Dan River Region POPS: Partnerning for Obesity Planning and Sustainability

丹河地区 POPS：肥胖规划和可持续发展合作

• 批准号: 8777012
• 负责人: PAUL ESTABROOKS
• 金额: $ 32.22万
• 依托单位: VIRGINIA POLYTECHNIC INST AND ST UNIV
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2016-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8777012
• 关键词: Address; Adopted; Adoption; Adult; Applications Grants; Area; Bachelor' s Degree; Body Weight decreased; Body mass index; Child; Chronic Disease; Cities; Communities; Community Health; Community Practice; Consensus; Country; County; Data; Development; Development Plans; Diabetes Mellitus; Diabetes prevention; Dimensions; Eating; Economics; Effectiveness; Environment; Evaluation; Evidence based intervention; Family; Feedback; Female; Food; Fostering; Goals; Health; Health system; Healthcare; Healthcare Systems; High School Student; Home environment; Income; Individual; Instruction; Intervention; Life; Location; Maintenance; Marshal; Medically Underserved Area; Methods; Minority Groups; Mission; Needs Assessment; Non-Insulin-Dependent Diabetes Mellitus; North Carolina; Obesity; Outcome; Overweight; Physical activity; Plumbing; Population; Preparation; Prevalence; Prevention strategy; Price; Primary Health Care; Principal Investigator; Process; Public Health; Recreation; Research; Research Design; Research Personnel; Resources; Rivers; Role; Rural; School Nursing; Schools; Services; Societies; Staging; Structure; System; Target Populations; Testing; Time; Translating; Unemployment; Virginia; Weight maintenance regimen; Youth; base; boys; causal model; clinical practice; cohort; combat; community based participatory research; cost; cost effectiveness; demographics; design; evidence base; federal poverty level; girls; health disparity; health organization; healthy lifestyle; improved; literacy; literate; meetings; member; obesity in children; obesity treatment; programs; prototype; research study; research to practice; response; statistics; success

DESCRIPTION (provided by applicant): The Dan River Region (DRR) is a federally designated medically under-served area/population with high rates of obesity. In response to 3 comprehensive community needs assessments The Dan River Partnership for a Healthy Community (DRPHC) was established in 2010 "to foster community partnership to combat obesity in the Dan River Region through healthy lifestyle initiatives" (DRPHC mission statement). To date the DRPHC 1) tested a successful adult weight control intervention, 2) initiated youth-focus community garden and instant recess initiatives, and 3) continues to complete a comprehensive audit of the food and physical activity environment across the DRR. This RFA provided an opportunity to address an additional and complimentary area of need for the DRPHC childhood obesity. A newly formed subcommittee and community advisory board (CAB) of the DRPHC, Partnering for Obesity Planning and Sustainability (POPS), met in preparation of this proposal and discussed the need to engage systems where high need families received services and could participate in childhood obesity treatment. The POPS-CAB came to consensus that using a systems-based approach, within the existing CBPR partnership, would allow for the development of a contextually relevant intervention with the potential for long-term sustainability. Systems-based approaches include, but also move beyond, a focus on initiative effectiveness and address broader contextual issues such as initiative adoption, implementation, and maintenance across settings and delivery staff as well as reach and maintenance of effects at the individual level. The general goal of this application is to engage multiple systems through the DRPHC POPS-CAB and design and test prototype childhood obesity interventions. The current membership of the POPS-CAB includes Danville Pittsylvania Health District, Children's Healthcare Center, Danville Parks Recreation & Tourism, and Boys & Girls Club, along with an interdisciplinary team of academic investigators. Our first aim is to assess community capacity to develop, implement, and sustain a childhood obesity reduction initiative in the DRR. To accomplish this aim a concurrent mixed-method study design will be used and guide dimensions of community capacity and organizational level dimensions of the RE-AIM framework (i.e., adoption, implementation, and maintenance). The second aim is to determine the potential reach, effectiveness, feasibility, and cost of the newly developed interventions. Three stages of iterative intervention testing/formative feedback loops in a public health and healthcare system will be used to achieve this aim. The partnership members will meet on an ongoing basis to discuss the qualitative and quantitative results and make adaptations to improve the strategies. Indicators of success include reduced child BMI z-scores, the engagement of multiple systems, and regional capacity to evaluate research evidence and integrate this evidence into sustainable practices. The end goal is a childhood obesity intervention that is ready for large scale testing across these systems in the DRR. RELEVANCE (See instructions): Integrating a systems-based approach with a community-based participatory research coalition established to address obesity holds great promise for developing contextually relevant childhood obesity strategies. Partnering with delivery systems to identify and adapt evidenced-based childhood obesity interventions has high potential to increase the reach of underserved youth in health disparate communities, stimulate higher adaptation among local systems, and promote longer term sustainability.

描述（由申请人提供）：Dan River地区（DRR）是一种联邦指定的医学不足的地区/人口，肥胖症率很高。为了应对3种全面的社区需求评估，DAN RIVER健康社区（DRPHC）于2010年建立了“旨在通过健康的生活方式计划来促进社区合作伙伴关系，以促进Dan River地区的肥胖症”（DRPHC Mission Satvice）。迄今为止，DRPHC 1）测试了成功的成人体重控制干预措施，2）启动了青年社区花园和即时休息计划，3）继续完成对整个DRR的食品和体育活动环境的全面审核。该RFA提供了一个机会，以解决对DRPHC儿童肥胖需求的额外和免费领域。 DRPHC的新成立的小组委员会和社区顾问委员会（CAB），与肥胖计划和可持续性合作（POPS）合作，在准备这项建议方面开会，并讨论了需要参与高需求家庭获得服务并可能参与儿童肥胖治疗的系统的需求。 Pops-CAB达成共识，即在现有的CBPR合作伙伴关系内使用基于系统的方法，将允许开发上下文相关的干预措施，并具有长期可持续性的潜力。基于系统的方法包括，但也超越了主动性效果的重点，并解决了更广泛的上下文问题，例如跨环境和交付人员的主动采用，实施和维护，以及在个人层面上的影响和维护。该应用程序的一般目标是通过DRPHC POPS-CAB和设计和测试儿童肥胖干预措施进行多个系统。 Pops-CAB的当前成员包括Danville Pittsylvania Health District，儿童医疗保健中心，Danville Parks Recreation＆Tourism＆Boy＆Girls Club，以及一个学术研究人员的跨学科团队。我们的第一个目的是评估社区发展，实施和维持DRR中儿童肥胖计划的能力。为了实现此目标，将使用并发的混合方法研究设计，并指导社区能力和RE-AIM框架的组织水平维度（即采用，实施和维护）的维度。第二个目的是确定新开发的干预措施的潜在影响力，有效性，可行性和成本。公共卫生和医疗保健系统中迭代干预测试/形成反馈循环的三个阶段将用于实现这一目标。伙伴关系成员将持续开会，讨论定性和定量结果，并进行改编以改善策略。成功的指标包括降低的儿童BMI Z得分，多个系统的参与度以及评估研究证据并将这些证据纳入可持续实践的区域能力。最终目标是一种儿童肥胖干预措施，可以在DRR中的这些系统进行大规模测试。 相关性（请参阅说明）：将基于系统的方法与建立的旨在解决肥胖症的社区参与研究联盟相结合，这对制定上下文相关的儿童肥胖策略具有巨大的希望。与交付系统合作以识别和适应基于证据的儿童肥胖干预措施，具有增加卫生社区中服务不足的青年覆盖范围，刺激当地系统之间更高适应性并促进长期可持续性的潜力。