Parent-Focused Weight Management for Children with Intellectual Disabilities

以家长为中心的智力障碍儿童体重管理

• 批准号: 8391344
• 负责人: MARTIN R. SHEEHAN
• 金额: $ 20.05万
• 依托单位: DOUBLE S INSTRUCTIONAL SYSTEMS
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-10 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8391344
• 关键词: Address; Adverse effects; Advocacy; Affect; Asthma; Behavior; Behavioral; Body Weight decreased; Body mass index; Child; Cholesterol; Development; Diabetes Mellitus; Diet; Diet Habits; Diet and Nutrition; Dietary Practices; Disabled Children; Discrimination; Eating; Eating Behavior; Education; Environment; Evaluation; Evidence based intervention; Exercise; Family; Family Practice; Fatty acid glycerol esters; Feasibility Studies; Feeling; Focus Groups; Food; Food Preferences; Foundations; General Population; Goals; Habits; Health; Home environment; Hypertension; Intellectual functioning disability; Intervention; Learning; Life Style; Medical; Methods; Modeling; Motivation; Nutritional; Obesity; Outcome; Overweight; Parenting Education; Parenting behavior; Parents; Pattern; Phase; Physical activity; Prevention program; Punishment; Randomized Controlled Trials; Recommendation; Research; Rewards; Risk; Self Efficacy; Self-Administered; Series; Shapes; Sleep Apnea Syndromes; Stigmatization; Surgeon; Testing; Training; Training Programs; Treatment/Psychosocial Effects; Weight; Weight Gain; Weight maintenance regimen; Work; Writing; base; bone; disability; environmental change; experience; food consumption; improved; meetings; nutrition; obesity in children; obesity prevention; obesity risk; parent project; portion control; prevent; programs; prototype; psychologic; research study; role model; skills; social cognitive theory; social implication; successful intervention; symposium; usability

DESCRIPTION (provided by applicant): The problem of overweight children with intellectual disabilities (ID) has many adverse medical and psychological effects and is of growing concern among professionals in the disability research and advocacy arenas. To address this issue, we propose to develop materials targeted specifically to parents of children with ID based on Social Learning Theory. The goal of this program is to increase parents' level of motivation, improve their skills, and enhance their sense of self-efficacy in bringing about changes in family healthy lifestyle behaviors in order to promote weight loss in their children. While children's risk of obesity depends on many factors, parents are the key players in shaping the home environment, diet, food preferences, and physical activity levels. Yet over-control or under-control of child eating behaviors by parents has adverse effects. On the other hand, when parents work on changing the home health environment and on providing consistent health models, children develop improved eating habits and activity patterns. The overall research aim of this project, Parent-Focused Weight Management for Children with Intellectual Disabilities, will be to demonstrate that our intervention, using a modified behavioral parent training program is as effective as a parent managed weight loss programs successfully used in research studies in the general population. In Phase I, the research team will determine the feasibility of the Parent-Focused Weight Management program by testing Modules 1 and 2. The test will be conducted with a group of 30 parents. This feasibility study will determine whether parents: a) engaged with, used and liked the materials, and b) improved their feelings of self-efficacy related to establishing a healthier family lifestyle and helping their child to lose weight. Positie outcomes on these factors will establish that the proposed product is effective, practical and viable. In Phase II, the research team will develop the remaining instructional modules and conduct a randomized controlled trial with approximately 150 parents of a child with ID who are overweight or at risk of becoming overweight. Phase II research will establish that the program produces positive changes in physical activity and nutrition in the family and lowers the body mass index of the child with disabilities who is overweight or at risk of becoming overweight. PUBLIC HEALTH RELEVANCE: This project addresses the growing concern over the problem of obesity in children with Intellectual Disabilities. Childhood obesity presents many adverse medical effects, such as diabetes, asthma, high blood pressure, high cholesterol, bone problems, sleep apnea, and widespread psychosocial effects, such as the early and systematic discrimination and stigmatization experienced by overweight children. The proposed research will address this major health problem by developing a family-based weight management program.

描述（由申请人提供）：智力障碍（ID）儿童超重的问题具有许多不利的医学和心理影响，并且越来越受到残疾研究和倡导领域的专业人士的关注。为了解决这个问题，我们建议根据社会学习理论专门针对智障儿童家长开发材料。该计划的目标是提高父母的动力水平，提高他们的技能，增强他们的自我效能感，从而改变家庭健康的生活方式行为，以促进孩子的减肥。虽然儿童肥胖的风险取决于许多因素，但父母是塑造家庭环境、饮食、食物偏好和身体活动水平的关键人物。然而，父母对儿童饮食行为的过度控制或控制不足都会产生不利影响。另一方面，当父母努力改变家庭健康环境并提供一致的健康模式时，孩子们就会养成更好的饮食习惯和活动模式。该项目的总体研究目标是“以家长为中心的智力障碍儿童体重管理”，旨在证明我们使用改良的家长行为培训计划进行的干预与在研究中成功使用的家长管理减肥计划一样有效。普通民众。在第一阶段，研究团队将通过测试模块 1 和 2 来确定以家长为中心的体重管理计划的可行性。测试将由 30 名家长组成。这项可行性研究将确定父母是否：a）参与、使用和喜欢这些材料，b）提高与建立更健康的家庭生活方式和帮助孩子减肥相关的自我效能感。这些因素的积极结果将证明所提议的产品是有效的、实用的和可行的。在第二阶段，研究小组将开发剩余的教学模块，并对大约 150 名超重或有超重风险的智障儿童家长进行随机对照试验。第二阶段研究将确定该计划对家庭的身体活动和营养产生积极的变化，并降低超重或有超重风险的残疾儿童的体重指数。 公共健康相关性：该项目解决了人们对智力障碍儿童肥胖问题日益关注的问题。儿童肥胖会带来许多不良的医学影响，例如糖尿病、哮喘、高血压、高胆固醇、骨骼问题、睡眠呼吸暂停，以及广泛的社会心理影响，例如超重儿童早期和系统性的歧视和污名化。拟议的研究将通过制定基于家庭的体重管理计划来解决这一主要健康问题。