Communities and Schools Together for Childhood Obesity Prevention

社区和学校共同预防儿童肥胖

• 批准号: 7816865
• 负责人: Deborah Johnson-Shelton
• 金额: $ 60万
• 依托单位: OREGON RESEARCH INSTITUTE
• 依托单位国家: 美国
• 财政年份: 2008
• 资助国家: 美国
• 起止时间: 2008-05-01 至 2013-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7816865
• 关键词: Address; Adult; Awareness; Cardiovascular Diseases; Centers for Disease Control and Prevention (U.S.); Child; Child health care; Childhood; Chronic Disease; Collaborations; Communities; Community Health; Community Practice; Complex; County; Data; Development; Educational Curriculum; Effectiveness; Enrollment; Environment; Environmental Health; Environmental Risk Factor; Epidemic; Evaluation; Evaluation Research; Face; Family; Food; Goals; Health; Health education; Healthy People 2010; Institute of Medicine (U.S.); Institution; Intervention; Investigation; Knowledge; Life Style; Measures; Modeling; Monitor; National Health and Nutrition Examination Survey; Nature; Neighborhoods; Non-Insulin-Dependent Diabetes Mellitus; Nutritional; Obesity; Oregon; Outcome; Overweight; Parenting behavior; Parents; Participant; Phase; Physical activity; Policies; Prevalence; Prevention; Preventive Intervention; Process; Program Development; Public Health; Public Health Practice; Relative (related person); Research; Research Methodology; Research Project Grants; Resources; Risk; Risk Factors; Rural Community; Schools; Social Problems; Solutions; Stress; Students; Surveys; System; Teenagers; Time; Training; Training and Education; Trust; United States; Universities; Work; base; community based participatory research; community organizations; community setting; demographics; design; effective intervention; elementary school; experience; food consumption; innovation; interest; intervention program; meetings; member; multidisciplinary; nutrition; obesity in children; obesity prevention; obesity risk; programs; psychological outcomes; public health relevance; repository; school health; self esteem; social; suburb; systems research; tool

DESCRIPTION (provided by applicant): The growing epidemic of childhood obesity, and increasing awareness about the nature of chronic diseases that persist from childhood into adulthood, has become a major public health concern in the United States. Evidence continues to mount that the two most important influences on childhood obesity are nutrition and physical activity. While schools are often cited as the most capable environment to address childhood obesity and related public health concerns, they face extreme challenges in providing these social interventions alone. At the same time, environmental and social influence beyond the reach of schools are becoming recognized as the major determinants in the development of childhood obesity (Institute of Medicine, 2005). Across this divide and connection between schools and communities, an opportunity exists to transform approaches and community-school relationships to more effectively address this growing national obesity epidemic. Community-Based Participatory Research (CBPR) offers a much needed strategy for organizing local capacity in understanding and responding to these complex, multi-systemic health issues. The Communities and Schools Together (CAST) study seeks to build a collaborative school-community partnership to discover researched solutions to local obesity health risks for children. Partners in this proposed study include an elementary school district with an enrollment of 3,000 students in a suburban/rural community in Oregon. Community partners include a multidisciplinary group of organizational members focused on food system environments, parent training and health education; university academic programs experienced in assessing nutritional policies and practice, community built environments, and physical activity access and supports; and a research organization capable of assisting in measuring and evaluating community-based interventions to support of communities and schools in their efforts to reduce childhood obesity. To assist this CAST CBPR, we propose the development of a community health monitoring system to serve as community-based repository for research on local health needs. This CHMS will help track rates of child obesity, analyzing environmental and social influences of obesity, and developing strategies for effective and timely community-based obesity prevention and intervention programs. CAST partners will conduct research on local social, built environment, and food environment influences and factors related to child health, develop and evaluate a community developed, data driven parent health intervention program, and document program processes and collaboratively developed research methods and findings for ongoing dissemination and replication of the CAST program. PUBLIC HEALTH RELEVANCE: The project will develop a community-school partnership to research environmental factors influencing obesity risk among elementary school children. This project will create a Community-Based Health Monitoring system to serve as a research repository for obesity prevention collaboration and a research tool for use in other communities. The project will also develop and evaluate a collaborative and research-based parenting curriculum to reduce community risks of obesity among children. School neighborhoods will be assessed for children}s health via established built- and food-system research methods, which will measure the relative strengths and challenges of neighborhoods for support of positive child health outcomes.

描述（由申请人提供）：在儿童肥胖症的流行病以及对从童年到成年期持续存在的慢性疾病性质的认识越来越多，已成为美国的主要公共卫生问题。有证据表明，对儿童肥胖症的两个最重要的影响是营养和体育锻炼。尽管通常将学校视为解决儿童肥胖和相关公共卫生问题的最有能力的环境，但仅提供这些社会干预措施时，他们面临极大的挑战。同时，超出学校范围的环境和社会影响正在被公认为儿童肥胖发展的主要决定因素（医学研究所，2005年）。在学校和社区之间的这种鸿沟和联系中，存在一个机会来改变方法和社区学校关系，以更有效地解决这种日益增长的民族肥胖流行。基于社区的参与性研究（CBPR）提供了一项急需的策略，以组织本地能力，以理解和应对这些复杂的多系统健康问题。社区和学校（演员）的研究旨在建立一个协作的学校社区合作伙伴关系，以发现针对儿童肥胖健康风险的研究解决方案。这项拟议的研究的合作伙伴包括一个小学区，俄勒冈州一个郊区/农村社区中有3,000名学生入学。社区合作伙伴包括一个跨学科的组织成员小组，专注于食品系统环境，父母培训和健康教育；大学学术课程在评估营养政策和实践，社区建筑环境以及体育锻炼的访问和支持方面经验丰富；以及一个研究组织，能够协助测量和评估基于社区的干预措施，以支持社区和学校减少儿童肥胖症。为了协助CAST CBPR，我们建议开发社区健康监测系统，以作为基于社区的当地健康需求研究的存储库。这种CHM将有助于跟踪儿童肥胖的速度，分析肥胖的环境和社会影响，并制定有效，及时的基于社区的肥胖症预防和干预计划的策略。演员伙伴将对与儿童健康相关的当地社会，建筑环境和食品环境和因素进行研究，开发和评估开发的社区，数据驱动的父母健康干预计划，记录计划过程，并协作开发了研究方法和发现，以持续传播和复制演员。公共卫生相关性：该项目将建立社区学校的伙伴关系，以研究影响小学儿童肥胖风险的环境因素。该项目将创建一个基于社区的健康监测系统，以作为肥胖预防协作的研究存储库，以及用于其他社区的研究工具。该项目还将开发和评估基于协作和研究的育儿课程，以减少儿童肥胖的风险。学校社区将通过既定的内置和食品系统研究方法对儿童的健康进行评估，这将衡量社区的相对优势和挑战，以支持积极的儿童健康成果。