Dan River Region POPS: Partnerning for Obesity Planning and Sustainability

丹河地区 POPS：肥胖规划和可持续发展合作

• 批准号: 8777012
• 负责人: PAUL ESTABROOKS
• 金额: $ 32.22万
• 依托单位: VIRGINIA POLYTECHNIC INST AND ST UNIV
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-01-01 至 2016-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8777012
• 关键词: Address; Adopted; Adoption; Adult; Applications Grants; Area; Bachelor' s Degree; Body Weight decreased; Body mass index; Child; Chronic Disease; Cities; Communities; Community Health; Community Practice; Consensus; Country; County; Data; Development; Development Plans; Diabetes Mellitus; Diabetes prevention; Dimensions; Eating; Economics; Effectiveness; Environment; Evaluation; Evidence based intervention; Family; Feedback; Female; Food; Fostering; Goals; Health; Health system; Healthcare; Healthcare Systems; High School Student; Home environment; Income; Individual; Instruction; Intervention; Life; Location; Maintenance; Marshal; Medically Underserved Area; Methods; Minority Groups; Mission; Needs Assessment; Non-Insulin-Dependent Diabetes Mellitus; North Carolina; Obesity; Outcome; Overweight; Physical activity; Plumbing; Population; Preparation; Prevalence; Prevention strategy; Price; Primary Health Care; Principal Investigator; Process; Public Health; Recreation; Research; Research Design; Research Personnel; Resources; Rivers; Role; Rural; School Nursing; Schools; Services; Societies; Staging; Structure; System; Target Populations; Testing; Time; Translating; Unemployment; Virginia; Weight maintenance regimen; Youth; base; boys; causal model; clinical practice; cohort; combat; community based participatory research; cost; cost effectiveness; demographics; design; evidence base; federal poverty level; girls; health disparity; health organization; healthy lifestyle; improved; literacy; literate; meetings; member; obesity in children; obesity treatment; programs; prototype; research study; research to practice; response; statistics; success

DESCRIPTION (provided by applicant): The Dan River Region (DRR) is a federally designated medically under-served area/population with high rates of obesity. In response to 3 comprehensive community needs assessments The Dan River Partnership for a Healthy Community (DRPHC) was established in 2010 "to foster community partnership to combat obesity in the Dan River Region through healthy lifestyle initiatives" (DRPHC mission statement). To date the DRPHC 1) tested a successful adult weight control intervention, 2) initiated youth-focus community garden and instant recess initiatives, and 3) continues to complete a comprehensive audit of the food and physical activity environment across the DRR. This RFA provided an opportunity to address an additional and complimentary area of need for the DRPHC childhood obesity. A newly formed subcommittee and community advisory board (CAB) of the DRPHC, Partnering for Obesity Planning and Sustainability (POPS), met in preparation of this proposal and discussed the need to engage systems where high need families received services and could participate in childhood obesity treatment. The POPS-CAB came to consensus that using a systems-based approach, within the existing CBPR partnership, would allow for the development of a contextually relevant intervention with the potential for long-term sustainability. Systems-based approaches include, but also move beyond, a focus on initiative effectiveness and address broader contextual issues such as initiative adoption, implementation, and maintenance across settings and delivery staff as well as reach and maintenance of effects at the individual level. The general goal of this application is to engage multiple systems through the DRPHC POPS-CAB and design and test prototype childhood obesity interventions. The current membership of the POPS-CAB includes Danville Pittsylvania Health District, Children's Healthcare Center, Danville Parks Recreation & Tourism, and Boys & Girls Club, along with an interdisciplinary team of academic investigators. Our first aim is to assess community capacity to develop, implement, and sustain a childhood obesity reduction initiative in the DRR. To accomplish this aim a concurrent mixed-method study design will be used and guide dimensions of community capacity and organizational level dimensions of the RE-AIM framework (i.e., adoption, implementation, and maintenance). The second aim is to determine the potential reach, effectiveness, feasibility, and cost of the newly developed interventions. Three stages of iterative intervention testing/formative feedback loops in a public health and healthcare system will be used to achieve this aim. The partnership members will meet on an ongoing basis to discuss the qualitative and quantitative results and make adaptations to improve the strategies. Indicators of success include reduced child BMI z-scores, the engagement of multiple systems, and regional capacity to evaluate research evidence and integrate this evidence into sustainable practices. The end goal is a childhood obesity intervention that is ready for large scale testing across these systems in the DRR. RELEVANCE (See instructions): Integrating a systems-based approach with a community-based participatory research coalition established to address obesity holds great promise for developing contextually relevant childhood obesity strategies. Partnering with delivery systems to identify and adapt evidenced-based childhood obesity interventions has high potential to increase the reach of underserved youth in health disparate communities, stimulate higher adaptation among local systems, and promote longer term sustainability.

描述（由申请人提供）：丹河地区 (DRR) 是联邦政府指定的医疗服务不足的地区/人口肥胖率较高的地区。为了响应 3 项全面的社区需求评估，丹河健康社区伙伴关系 (DRPHC) 于 2010 年成立，“旨在通过健康的生活方式举措促进社区伙伴关系，对抗丹河地区的肥胖问题”（DRPHC 使命宣言）。迄今为止，DRPHC 1) 测试了成功的成人体重控制干预措施，2) 发起了以青少年为中心的社区花园和即时休息计划，3) 继续完成对整个 DRR 地区食品和体育活动环境的全面审计。该 RFA 提供了一个机会来解决 DRPHC 儿童肥胖症的额外和免费领域的需求。 DRPHC 新成立的小组委员会和社区咨询委员会 (CAB) 肥胖规划和可持续发展合作伙伴关系 (POPS) 在准备本提案时举行了会议，并讨论了让高需求家庭接受服务并可以参与儿童肥胖问题的系统的必要性治疗。 POPS-CAB 达成共识，认为在现有 CBPR 伙伴关系内使用基于系统的方法将允许开发具有长期可持续性潜力的与具体情况相关的干预措施。基于系统的方法包括但也超越了对倡议有效性的关注，并解决更广泛的背景问题，例如跨环境和交付人员的倡议采用、实施和维护，以及在个人层面达到和维持效果。该应用程序的总体目标是通过 DRPHC POPS-CAB 参与多个系统，并设计和测试原型儿童肥胖干预措施。 POPS-CAB 目前的成员包括 Danville Pittsylvania 健康区、儿童保健中心、丹维尔公园休闲旅游中心、男孩女孩俱乐部，以及一个由学术研究人员组成的跨学科团队。我们的首要目标是评估社区在减少灾害风险中制定、实施和维持减少儿童肥胖倡议的能力。为了实现这一目标，将使用并行混合方法研究设计，并指导 RE-AIM 框架的社区能力维度和组织层面维度（即采用、实施和维护）。第二个目标是确定新开发的干预措施的潜在影响范围、有效性、可行性和成本。公共卫生和医疗保健系统中的三个阶段的迭代干预测试/形成性反馈循环将用于实现这一目标。伙伴关系成员将持续举行会议，讨论定性和定量结果，并做出调整以改进战略。成功的指标包括儿童 BMI z 分数的降低、多个系统的参与以及评估研究证据并将这些证据纳入可持续实践的区域能力。最终目标是儿童肥胖干预措施，为 DRR 中这些系统的大规模测试做好准备。 相关性（参见说明）：将基于系统的方法与为解决肥胖问题而建立的基于社区的参与性研究联盟相结合，为制定与背景相关的儿童肥胖策略带来了巨大希望。与交付系统合作，确定和调整基于证据的儿童肥胖干预措施，具有很大的潜力，可以扩大健康不同社区中服务不足的青少年的覆盖范围，刺激当地系统更高的适应能力，并促进长期可持续性。