parents; Pathway interactions; Physical activity; Prevention Research; Principal Investigator; Process; Process Assessment; Public Health; Recruitment Activity; Research; Research Design; Research Infrastructure; Research Personnel; Resources; Safety; Series; Training; Universities; Vision; Work; Writing; base; child poverty; community based participatory research; community intervention; community planning; design; effective intervention; good diet; health disparity; health equity; high risk; informant; interest; meetings; member; obesity in children; obesity prevention; outreach; public health relevance; racial and ethnic; social; social capital; socioeconomics; therapy design; therapy development

DESCRIPTION (provided by applicant): Childhood obesity is a serious public health problem with significant racial, ethnic and socioeconomic disparities caused by a complex interplay of social, economic, cultural, political and neighborhood-specific factors. Closing this disparities gap and developing interventions that are effective and focused on the community's specific needs and priorities requires an in-depth understanding of the complex interplay of these factors. Thus, there is a compelling need to conduct Community Based Participatory Research (CBPR) to develop effective, collaborative prevention and intervention research strategies to reduce childhood obesity- related health disparities. CBPR has been shown to be an effective process for obesity prevention efforts; but more research is needed. Through this proposal, a stellar team including investigators from Brown University, the Greater Providence YMCA, experts in CBPR and facilitation, a Community Advisory Board of diverse, influential and representative community stakeholders and residents will work together in a collaborative, co- learning process to develop a research agenda for reducing childhood obesity-related health disparities in Providence RI. The Specific Aims of the proposed research are to: 1) Identify the community's specific needs and interests re. how to address childhood obesity and underlying behavioral and environmental determinants in Providence through ongoing outreach and community engagement activities to encourage the active involvement of parents, children, key stakeholders, and organizations in a collaborative (academic-community) planning and assessment process. 2) Develop and implement a series of community-based meetings/presentations/forums to share the assessment findings and engage community members, stakeholders and organizations in a 'Concept Mapping' analysis and interpretation of the data to guide the development of a CBPR intervention agenda. 3): Develop a formal partnership agreement with community-based organizations and a collaborative CBPR intervention plan and research agenda for reducing childhood obesity disparities. This project is significant because: a) it is focused on reducing childhood obesity, a serious public health problem; b) the target audience is low income, racial/ethnic minority families who are at higher risk of obesity and related health disparities; c). the focal community is Providence, a core city, with significant childhood obesity-related disparities; d) it is utilizing a CBPR approach with bot an academic and community PI to identify community-specific behavioral, environmental and social determinants of childhood obesity and to create a collaborative research agenda to address these challenges; e) it builds social capital in the community by training community members in formative research and intervention design methodology while facilitating reciprocal training for researchers by community members; and f) it creates a long-term, sustainable, academic-community partnership for reducing obesity-related health disparities and creating health equity.

描述（由申请人提供）：儿童肥胖是一个严重的公共卫生问题，由于社会，经济，文化，政治和特定因素的复杂相互作用而引起的重大种族，种族和社会经济差异。缩小这些差异差距并制定有效的干预措施，这些干预措施有效并关注社区的特定需求和优先级，需要深入了解这些因素的复杂相互作用。因此，迫切需要进行基于社区的参与研究（CBPR）来制定有效的，协作的预防和干预研究策略，以减少儿童肥胖与健康差异。 CBPR已被证明是预防肥胖工作的有效过程；但是需要更多的研究。通过这一建议，包括布朗大学的调查员，大普罗维登斯基督教青年会，CBPR和便利设施的专家，包括多元化，有影响力和代表性的社区利益相关者和居民的社区顾问委员会，将在协作，共同学习的过程中共同努力，以开发一个以减少儿童肥胖健康差异的常识性RI。拟议研究的具体目的是：1）确定社区的特定需求和利益。如何通过正在进行的宣传和社区参与活动中解决普罗维登斯的儿童肥胖以及基本的行为和环境决定因素，以鼓励父母，孩子，主要利益相关者和组织在协作（学术社区）计划和评估过程中积极参与。 2）开发和实施一系列基于社区的会议/演示/论坛，以分享评估结果，并参与社区成员，利益相关者和组织的“概念映射”分析和对数据的解释，以指导CBPR干预议程的发展。 3）：与社区组织建立正式的合作伙伴协议，以及一项协作CBPR干预计划和研究议程，以减少儿童肥胖差异。 该项目很重要，因为：a）它专注于减少儿童肥胖症，这是一个严重的公共卫生问题； b）目标受众是低收入，种族/族裔少数民族家庭，肥胖和相关健康差异的风险更高； c）。焦点社区是普罗维登斯（Providence），一个核心城市， 与儿童肥胖相关的差异很大； d）它正在利用与机器人一起使用学术和社区PI的CBPR方法来确定儿童肥胖的社区特定行为，环境和社会决定因素，并创建协作研究议程来应对这些挑战； e）它通过培训社区成员的形成性研究和干预设计方法来建立社会资本，同时促进社区成员为研究人员提供相互培训； f）它建立了长期，可持续的学术社区伙伴关系，以减少与肥胖相关的健康差异并建立健康平等。