Improving communication and collaboration for weight management in mother-daughter dyads

改善母女体重管理的沟通与协作

• 批准号: 9019820
• 负责人: BECKY MARQUEZ
• 金额: $ 15.63万
• 依托单位: UNIVERSITY OF CALIFORNIA, SAN DIEGO
• 依托单位国家: 美国
• 财政年份: 2016
• 资助国家: 美国
• 起止时间: 2016-01-15 至 2020-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9019820
• 关键词: Accounting; Acculturation; Address; Adherence; Adult Children; Affect; Attitude; Behavior; Behavioral; Body Weight decreased; Cardiovascular Diseases; Child; Clinical Trials; Collaborations; Communication; Conflict (Psychology); Data; Daughter; Diet; Diet Habits; Dietary Fats; Eating; Environment; Ethnic group; Etiology; Exercise; Family; Family member; Functional disorder; Generations; Goals; Health Benefit; Health behavior; Healthy Eating; Hypertension; Intervention; Intervention Studies; Interview; K-Series Research Career Programs; Latina; Latino; Lead; Life Style; Maintenance; Measures; Mentors; Mentorship; Mexican Americans; Mothers; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; Obesity; Outcome Study; Parents; Participant; Personal Communication; Physical activity; Prevalence; Psychosocial Factor; Published Comment; Randomized; Randomized Clinical Trials; Reporting; Research Personnel; Research Training; Resources; Risk Factors; Social support; Testing; Training; Translating; Treatment outcome; Weight; Weight maintenance regimen; Woman; Work; Writing; abstracting; base; cardiovascular disorder risk; cardiovascular risk factor; didactic education; evidence base; experience; fruits and vegetables; healthy weight; improved; intergenerational; mother-daughter relationship; obesity treatment; programs; skills; skills training; treatment adherence; weight loss intervention

 DESCRIPTION (provided by applicant): The goal of this Mentored Career Development Award (K01) is to enable Dr. Becky Marquez to become an independent investigator focused on developing interventions to reduce cardiovascular disease risk factors by targeting social support networks to promote eating and exercise behaviors conducive to weight management for Latinas. Given the relationship between obesity and cardiovascular disease, it is imperative that intervention studies address weight management among Mexican-American women, a group disproportionately affected by obesity. A dyad-level intervention partnering mothers and their adult daughters may be a culturally salient and effective approach to improve diet and physical activity. Because communication among family members can impact health behaviors, promoting communication that facilitates healthy eating and physical activity could help build an interpersonal environment that supports weight management among mothers and daughters. An intervention that addresses communication competency is especially warranted for Latino families as dissonance in acculturation between parent and child can interfere with effective communication and increase conflict. The purpose of the proposed study is to develop, implement, and evaluate a behavioral weight management intervention with a communication training component for Mexican-American women. The study has three specific aims. Aim 1: Develop a behavioral weight loss intervention that modifies evidence-based behavioral weight loss treatment using results from formative data collected from Mexican-American mother-daughter dyads. The adapted intervention will focus on improving dyadic communication and collaboration for providing reciprocal support for healthy eating and physical activity behaviors. Aim 2: Implement and evaluate a pilot weight management program adapted for mother-daughter dyads. Dyads will be randomly assigned to partner-based treatment with or without communication skills training. We hypothesize that participants receiving partner-based treatment with communication skills training will have better treatment adherence, study retention, and weight loss compared to those receiving partner-based treatment alone. Aim 3: Evaluate associations between changes in weight, weight-related behaviors, and psychosocial variables with changes in measures assessing interpersonal communication. We expect weight loss and improvements in diet, physical activity and psychosocial variables, such as social support, to be significantly associated with improvements in communication. The training plan, through didactic education and direct mentorship, will allow Dr. Marquez to develop skills and experience in: 1) the conduct and analysis of randomized clinical trials (with an emphasis on partner-based interventions), 2) the etiology, pathophysiology, and treatment of obesity, 3) interpersonal communication skills training, and 4) writing and communication of scientific work. The environment at UC San Diego and expert team of mentors will enable Dr. Marquez to achieve her training and research goals. (End of Abstract)

 描述（由适用提供）：这一指导职业发展奖（K01）的目标是使贝基·马克斯（Becky Marquez）博士成为一名专注于开发干预措施的独立研究者，以通过靶向社会支持网络来促进饮食和运动行为，从而减少心血管疾病的风险因素，从而促进饮食行为，从而对拉丁裔进行体重管理。鉴于肥胖与心血管疾病之间的关系，干预研究必须解决墨西哥裔美国妇女的体重管理，这是一个受肥胖症影响不成比例的群体。与母亲及其成年女儿合作的二级干预措施可能是改善饮食和体育锻炼的一种文化重要性和有效方法。因为家庭成员之间的沟通会影响健康行为，因此促进促进健康饮食和体育锻炼的沟通可以帮助建立人际环境，以支持母亲和女儿之间的体重管理。对于拉丁裔家庭而言，尤其需要解决解决沟通能力的干预措施，因为父母和孩子之间的文化不和谐可以干扰有效的沟通并增加冲突。拟议的研究的目的是使用墨西哥裔美国妇女的交流培训组成部分开发，实施和评估行为体重管理干预措施。该研究具有三个特定的目标。 AIM 1：开发一种行为减肥干预措施，使用从墨西哥裔美国人母女dyads收集的形成性数据的结果来修改基于证据的行为减肥治疗。改编的干预措施将着重于改善二元沟通和协作，以为健康的饮食和体育锻炼行为提供相互支持。 AIM 2：实施和评估适用于母女二元组的飞行员体重管理计划。二元组将随机分配给基于合作伙伴的治疗，或者没有沟通技巧培训。我们假设与仅接受基于合作伙伴的治疗的人相比，接受基于合作伙伴的治疗的参与者将具有更好的治疗依从性，研究保留和体重减轻。 AIM 3：评估体重，体重相关行为的变化和心理社会变量之间的关联，并随着测量评估评估人际交往的变化。我们期望体重减轻和饮食，体育锻炼和社会心理变量（例如社会支持）的改善与沟通的改善显着相关。通过教学教育和直接心态的培训计划将使Marquez博士能够在以下方面发展技能和经验：1）随机临床试验的行为和分析（重点是基于伴侣的干预措施），2）病理学，病理生理学和肥胖症治疗，3）人际关系沟通技巧培训，以及4）介绍和交流科学工作。加州大学圣地亚哥分校的环境和导师专家团队将使Marquez博士能够实现她的培训和研究目标。 （抽象的结尾）