Tailoring of Childhood Obesity Screening and Counseling for Latino Families with Preschool-Aged Children

为有学龄前儿童的拉丁裔家庭量身定制儿童肥胖筛查和咨询

基本信息

批准号：
9440413
负责人：
MATTHEW A. HAEMER
金额：
$ 19.22万
依托单位：
UNIVERSITY OF COLORADO DENVER
依托单位国家：
美国
项目类别：
财政年份：
2016
资助国家：
美国
起止时间：
2016-03-01 至 2021-02-28
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9440413
关键词：
Acculturation Address Adoption Area Award Awareness Behavior Therapy Behavioral Body mass index Caring Child Child Nutrition Clinic Clinical Code Colorado Communities Community Networks Counseling Demographic Factors Diabetes Mellitus Diet Early Diagnosis Effectiveness Electronic Health Record Empathy Epidemic Evaluation Family Fellowship Focus Groups Future Goals Guidelines Health Health Personnel Health Promotion Healthcare Healthcare Systems Imagery Intervention Intervention Trial Interview Knowledge Language Latino Lead Life Life Style Low income Maintenance Mentored Patient-Oriented Research Career Development Award Mentors Methods Minority Motivation Non-Insulin-Dependent Diabetes Mellitus Nursery Schools Obesity Outcome Parents Patients Personal Satisfaction Physicians Population Positioning Attribute Prevention Primary Health Care Principal Investigator Process Protocols documentation Provider Qualitative Methods Qualitative Research Questionnaires Recording of previous events Records Reporting Research Research Methodology Research Personnel Research Training Risk Risk Factors Scientist Self Efficacy Specialist Structure Surveys Technology Testing Time Training Translating Visit Weight Work aged barrier to care base care providers career career development clinical practice clinically significant cost effective cost effectiveness design disparity reduction eHealth early childhood evidence base experience follow-up health disparity health literacy healthy lifestyle high risk high risk population implementation science improved insight lower income families next generation nutrition obesity in children obesity management obesity prevention obesity risk obesity treatment patient oriented research patient portal pediatrician personalized approach pragmatic trial preference primary care setting programs public health relevance safety net screening skills treatment as usual

项目摘要

DESCRIPTION (provided by applicant): This is a revised application for a K23 award for a fellowship trained pediatrician specializing in Pediatric Nutrition and childhood obesity. The candidate is committed to an academic career as a physician scientist conducting patient-oriented research in childhood obesity. This award will support the candidate's training and attainment of expertise in three areas: qualitative research methods, cultural tailoring of technology-based interventions, and implementation science. This training will support his overall goals of designing and rigorously testing childhood obesity interventions that can be readily translated and disseminated and that will provide critical insight for care in diverse settings and patient groups. To achieve these goals, Dr. Haemer has assembled a cross-disciplinary mentoring team, each with outstanding experience in research methods and strong records of successful mentoring: Dr. Glasgow, a behavioral scientist who is renown within the field of implementation science; Dr. Bull, an expert researcher in technology-based health promotion; and Dr. Krebs, a pediatrician and nutrition specialist with extensive research and clinical experience in childhood obesity and with a long history of mentoring young investigators. The proposed research addresses the huge knowledge gap in cost-effective ways for the healthcare system to influence both patient-level and population-level outcomes for childhood obesity. Evidence-based approaches of surveillance, screening, prevention and treatment largely remain uncertain or untested, especially for the youngest children from groups at highest risk of obesity-related health disparity. This K23 award will study methods for prevention and treatment applied to Latino preschool-aged children from low- income families. The research will test the central hypothesis that culturally tailored screening and counseling will be more effective at decreasing BMI trajectory than usual care. Specific aims include: 1. To characterize components of primary care interactions that should be culturally tailored to enhance motivation for healthy lifestyle change among Latino parents with preschoolers 2. To design a technology-user interface that maximizes acceptance by Latino parents of young children. 3. To pilot test a technology-supported screening and counseling protocol tailored to Latino parents using findings of Aims 1 and 2. Using an implementation science perspective, we will assess the reach, effectiveness, adoption, implementation fidelity, and sustainable maintenance of the intervention in clinical practice during the pilot RCT. This research and training will form the basis for an RO1 proposal to test technology-supported childhood obesity prevention and treatment interventions targeting young children from low-income Latino families. OMB No. 0925-0001/0002 (Rev. 08/12 Approved Through 8/31/2015) Page Continuation Format Page

描述（由申请人提供）：这是对奖学金培训和儿童肥胖的K23奖的修订申请，致力于作为医师科学家的学术职业：OOD肥胖症。三个领域：基于HNOLOGY的干预措施，并建立了科学。享受了Sciince的领域； Krebs和Krebs博士是一位儿科和Nuter Nutencialist，在儿童期观察中具有广泛的研究和临床经验。对这些人的成本效益方式，即HCARE系统。 ED健康差异：1。为了在文化上量身定制初级保健互动的组成部分，以增强拉丁裔父母的健康生活方式，并设计了一种技术用户界面，以最大程度地提高幼儿的拉丁裔父母。为拉丁裔父母量身定制的AMS 1和2的咨询协议。实施科学的观点，我们将在临床实践中评估，有效，采用，实施，实施忠诚度。家庭。