Role of parenting skills, style, and family functioning in pediatric weight loss

养育技巧、风格和家庭功能在儿科减肥中的作用

• 批准号: 7661875
• 负责人: Kyung E Rhee
• 金额: $ 15.91万
• 依托单位: MIRIAM HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2009
• 资助国家: 美国
• 起止时间: 2009-06-05 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7661875
• 关键词: Address; Adherence; Adoption; Affect; Aftercare; Age; Area; Behavior; Behavior Therapy; Behavioral; Body Weight decreased; Body mass index; Books; Child; Child Rearing; Childhood; Clinical Research; Code; Data; Data Analyses; Development; Dimensions; Eating; Educational process of instructing; Emotional; Enrollment; Environment; Ethics; Evaluation; Family; Goals; Habits; Home environment; Hospitals; Intervention; Learning; Measures; Mentored Patient-Oriented Research Career Development Award; Mentors; Methodology; Methods; Modeling; Monitor; Mothers; National Heart, Lung, and Blood Institute; Obesity; Outcome; Overweight; Parent-Child Relations; Parenting behavior; Parents; Patient Self-Report; Phase; Physical activity; Positive Reinforcements; Principal Investigator; Psychologist; Psychology; Public Health; Recommendation; Reporting; Research; Research Personnel; Research Training; Resources; Risk; Scoring Method; Training; Training Programs; Treatment Protocols; Treatment outcome; Videotape; Weight; Weight maintenance regimen; Wing; Work; base; career; design; effective therapy; experience; high standard; improved; information gathering; innovation; insight; medical schools; obesity in children; parental role; patient oriented research; programs; public health relevance; skill acquisition; skills; statistics; stem; success; successful intervention; tool; treatment program

DESCRIPTION (provided by applicant): The goal of this Mentored Patient-Oriented Research Career Award (K23) is to allow Dr. Rhee to become an independent researcher in the area of pediatric weight management. This training plan, through a combination of didactic and direct mentored training experiences, provides her with the opportunity to develop additional skills and expertise in: 1) the behavioral management of child overweight, 2) the study of parent-child interactions, parenting style, and parenting interventions, which may impact the efficacy of pediatric weight control programs, and 3) the methodology, statistics and ethics of clinical research in childhood obesity. The resources at The Miriam Hospital/ Brown Medical School and close contact with her expert mentoring team (Drs. Wing, Dickstein, Jelalian, and Seifer) will provide Dr. Rhee with the ideal environment to achieve her training and research goals. Childhood obesity continues to be a serious public health concern. Family-based behavioral treatment programs can be successful, but have great variability in efficacy. Several factors may impact the success of these programs: the adoption of parenting skills and the impact of parenting style on the implementation of behavioral changes in the home. The goal of this proposal is to better understand the role of parenting skills/style in the success of behavioral weight control for children. We will first develop a coding schema for parenting skills that occur during a family meal. During phase II, when we implement a family-based behavioral weight control program, we will use this and other existing direct observation measures to evaluate parenting skills and style during a videotaped family meal. Additional self-report measures completed by the parent and child will supplement the information gathered in the videotapes. We will then determine the role of parenting skills and parenting style on change in child weight status and whether or not current family-based programs can change these parent level factors. As a secondary aim, we will examine whether there are differences in parenting skills or style between families of overweight and normal weight children. PUBLIC HEALTH RELEVANCE: The results of this study will inform the development of an enhanced or modified behavioral treatment program for children that addresses the parent level factors found to be significant. Ultimately, the goal of this proposal is to develop a more comprehensive and effective treatment for overweight children.

描述（由申请人提供）：这一受过指导患者的研究职业奖（K23）的目标是使Rhee博士成为小儿体重管理领域的独立研究人员。该培训计划通过教学和直接指导的培训经验的结合，为她提供了开发其他技能和专业知识的机会：1）儿童超重的行为管理，2）对父母亲子互动，育儿风格，育儿方式和育儿干预的研究，可能会影响儿童统计学的统计学，统计学的统计学研究。 Miriam医院/ Brown医学院的资源，并与她的专家指导团队（Wing Drs，Dickstein，Jelalian和Seifer）密切联系，将为Rhee博士提供理想的环境，以实现她的培训和研究目标。儿童肥胖仍然是一个严重的公共卫生问题。基于家庭的行为治疗计划可以成功，但在功效方面具有很大的差异。几个因素可能会影响这些计划的成功：采用育儿技能以及育儿方式对实施家庭行为改变的影响。该提案的目的是更好地了解育儿技能/风格在儿童行为体重控制成功中的作用。我们将首先开发用于家庭用餐期间育儿技能的编码模式。在第二阶段，当我们实施基于家庭的行为体重控制计划时，我们将使用此和其他现有的直接观察措施来评估录像带中的育儿技能和风格。父母和孩子完成的其他自我报告措施将补充录像带中收集的信息。然后，我们将确定育儿技能和育儿方式对儿童体重状况变化的作用以及当前基于家庭的计划是否可以改变这些父母级别的因素。作为次要目标，我们将研究超重和正常体重的家庭之间的育儿技能或风格差异。 公共卫生相关性：这项研究的结果将为儿童增强或修改的行为治疗计划的发展提供信息，以解决被发现重要的父母级别因素。最终，该提案的目的是为超重儿童开发更全面和更有效的治疗方法。