A Home-Based Parent-Child Intervention to Promote Children's Energy Balance

家庭亲子干预促进儿童能量平衡

• 批准号: 7305409
• 负责人: CHRISTINE JACKSON
• 金额: $ 26.76万
• 依托单位: RESEARCH TRIANGLE INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-15 至 2009-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7305409
• 关键词: 7 year old; Active Learning; Address; Affect; Age; Attention; Behavior; Behavioral; Biological; Child; Childhood; Chronic Disease; Concept Review; Condition; Consultations; Critiques; Data Collection; Diet; Disease regression; Eating; Effectiveness of Interventions; Energy Intake; Ensure; Ethnic Origin; Exploratory/Developmental Grant; Family; Female; Fostering; Health Benefit; Health behavior; Home environment; Informal Social Control; Intervention; Investigation; Knowledge; Measures; Methods; Modeling; Mothers; North Carolina; Obesity; Outcome; Overweight; Parent-Child Relations; Parenting behavior; Parents; Participant; Pattern; Physical activity; Pilot Projects; Prevention strategy; Principal Investigator; Process; Program Development; Protocols documentation; Randomized; Recruitment Activity; Reporting; Research; Research Personnel; Risk; Sampling; Screening procedure; Series; Site; Smoking Prevention; Socialization; Source; Telephone Interviews; Testing; Universities; Weight Gain; anti-smoking; base; boys; concept; design; efficacy evaluation; energy balance; expectation; experience; follow-up; girls; innovation; method development; nutrition; programs; prototype; psychologic; sex; skills; sound; therapy development; tool

DESCRIPTION (provided by applicant): This investigation will develop and pilot test a home-based intervention to modify parenting practices that influence children's eating patterns, physical activity, and media use behaviors and thereby influence children's risk of unhealthy weight gain. Aim 1: Develop a home-based intervention to modify parenting practices that influence children's risk of unhealthy weight gain. During program development the investigators will apply a successful model of a home-based parenting program for smoking prevention developed by the Principal Investigator in prior research, they will involve parents and children in screening the intervention concepts and field testing intervention prototypes, and they will utilize expert consultation on nutrition and physical activity intervention and assessment. The complete intervention will be a six month series of intervention activity guides that rely on interactive games and other forms of experiential learning to engage parents and children jointly in modifying diet, physical activity, and media use practices that promote unhealthy weight gain. Aim 2: Conduct a small sample pilot study to measure the effects of the intervention on parenting practices and on children's dietary, physical activity, and media use behaviors. At baseline, 240 dyads of mothers and seven year old children will be recruited. Mothers will be biological mothers, step- mothers, foster mothers, or other female guardians of any racial/ethnicity group; children will be boys or girls who are at-risk or nearly-at-risk of becoming overweight (defined as sex-specific BMI-for-age = 80th and < 95th percentile). Following baseline assessments completed by mothers and children on site (at Principal InvestigatorRE), participants will be randomly assigned to a 6-month treatment or to a delayed treatment control condition (controls will receive intervention materials after follow-up). Intervention exposure and fidelity will be measured using telephone interviews conducted monthly with random subsets of treatment group parents. Follow-up data collection will repeat the baseline assessment protocol for mothers and children. Regression models will be used to test the hypothesis that parents exposed to the intervention will be significantly more likely than controls to use parenting practices that promote healthy weight gain. Regression models will also test whether children in the treatment group are significantly more likely than controls to report recommended dietary, physical activity, and media use behaviors. Pediatric obesity has become increasingly prevalent and is associated with increased risk of multiple chronic diseases. Children whose diet, physical activity, and media use behaviors promote energy balance could experience long-term health benefits. For children to benefit, parents must have the knowledge, basic skills, and socialization tools they need to modify relevant socialization processes. The proposed research aims to develop a program that will meet this need.

描述（由申请人提供）：此调查将开发和试点测试家庭干预措施，以修改影响儿童饮食模式，体育锻炼和媒体使用行为的育儿实践，从而影响儿童体重增加不健康的风险。目标1：开发基于家庭的干预措施，以修改影响儿童体重增加不健康的风险的育儿做法。在计划开发期间，研究人员将采用基于家庭育儿计划的成功模型，用于由主要研究者在先前的研究中开发的预防吸烟，他们将使父母和孩子筛查干预概念和现场测试干预原型，并将利用有关营养和身体活动干预和评估的专家咨询。完整的干预措施将是六个月的干预活动指南，依靠互动游戏和其他形式的体验学习，以共同与父母和孩子共同改变饮食，体育锻炼和媒体使用实践来促进不健康的体重增加。目标2：进行一项小型样本试验研究，以衡量干预对育儿做法以及儿童饮食，体育锻炼和媒体使用行为的影响。在基线时，将招募240个母亲和七岁的孩子。母亲将是生物母亲，继母，寄养母亲或任何种族/族裔群体的其他女性监护人；儿童将是高危或差不多的男孩或女孩超重（定义为特定于性别的BMI-for-age = 80％和<95％）。在现场（主要研究人员）的母亲和儿童完成的基线评估之后，参与者将被随机分配到6个月的治疗或延迟治疗控制条件（对照在随访后将接受干预材料）。干预暴露和保真度将使用每月与治疗组父母的随机子集进行的电话访谈进行衡量。后续数据收集将重复母亲和儿童的基线评估方案。回归模型将用于检验以下假设：与对照组使用促进健康体重增加的育儿实践相比，暴露于干预措施的父母更有可能。回归模型还将测试治疗组中的儿童是否比对照组报告建议的饮食，体育锻炼和媒体使用行为的可能性明显更大。小儿肥胖已经变得越来越普遍，并且与多种慢性疾病的风险增加有关。饮食，体育锻炼和媒体使用行为促进能量平衡的儿童可能会带来长期的健康益处。为了使孩子受益，父母必须具有修改相关社会化过程所需的知识，基本技能和社交工具。拟议的研究旨在制定一个可以满足这一需求的计划。