PALS-CATCH Intervention for Obesity Prevention Among At-Risk Toddlers

PALS-CATCH 预防高危幼儿肥胖的干预措施

基本信息

批准号：
9103901
负责人：
SUSAN LANDRY
金额：
$ 19.25万
依托单位：
UNIVERSITY OF TEXAS HLTH SCI CTR HOUSTON
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-07-01 至 2018-03-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9103901
关键词：
4 year old 5 year old Accelerometer Address Affect Affordable Care Act African American Age Attention Behavior Behavioral Body mass index Caregivers Child Child Development Child Rearing Child health care Chronic Disease Communication Consumption Control Groups Cooperative Behavior Cues Development Diet Dietary intake Eating Educational Curriculum Educational process of instructing Environment Epidemic Evidence based program Family Food Gender Growth Habits Health Food Health Promotion Healthy Eating Hispanics Home environment Home visitation Hour House Call Informal Social Control Intake Intervention Knowledge Lead Learning Life Low income Measurement Measures Mediating Medicaid Modeling Monitor Nursery Schools Obesity Outcome Outcome Measure Overweight Parents Pattern Physical activity Play Population Prevention approach Program Effectiveness Psychosocial Factor Public Health Randomized Controlled Trials Recording of previous events Reporting Research Risk Schedule Schools Self Efficacy Sleep Specific qualifier value Surveys Testing Texas Time Toddler United States Dept. of Health and Human Services Vegetables Weight base behavioral outcome computer game disorder prevention early childhood efficacy trial energy balance evidence base experience feeding fruits and vegetables group intervention improved learning strategy lifestyle intervention moderate-to-vigorous physical activity nutrition obesity in children obesity management obesity prevention physical inactivity post intervention pressure primary outcome programs psychosocial public health relevance research study scaffold sedentary lifestyle skills sugar sweetened beverage trial design tv watching

项目摘要

DESCRIPTION (provided by applicant): In Texas, even the youngest children are affected by the obesity epidemic with 32% of 2 to 5 year old children overweight or obese before they enter school. The home environment and parenting skills and practices during the very early years of a child's life are critically important to establish obesity prevention behaviors such as healthy eating, physical activity, and adequate duration of sleep. However, parents lack these skills and interventions targeting the child's familiar environment, their home, are sparse. The overall aim of this study is to pilot test an integrated, culturally sensitive home-based program targeting predominantly low- income, African American and Hispanic parents to improve parenting skills for obesity prevention and control among toddlers ages 2 to 3 years. The program, PALS-CATCH, will integrate strategies from two research proven programs - Play and Learn Strategies (PALS) and the Coordinated Approach to Child Health (CATCH). This experimental study will target parents of toddlers in their home setting, teaching them how to be responsive and sensitive to their young child's cues, provide opportunities and assure consistency in young children's schedules for mealtime, activity, and sleep, thus facilitating child's development of self-regulation and other developmental outcomes to facilitate healthy eating, activity, and sleep patterns. Our specific aims are: Aim 1. To evaluate the feasibility and acceptability of PALS-CATCH among predominantly low-income, African American and Hispanic overweight or obese toddlers ages 2 to 3 years and their parents. Aim 2. To determine the effect of PALS-CATCH on child energy balance-related behaviors. We will use a randomized controlled trial (RCT) design to pilot test PALS-CATCH among 60 low-income, African American and Hispanic parent-child dyads where the child is overweight or obese (BMI >85th percentile for age and gender). We hypothesize that post-intervention, as compared to those in the control group, children of parents receiving PALS-CATCH will decrease: a) BMI z-score, and b) ounces of sugar-sweetened beverages consumed per day, and increase: e) number of servings of fruits and vegetables consumed per day and, f) mean minutes of physical activity including moderate-to-vigorous physical activity per day. As part of our secondary aims, we will evaluate the effects of PALS-CATCH on parent and child psychosocial and behavioral outcomes including parenting skills, responsiveness, and child self-regulation behaviors related to diet, physical activity, screen time and sleep. We will also examine the extent to which these factors mediate the improvements in child BMI, dietary and physical activity behaviors. Pre and post-intervention measurements will be conducted using child anthropometric measurements, parent-reported 24-hour dietary recalls for child dietary intake, accelerometers for child physical activity, video observations measuring parent responsiveness behaviors and, parent surveys measuring home environmental, and psychosocial factors. Results from the pilot will be used obtain effect sizes to power a RO1 to determine the efficacy of PALS-CATCH for toddlers.

描述（由适用提供）：在德克萨斯州，即使是最小的孩子也受到肥胖症流行的影响，在2至5岁的孩子进入学校之前，有2至5岁的儿童超重或肥胖。在儿童生活的早期，家庭环境以及育儿技能和实践对于建立肥胖症预防行为至关重要，例如健康饮食，体育锻炼和足够的睡眠时间。但是，父母缺乏针对孩子熟悉的环境的这些技能和干预措施，他们的家很少。这项研究的总体目的是试验一项针对低收入，非裔美国人和西班牙裔父母的综合，具有文化敏感的家庭计划，以提高2至3岁幼儿的肥胖症预防和控制育儿技能。该计划（PALS CATCH）将整合两个研究的计划的策略 - 娱乐和学习策略（PAL）和协调的儿童健康方法（CATCH）。这项实验研究将针对幼儿的家长在他们的家庭环境中，教会他们如何对幼儿提示进行反应和敏感，提供机会并确保幼儿的饮食时间，活动和睡眠时间表的一致性，从而支持孩子的自我调节和其他发育态度的发展，以及对健康的饮食，活动，活动和睡眠模式的发展。我们的具体目的是：目标1。评估主要是低收入，非裔美国人和西班牙裔超重或2至3岁的幼儿中，在主要低收入，非裔美国人和父母的幼儿和父母的幼儿中的可行性和可接受性。目的2。确定PALS捕获对儿童能量平衡相关行为的影响。我们将使用一项随机对照试验（RCT）设计来进行试验测试PALS PALT在60个低收入，非裔美国人和西班牙裔亲子二元组中，孩子超重或肥胖（年龄和性别的BMI> 85％）。我们假设干预后，与对照组的人相比，接受好朋友的父母的孩子将减少：a）BMI Z分数，b）b）每天消耗的加糖卧室，并增加：e：e：e）每天消耗的果实和蔬菜的数量，以及每天消耗的果实和蔬菜，并在包括体育锻炼的平均体育锻炼时间，包括适度的活动。作为我们次要目标的一部分，我们将评估好朋友对父母和儿童心理和行为结果的影响，包括育儿技能，反应能力以及与饮食，体育锻炼，筛查时间和睡眠有关的儿童自我调节行为。我们还将研究这些因素介导儿童BMI，饮食和身体活动行为的改善的程度。干预前后的测量将使用儿童人体测量值进行，父母报告的24小时饮食召回儿童饮食摄入量，儿童体育锻炼的加速度计，视频测量父母反应行为的观察结果，父母调查测量家庭环境和社会心理因素。试点的结果将用于获取效果大小以供电RO1，以确定幼儿的pals鼠的有效性。