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）：肥胖是美国第一的营养问题。由于儿童对超重和肥胖的终身健康风险最大，因此针对他们的干预措施是高度重视。为了响应RFA-HL-10-004“儿童肥胖症预防和治疗研究联盟”，我们建议建立明尼苏达州小儿肥胖预防中心，该中心由一个跨学科的调查团队组成，该团队由社区，学校，初级保健和家庭儿童肥胖干预措施具有丰富的经验。该中心的目的是翻译社区环境中开发的初级保健，家庭和基于社区的干预策略的新颖整合到一个综合计划，该计划将跨环境的干预策略联系起来，以促进持续的食物摄入量，体育活动和体重在低收入种族多样化的儿童中的持续变化模式。该目标将通过迭代三阶段的研究活动实现。在第1阶段，我们将开发和试点测试链接的多设定干预措施。三十个孩子及其父母将被随机地以通常的护理对链接的综合干预措施，包括1）来自初级保健提供者的消息，并进行后续电话，以协助采用行为和家庭环境信息； 2）社区育儿课，以帮助父母在家庭环境管理以及行为塑造和加强孩子行为的行为方面发展育儿技巧，包括饮食，体育锻炼和筛查时间； 3）社区粮食和体育活动资源部分，以增强社区环境机会，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建议，并通过电话和家庭访问来支持与邻里食品和体育锻炼资源的链接，在第二阶段，我们将进行为期3年的随机试验，以评估500 3-5岁儿童及其父母及其对儿童肥胖，饮食和身体活动的综合，链接的干预对综合链接的影响。在第三阶段，我们将进行数据分析，从事促进干预组件可持续性的活动，并在本地和全国范围内传播研究结果。相关性：明尼苏达州小儿肥胖中心预防中心的目标是翻译社区环境中开发的初级保健，家庭和基于社区的干预策略的新型整合到一个综合计划中，该计划将跨环境的干预策略联系起来，以促进持续的食物摄入和身体活动的变化模式，以防止低收入的低收入收入肥胖，以防止风险的低收入收入，种族，种族，种族各自不同。

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？