Linking Primary Care, Communities and Families to Prevent Obesity Among Preschool

将初级保健、社区和家庭联系起来，预防学龄前儿童肥胖

基本信息

批准号：
9108989
负责人：
SIMONE A. FRENCH
金额：
$ 93.78万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-08-31 至 2018-06-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9108989
关键词：
5 year old Adoption Advocate Age Behavioral Body Weight Body mass index Child Child Behavior Child Rearing Childhood Communities Community Health Education Control Groups Data Analyses Development Diet Dietary intake Eating Energy Intake Energy Metabolism Family Food Gender Goals Health Health Food Home environment Home visitation House Call Intervention Link Low income Mediator of activation protein Minnesota Neighborhoods Nursery Schools Nutritional Obesity Overweight Parenting Education Parents Pattern Phase Physical activity Preschool Child Primary Health Care Protocols documentation Provider Psychological reinforcement Randomized Recommendation Reporting Research Research Activity Research Personnel Resources Risk Schools Series Shapes Source Sports Testing Training Translating Ursidae Family aged base community organizations community setting cost ethnic diversity experience follow-up group intervention meetings novel obesity in children obesity prevention obesity treatment phase 2 study phase 3 study prevent primary care setting primary outcome programs randomized trial response satisfaction secondary outcome sedentary lifestyle skills treatment as usual tv watching

项目摘要

DESCRIPTION (provided by applicant): Obesity is the number one nutritional problem in the US. Because children bear the greatest lifetime health risk from overweight and obesity, interventions targeting them are of high priority. In response to RFA-HL- 10-004 "Childhood Obesity Prevention and Treatment Research Consortium", we propose the creation of the Minnesota Center for Pediatric Obesity Prevention, comprised of an interdisciplinary investigative team with extensive experience in community, school, primary care, and family pediatric obesity interventions. The goal of this Center is to translate a novel integration of primary care, home, and community-based intervention strategies developed in community settings into a comprehensive program that links intervention strategies across settings to promote sustained patterns of change in food intake, physical activity, and body weight among low income ethnically diverse children. This goal will be met through an iterative three phase series of research activities. In Phase 1, we will develop and pilot test a linked multi-setting intervention. Thirty children and their parents will be randomized to either usual care of the linked integrated intervention consisting of 1) messages from the primary care provider, with follow-up phone calls to assist with adoption of the behavioral and home environment messages; 2) community parenting classes to help parents develop parenting behavioral skills around home environment management and behavioral shaping and reinforcement of their child's behaviors, including eating, physical activity and screen time; 3) a community food and physical activity resource component to enhance neighborhood environmental opportunities and directly link families with neighborhood resources; and 4) a family advocate to coordinate primary care and parenting class recommendations and support the link to neighborhood food and physical activity resources via phone and home visits, in Phase II, we will conduct a 3-year randomized trial to evaluate the impact of the integrated, linked intervention on childhood obesity, diet, and physical activity among 500 3-5 year old children and their parents. In Phase III, we will conduct data analysis, engage in activities to promote sustainability of the intervention components, and disseminate research findings locally and nationally. RELEVANCE: The goal of the Minnesota Center for Pediatric Obesity Prevention is to translate a novel integration of primary care, home and community-based intervention strategies developed in community settings into a comprehensive program that links intervention strategies across settings to promote sustained patterns of change in food intake and physical activity to prevent obesity among at-risk low income, ethnically diverse preschool children.

描述（由申请人提供）：肥胖是美国第一大营养问题。由于儿童一生中因超重和肥胖而面临的健康风险最大，因此针对他们的干预措施具有高度优先性。为了响应 RFA-HL-10-004“儿童肥胖预防和治疗研究联盟”，我们建议创建明尼苏达州儿童肥胖预防中心，该中心由在社区、学校、初级保健、和家庭儿童肥胖干预措施。该中心的目标是将社区环境中开发的初级保健、家庭和社区干预策略的新颖整合转化为一个综合计划，将跨环境的干预策略联系起来，以促进食物摄入、身体活动、低收入种族多样化儿童的体重。这一目标将通过一系列迭代的三阶段研究活动来实现。在第一阶段，我们将开发并试点测试关联的多环境干预措施。三十名儿童及其父母将被随机分配到相关综合干预的常规护理中，其中包括：1）来自初级保健提供者的信息，以及后续电话，以协助采用行为和家庭环境信息； 2) 社区育儿课程，帮助家长围绕家庭环境管理、行为塑造和强化孩子的行为（包括饮食、体力活动和屏幕时间）培养育儿行为技能； 3) 社区食品和体育活动资源组成部分，以增强邻里环境机会并将家庭与邻里资源直接联系起来； 4) 家庭倡导者协调初级保健和育儿课程的建议，并支持通过电话和家访与社区食品和体育活动资源建立联系，在第二阶段，我们将进行一项为期 3 年的随机试验，以评估对 500 名 3-5 岁儿童及其父母进行儿童肥胖、饮食和身体活动的综合、关联干预。在第三阶段，我们将进行数据分析，开展促进干预措施可持续性的活动，并在当地和全国传播研究成果。相关性：明尼苏达州儿科肥胖预防中心的目标是将社区环境中开发的初级保健、家庭和社区干预策略的新颖整合转化为一个综合计划，将跨环境的干预策略联系起来，以促进儿童肥胖的持续变化模式。食物摄入和身体活动，以预防低收入、多种族学龄前儿童肥胖的风险。

项目成果

期刊论文数量（5）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Household food insecurity and obesity risk in preschool-aged children: A three-year prospective study.

学龄前儿童的家庭粮食不安全和肥胖风险：一项为期三年的前瞻性研究。

DOI：
10.1016/j.socscimed.2022.115176
发表时间：
2022
期刊：
Social science & medicine (1982)
影响因子：
0
作者：
Zhong,Danruo;Gunnar,MeganR;Kelly,AaronS;French,Simone;Sherwood,NancyE;Berge,JericaM;Kunin-Batson,Alicia
通讯作者：
Kunin-Batson,Alicia

Are low income children more physically active when they live in homes with bigger yards? A longitudinal analysis of the NET-Works Study.

当低收入儿童住在院子较大的家庭中时，他们的身体活动是否会更加活跃？