Using a Mentoring AfterSchool Program to Improve Adolescent Mental Health and Physical Activity: A Pilot Study

利用课后辅导计划改善青少年心理健康和身体活动：试点研究

• 批准号: 10782661
• 负责人: Katherine R Arlinghaus
• 金额: $ 13.78万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-23 至 2026-04-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10782661
• 关键词: Academy; Accelerometer; Address; Adolescent; Adolescent and Young Adult; Age; American; Area; Cardiovascular Diseases; Cause of Death; Childhood; Communities; Coupling; Data; Depressed mood; Development; Diet; Disadvantaged; Disparity population; Dose; Emergency Situation; Emotional; Environment; Feeling; Feeling hopeless; Focus Groups; Funding; Future; Goals; Health; Health behavior; High School Student; Inequity; Insulin Resistance; Intervention; Intervention Studies; K-Series Research Career Programs; Knowledge; Learning Skill; Link; Mental Depression; Mental Health; Mentors; Mentorship; Modeling; National Heart, Lung, and Blood Institute; Obesity; Outcome; Participant; Pathway interactions; Pediatrics; Personal Satisfaction; Persons; Phase; Physical activity; Pilot Projects; Prevention; Prevention program; Prevention strategy; Process; Qualitative Methods; Quasi-experiment; Questionnaires; Reporting; Research; Research Design; Research Methodology; Research Personnel; Risk; Risk Factors; Schools; Self Perception; Series; Site; Sleep; Social support; Structure; Students; Surveys; Testing; Time; Training; Work; Youth; acceptability and feasibility; after-school program; cardiovascular disorder prevention; cardiovascular disorder risk; career; child depression; community based evaluation; depressive symptoms; design; efficacy trial; experience; hands-on learning; high risk; implementation research; implementation strategy; improved; interest; multidisciplinary; novel; novel strategies; physical conditioning; pilot test; pilot trial; prevent; preventive intervention; primary outcome; programs; satisfaction; sedentary lifestyle; skill acquisition; skills; social; social emotional learning; social model; university student; young adult; Academy; Accelerometer; Address; Adolescent; Adolescent and Young Adult; Age; American; Area; Cardiovascular Diseases; Cause of Death; Childhood; Communities; Coupling; Data; Depressed mood; Development; Diet; Disadvantaged; Disparity population; Dose; Emergency Situation; Emotional; Environment; Feeling; Feeling hopeless; Focus Groups; Funding; Future; Goals; Health; Health behavior; High School Student; Inequity; Insulin Resistance; Intervention; Intervention Studies; K-Series Research Career Programs; Knowledge; Learning Skill; Link; Mental Depression; Mental Health; Mentors; Mentorship; Modeling; National Heart, Lung, and Blood Institute; Obesity; Outcome; Participant; Pathway interactions; Pediatrics; Personal Satisfaction; Persons; Phase; Physical activity; Pilot Projects; Prevention; Prevention program; Prevention strategy; Process; Qualitative Methods; Quasi-experiment; Questionnaires; Reporting; Research; Research Design; Research Methodology; Research Personnel; Risk; Risk Factors; Schools; Self Perception; Series; Site; Sleep; Social support; Structure; Students; Surveys; Testing; Time; Training; Work; Youth; acceptability and feasibility; after-school program; cardiovascular disorder prevention; cardiovascular disorder risk; career; child depression; community based evaluation; depressive symptoms; design; efficacy trial; experience; hands-on learning; high risk; implementation research; implementation strategy; improved; interest; multidisciplinary; novel; novel strategies; physical conditioning; pilot test; pilot trial; prevent; preventive intervention; primary outcome; programs; satisfaction; sedentary lifestyle; skill acquisition; skills; social; social emotional learning; social model; university student; young adult

PROJECT SUMMARY This career development award will establish the candidate, Dr. Katherine Arlinghaus, as an independent investigator with expertise in the development, implementation, and evaluation of community-based, interventions that are strategically designed to address the interconnection between physical and mental health to optimize the reduction of risk for cardiovascular disease development among underserved youth. Cardiovascular disease is the leading cause of death worldwide. Most pediatric prevention programs focus on key modifiable physical health behaviors like physical activity, diet, and more recently sleep. While important components for prevention, the physical health focus can overlook the importance of mental health and wellbeing as a preventative factor for cardiovascular disease development. The omittance of intervention explicitly aimed at preventing depression has been highlighted by the recent substantial increases in rates of youth depression symptoms. To reduce the number of youth at high risk for developing CVD, we need to create accessible and appealing prevention interventions that synergistically address youth mental and physical health needs and have realistic pathways to large-scale dissemination. To address this critical need, Dr. Arlinghaus designed an afterschool program that uses a mentorship model to simultaneously address mental and physical health among youth. While well-liked, challenges regarding intervention reach encountered during the proof-of-concept study require further revision and augmentation. Dr. Arlinghaus’s K01 project will return to the design phase of intervention optimization and work with current and new school sites to augment and revise the intervention to increase its reach and impact. Preliminary testing of the intervention will be conducted at the new school sites to identify needs for further revisions and harmonize research methodologies to prepare for a future fully-powered, real-world efficacy trial. Specifically, Dr. Arlinghaus will use informative qualitative methods to collaboratively identify intervention augmentations and revision with stakeholders to improve intervention reach and impact (Aim 1), and will then conduct a two year quasi- experimental crossover pilot trial to characterize the feasibility, acceptability and preliminary impact on physical activity and depression outcomes among adolescents and young adult mentors (aim 2). These research aims will provide hands-on-experience for Dr. Arlinghaus to apply didactic training in qualitative methods skills, content area knowledge of the connection between mental health and physical activity, accelerometry skills, and community-based intervention study design and implementation. She will be supported by a multidisciplinary team of mentors with expertise in each of these areas. This proposal addresses NHLBI priorities to optimize novel cardiovascular disease prevention strategies and implementation research and identify how community-based implementation strategies can address cardiovascular disease inequities.

项目摘要 该职业发展奖将建立候选人凯瑟琳·阿林豪斯（Katherine Arlinghaus）博士作为独立 研究者在开发，实施和评估方面具有专业知识，以社区为基础 旨在解决身体健康和心理健康之间互连的干预措施 以优化服务不足的青年中心血管疾病发展的风险。 心血管疾病是全球死亡的主要原因。大多数儿科预防计划都关注 关键的可修改身体健康行为，例如体育锻炼，饮食和最近入睡。虽然很重要 预防组件，身体健康的重点可以忽略心理健康的重要性 福祉是心血管疾病发展的预防因素。干预的关注 明确旨在防止抑郁症的目的是最近大幅提高 青年抑郁症状。为了减少开发CVD高风险的青年人数，我们需要 创建可访问且吸引人的预防干预措施，协同解决青年的精神和 身体健康的需求，并有实现大规模传播的途径。为了满足这种批判需求， Arlinghaus博士设计了一项后课程计划，该计划使用Mentalship Models简单地解决 年轻人的身心健康。虽然受欢迎，但有关干预的挑战 在概念证明研究中遇到的需要进一步的修订和增强。 Arlinghaus博士的K01 项目将返回干预优化的设计阶段，并与当前和新的学校网站合作 增加和修改干预措施以增加其影响力和影响。干预的初步测试 将在新的学校网站进行，以确定进一步修订的需求并协调研究 为将来全力以赴的现实有效试验做准备的方法。特别是，阿林豪斯博士将 使用信息丰富的定性方法协作确定干预措施并与 利益相关者改善干预措施和影响（目标1），然后将进行两年的准 实验性跨界试验试验，以表征可行性，可接受性和对物理的初步影响 青少年和年轻成人导师的活动和抑郁结果（AIM 2）。这些研究的目的 将为Arlinghaus博士提供动手体验，以在定性方法技能上应用教学培训， 内容区域知识对心理健康与体育锻炼，加速度计量技能之间的联系知识， 以及基于社区的干预研究设计和实施。她将得到 多学科导师团队在每个领域中都有专业知识。该提案解决了NHLBI 优先考虑新颖的心血管疾病预防策略和实施研究以及 确定基于社区的实施策略如何解决心血管疾病的不平等。