A health-literacy module for overweight adolescents and their parents on canine physical activity, nutrition and behavior: Enhancing DHHS'BodyWorks program at a Federally Qualified Health Center

为超重青少年及其父母提供有关犬类身体活动、营养和行为的健康素养模块：在联邦合格健康中心加强 DHHS 的 BodyWorks 计划

• 批准号: 9905289
• 负责人: Larry Yin
• 金额: $ 28.53万
• 依托单位: CHILDREN'S HOSPITAL OF LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-03-17 至 2022-02-28
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9905289
• 关键词: Accelerometer; Address; Adolescent; Adolescent obesity; Affect; Age; American; Animals; Behavior; Behavioral; Canis familiaris; Car Phone; Child; Childhood; Clinic; Companions; Control Groups; County; Data; Diagnosis; Ecological momentary assessment; Educational Curriculum; Family; Federally Qualified Health Center; Guidelines; Health behavior; Healthcare; Home environment; Household; Human; Intervention; Link; Los Angeles; Measurement; Measures; Methodology; Modeling; Nutritional; Obesity; Obesity Epidemic; Oranges; Overweight; Ownership; Parents; Participant; Pediatric Hospitals; Pediatrics; Physical activity; Pilot Projects; Population; Preparation; Protocol Compliance; Public Health; Randomized; Randomized Controlled Trials; Research; Salmon; Social Network; Surveys; Testing; Theory of Change; Veterinary Medicine; Walking; Weight; Wireless Technology; adolescent health; base; design; effectiveness testing; fitbit; fitness; group intervention; health literacy; lifestyle intervention; moderate-to-vigorous physical activity; novel strategies; nutrition; programs; psychosocial; public health intervention; recruit

ABSTRACT This project is a feasibility, acceptability, and pilot study that leverages the psychosocial benefits of informed and attached dog ownership among treatment-naïve overweight or obese adolescents. We draw upon a socioecological model of health behavior that pursues multiple levels of influence, including those extending across species lines such as physical activity. We utilize BodyWorks, a Comprehensive Behavioral Family Lifestyle Interventions (CBFLI), a national, empirically validated, curriculum-based 7-week program offered at Children's Hospital Los Angeles AltaMed Division of General Pediatrics, a Federally Qualified Healthcare Center. The aims of the study are: Specific Aim 1: Using current empirical evidence in veterinary medicine, to develop a Canine Health Literacy module (CHL) to be delivered as part of the existing, empirically tested BW curriculum to increase adolescents' health literacy about their dogs' physical activity needs, weight status, and nutrition. Specific Aim 2: Test the feasibility and acceptability of a concurrent approach using physical activity trackers and Ecological Momentary Assessment. 2(a): Test the feasibility and acceptability of objective measurement of physical activity using wireless fitness trackers for adolescents (FitBit Ace), their parents (FitBit Flex2), and their dogs (FitBark); 2(b): Test the feasibility and acceptability of using mobile phones for Ecological Momentary Assessment of types and contexts of adolescent's physical activity with dogs. Specific Aim 3: To establish the size of the effect, and the variability associated with the 7 week-long BW + CHL module, as compared with the control group who received the standard BW program in 3(a) adolescents' positive affect during or after physical activity with the dog, as measured by the Ecological Momentary Assessment using prompts on mobile phones; and 3(b) levels of overall physical activity for the adolescents, their parents, and the dogs as measured by the FitBit Ace (adolescents), FitBit Flex2 (parents), and FitBark (dogs). The project will establish feasibility, acceptability, attrition, and protocol compliance, and will collect pilot data needed for power calculations in preparation for an R01 Randomized Controlled Trial as a next step to test the effectiveness of our enhanced BW+CHL program. This project represents a significant methodological and theoretical advancement in the field of Human-Animal Interaction (HAI) and in research on overweight and obesity.

抽象的 该项目是一项可行性、可接受性和试点研究，利用了知情者的社会心理益处 我们利用了未接受治疗的超重或肥胖青少年的养狗情况。 健康行为的社会生态模型追求多层次的影响力，包括那些延伸的影响力 我们利用身体活动等跨物种的方法，这是一个综合行为系列。 生活方式干预 (CBFLI) 是一项全国性的、经过实证验证、基于课程的为期 7 周的计划，在 洛杉矶儿童医院 AltaMed 儿科普通科，具有联邦资格的医疗保健机构 该研究的目的是： 具体目标 1：利用当前兽医学的经验证据， 开发犬类健康素养模块（CHL），作为现有的、经过实证检验的模块的一部分提供 BW 课程旨在提高青少年对狗狗的身体活动需求、体重的健康素养 具体目标 2：使用并行方法测试可行性和可接受性。 身体活动追踪器和生态瞬时评估 2(a)：测试可行性和可接受性。 使用青少年无线健身追踪器 (FitBit Ace) 客观测量身体活动， 父母 (FitBit Flex2) 和他们的狗 (FitBark)；2(b)：测试使用移动设备的可行性和可接受性 用于对青少年身体活动的类型和背景进行生态瞬时评估的电话 具体目标 3：确定效果的大小以及与 7 周相关的变异性。 BW + CHL 模块，与 3(a) 中接受标准 BW 计划的对照组相比 根据生态学测量，青少年在与狗进行体育活动期间或之后的积极影响 使用手机提示进行瞬时评估；以及 3(b) 总体身体活动水平 通过 FitBit Ace（青少年）、FitBit Flex2（父母）测量的青少年、他们的父母和狗， FitBark（狗） 该项目将确定可行性、可接受性、消耗和协议合规性，以及 将收集功率计算所需的试点数据，为 R01 随机对照试验做准备 下一步是测试我们增强的 BW+CHL 计划的有效性，该项目意义重大。 人与动物相互作用（HAI）领域和研究的方法和理论进展 关于超重和肥胖。