My weight-their weight: eHealth intervention for managing obesity in child care settings

我的体重-他们的体重：在儿童保育环境中管理肥胖的电子健康干预

基本信息

批准号：
10364383
负责人：
Erik A Willis
金额：
$ 68.95万
依托单位：
UNIV OF NORTH CAROLINA CHAPEL HILL
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-02-01 至 2027-01-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10364383
关键词：
5 year old Address Adopted Behavior Body mass index Caring Child Child Care Cluster randomized trial Data Diet Dietary intake Eating Educational Models Effectiveness Enrollment Environment Evaluation Habits Health Health Personnel Health Promotion Health and Behavior in Children Health behavior Healthy Eating High Prevalence Intervention Knowledge Modeling Obesity Obesity Epidemic Organizational Change Outcome Outcome Measure Physical activity Play Policies Prevention program Process Provider Public Health Randomized Randomized Controlled Trials Reach Effectiveness Adoption Implementation and Maintenance Research Specific qualifier value Testing Weight Weight maintenance regimen arm base behavior change care providers dietary eHealth early childhood evidence base healthy lifestyle healthy weight improved interest meetings nutrition obesity in children obesity management obesity prevention obesity risk programs provider behavior randomized trial recruit secondary analysis weight loss intervention

项目摘要

ABSTRACT Child care centers ─ and their providers ─ are critical partners in public health efforts to address today’s obesity epidemic. Diet and physical activity (PA) habits are formed early, influencing immediate and long-term obesity risk, and both centers and providers play key roles in forming children’s weight-related habits. Yet, the standard paradigm of child care-based obesity prevention initiatives primarily target only center directors to change organizational-level policies and practices; failing to recognize the needs of the child care providers. These providers suffer disproportionally high prevalence of obesity and research has shown that providers’ own poor eating and PA behaviors reduce their confidence and ability to model and promote healthy lifestyle behaviors to the children in their care. However, information regarding the effectiveness of improving provider health behaviors or whether such improvements elicit meaningful change in the child care environment and the children in their care is limited. Leveraging our team’s expertise with implementing evidence-based behavior change and weight loss interventions, the proposed study will integrate an evidence-based weight management intervention for child care providers into Go NAPSACC’s existing childhood obesity prevention program (Go NAPSACC+). Go NAPSACC+ program will be assessed using a clustered randomized controlled trial to evaluate if improving child care providers’ health behaviors elicit meaningful change in dietary and PA behaviors in 2-5-year-old children in their care and the child care environment. We will recruit 84 centers, including 168 providers, and 672 2–5-year-old children to participate in the evaluation. Centers will be randomly assigned to 1) standard “Go NAPSACC” or 2) “Go NAPSACC+” (with a provider weight management component). Outcome measures will assess impact on dietary intake and PA behaviors of 2-5-year-old children at 6 months (primary aim) and 12 months. Secondarily we will compare the impact of the intervention on centers’ implementation of healthy weight practices and the effect on provider-level weight, diet quality and/or PA at 6 and 12-months. Extensive process analysis, guided by the RE-AIM framework, will document the fidelity of the interventions, challenges and barriers to effective implementation, and use of program specified activities. If successful, findings will provide a highly implementable, scalable, and sustainable strategy that would enhance the standard paradigm of early childhood obesity prevention initiatives.

抽象的儿童保育中心及其提供者是解决当今肥胖问题的公共卫生努力的重要合作伙伴饮食和身体活动（PA）习惯很早就形成，影响即时和长期的肥胖。然而，中心和提供者在形成儿童与体重相关的习惯方面发挥着关键作用。以儿童保育为基础的肥胖预防举措的范例主要只针对中心主任进行改变组织层面的政策和做法；未能认识到儿童保育提供者的需求。医疗服务提供者的肥胖患病率异常高，研究表明，医疗服务提供者自身的贫困饮食和 PA 行为降低了他们塑造和促进健康生活方式行为的信心和能力然而，有关改善提供者健康的有效性的信息。行为或此类改进是否会引起儿童保育环境和儿童的有意义的变化利用我们团队的专业知识来实施基于证据的行为改变和治疗是有限的。减肥干预措施，拟议的研究将整合基于证据的体重管理干预措施让儿童保育提供者参与 Go NAPSACC 现有的儿童肥胖预防计划 (Go NAPSACC+)。 Go NAPSACC+ 计划将使用集群随机对照试验进行评估，以评估是否有所改善托儿服务提供者的健康行为引起 2-5 岁儿童饮食和 PA 行为的有意义的变化我们将招募 84 个中心，包括 168 个服务提供者和 672 个。参加评估的2-5岁儿童将被随机分配到1）标准“Go”。 NAPSACC”或 2) “Go NAPSACC+”（带有提供者体重管理组件）。评估对 2-5 岁儿童 6 个月（主要目标）和 12 岁时膳食摄入和 PA 行为的影响其次，我们将比较干预措施对中心实施健康体重的影响。 6 个月和 12 个月的实践以及对提供者体重、饮食质量和/或 PA 的影响。以 RE-AIM 框架为指导的分析将记录干预措施、挑战和障碍的保真度有效实施和使用计划指定的活动如果成功，调查结果将提供高度的帮助。可实施、可扩展和可持续的战略，将增强幼儿教育的标准范式肥胖预防建议。