Black Girls Move: A Daughter/Mother Intervention to Prevent Obesity by Increasing Physical Activity and Improving Dietary Intake among Black Adolescent Daughters

黑人女孩动起来：女儿/母亲通过增加黑人青少年女儿的体力活动和改善膳食摄入来预防肥胖的干预措施

• 批准号: 10846013
• 负责人: Monique A Reed
• 金额: $ 11.08万
• 依托单位: RUSH UNIVERSITY MEDICAL CENTER
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-05-15 至 2024-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10846013
• 关键词: Address; Adolescence; Adolescent; Adopted; Adoption; Adult; Affect; Age; Area; Attention; Behavior; Black race; Body mass index; Buffers; Cardiovascular system; Chicago; Child; Clinical Trials; Clinical Trials Design; Collaborations; Complex; Consumption; Dairying; Data; Daughter; Development; Diet; Dietary Fiber; Dietary intake; Disease; Disparity; Educational process of instructing; Environment; Exposure to; Family; Family Relationship; Female; Female Adolescents; Focus Groups; Fruit; Future; Gender; Goals; Group Meetings; Health; Health Food; Health behavior; Healthy Eating; Intake; Intervention; Learning; Life; Life Style; Link; Literature; Measures; Metabolic; Mission; Monitor; Morbid Obesity; Morbidity - disease rate; Mothers; National Institute of Diabetes and Digestive and Kidney Diseases; Non-Insulin-Dependent Diabetes Mellitus; Not Hispanic or Latino; Obesity; Outcome; Participant; Patient Self-Report; Physical activity; Pilot Projects; Play; Positioning Attribute; Prevalence; Prevention; Process; Proteins; Public Health; Race; Randomized; Randomized, Controlled Trials; Reporting; Research; Risk Factors; Role; Sample Size; Sampling; Schools; Self Assessment; Shapes; Strenuous Exercise; Structural Racism; Students; Systems Theory; Testing; United States National Institutes of Health; Vegetables; Woman; aged; anti-racism; black women; burden of illness; comorbidity; comparative efficacy; coping mechanism; design; dietary; disability; disparity reduction; efficacy evaluation; experience; girls; health disparity; health disparity populations; healthy lifestyle; high school; improved; indexing; innovation; intersectionality; modifiable risk; mortality; ninth grade; obesity management; obesity prevention; obesity risk; obesity treatment; obesogenic; outcome disparities; perceived discrimination; pilot trial; post intervention; prevent; preventive intervention; primary outcome; programs; racial discrimination; racial identity; randomized, clinical trials; recruit; residential segregation; response; satisfaction; secondary outcome; social cognition; social cognitive theory; sugar; sweetened beverage; tenth grade; walkability

Project Summary/Abstract Black female adolescents are at increased risk for obesity-related morbidity and mortality as adults compared to non-Hispanic White female adolescents. Interventions to prevent obesity in Black female adolescents that leverage the relationship of the daughter/mother dyad have received limited attention. Studies that do include mothers tend to use theoretical frameworks that do not explicitly build on this important family relationship and have not included mothers’ active participation. Additionally, these studies do not include girls over the age of 12. In response, we developed Black Girls Move, a school-based obesity prevention intervention that addresses these limitations in the extant literature. We conducted focus groups with daughter/mother dyads to identify practical, cultural, and age-appropriate strategies for improving physical activity (PA) and dietary behaviors in Black adolescent daughters (grades 9-10, ages 14-17). Black Girls Move consists of 12 weekly group sessions of daughter/mother dyads in which participants set individualized PA and dietary goals. Black Girls Move incorporates content and processes derived from asset-based anti-racist Public Health Critical Race Praxis, Family Systems Theory, and Social Cognitive Theory. Specific aims are to determine the efficacy of Black Girls Move compared to daughters-only comparison condition on change in PA and dietary intake, and the impact of Black Girls Move compared to daughters-only on theoretical mechanisms of change (racial identity, daughter/mother relationship, social cognitions) assessed by self-report measures. The design is a 12-week pre-test/post-test, randomized controlled trial. We will recruit 24 daughter/mother dyads at each of 8 schools for a total sample size of 192 daughter/mother dyads. Within school, each dyad will be randomized to either Black Girls Move or daughters-only comparison condition (12 per condition). All daughters and all mothers (Black Girls Move daughter/mother dyads and daughters-only comparison condition daughter/mother dyads) complete assessments (e.g., PA, diet, family measures) at baseline, post-intervention, and 3-months post-intervention. We recognize that there are potential validity threats associated with within- school student randomization. We will collect data to assess the degree to which these potential threats are pertinent. The long-term goal of this research is to decrease disparities in obesity and associated co- morbidities in Black women. The findings may inform future large scale R01 studies of BGM in Black daughter/mother dyads.

项目概要/摘要 与成年黑人女性青少年相比，黑人女性青少年与肥胖相关的发病率和死亡率的风险更高 非西班牙裔白人女性青少年预防黑人女性青少年肥胖的干预措施。 影响女儿/母亲二人关系的研究受到的关注有限。 母亲们倾向于使用没有明确建立在这种重要的家庭关系之上的理论框架， 此外，这些研究没有包括母亲的积极参与，也不包括 1 岁以上的女孩。 12. 作为回应，我们开发了 Black Girls Move，这是一项以学校为基础的肥胖预防干预措施， 这些解决了现有文献中的局限性。我们与女儿/母亲二人进行了焦点小组讨论。 确定实用、文化和适合年龄的策略，以改善身体活动 (PA) 和饮食 黑人青春期女儿（9-10 年级，14-17 岁）的行为包括 12 周。 女儿/母亲二人小组会议，参与者设定个性化的 PA 和饮食目标。 Girls Move 纳入了源自基于资产的反种族主义《公共健康批判》的内容和流程 种族实践、家庭系统理论和社会认知理论的具体目标是确定 Black Girls Move 与仅女儿比较条件相比对 PA 和饮食变化的功效 摄入量，以及黑人女孩行动与仅女儿相比对理论变化机制的影响 （种族认同、女儿/母亲关系、社会认知）通过自我报告措施进行评估。 该设计是一项为期 12 周的前测/后测、随机对照试验，我们将招募 24 名女儿/母亲。 8 所学校的每所学校都有 192 名女儿/母亲二人组样本，在学校内，每个二人组将 被随机分配到 Black Girls Move 或仅女儿比较条件（每个条件 12 个）。 女儿和所有母亲（黑人女孩移动女儿/母亲二元组和仅限女儿的比较条件 女儿/母亲二人组）在基线、干预后完成（例如，PA、饮食、家庭措施）， 我们认识到，存在与内部相关的潜在有效性威胁。 我们将收集数据来评估这些潜在威胁的程度。 这项研究的长期目标是减少肥胖和相关疾病的差异。 该研究结果可能为未来针对黑人 BGM 的大规模 R01 研究提供信息。 女儿/母亲二人组。