Incorporating Youth Voices in Community-Based Intervention Development to Improve Diet Quality and Physical Activity

将青年的声音纳入社区干预措施的制定中，以改善饮食质量和身体活动

基本信息

批准号：
10677062
负责人：
Kristine Durkin
金额：
$ 7.18万
依托单位：
RHODE ISLAND HOSPITAL
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-30 至 2025-08-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10677062
关键词：
19 year old Address Adherence Administrator Adolescence Adolescent Adolescent Risk Behavior Adolescent obesity Affect Age Atlases Behavior Behavior Therapy Behavioral Body Weight decreased Caregivers Child Childhood Clinic Collaborations Communities Counseling Data Data Collection Data Files Development Diet Dietitian Disparity population Economics Environment Epidemic Epidemiologic Factors Evaluation Evidence based intervention Evidence based program Family Food Food Services Future Goals Government Health Hospitals Household Housing Incentives Institution Intervention Latino Life Style Modification Manuals Maps Mentored Patient-Oriented Research Career Development Award Methodological Studies Methods Modification Monitor Needs Assessment Neighborhoods Nurses Obesity Obesity Epidemic Outcome Overweight Pattern Physical activity Population Prevalence Problem Solving Process Program Description Protocols documentation Public Health Race Recreation Reduce health disparities Research Research Personnel Resources Rhode Island Sampling Schools Social Change Social support Socioeconomic Factors Surveys United States Department of Agriculture Voice Weight Youth adolescent health behavioral health community organizations community partnership community setting concept mapping contextual factors design dietary disadvantaged background economic disparity ethnic diversity ethnic minority ethnic minority population evidence base experience food environment food insecurity food security health care service utilization health equity promotion health inequalities improved medical specialties member minority children model design novel obesity development pediatrician physical conditioning programs prospective prototype racial minority racial minority population recruit social social factors social health determinants social norm social stigma socioeconomics stakeholder perspectives success therapy design therapy development tool urban area

项目摘要

PROJECT SUMMARY/ABSTRACT Obesity in childhood is a global epidemic with serious health and social consequences.1-4 The highest rates of obesity are observed among racial/ethnic minority populations and those from economically disadvantaged backgrounds.1 Rhode Island (RI) is particularly affected by the obesity epidemic; the prevalence of children who meet criteria for overweight/obese (OW/OB) is 35% in RI as a whole and 40% in Greater Providence57. The purpose of this mixed methodological study will be to use the Transcreation Framework56 to inform the development of a behavioral intervention to improve diet quality and increase physical activity for adolescents in Greater Providence, RI, an urban area with substantial racial/ethnic diversity. In Aim 1 we will conduct an evaluation of epidemiological, social, and contextual factors related to overweight and obesity in adolescents to inform a community needs assessment. In Aim 2, we will partner with stakeholders to identify community assets and unmet needs and to evaluate components of existing evidenced-based lifestyle modification programs (i.e., diet, physical activity, self-monitoring, goal setting and problem solving, social support). Results from Aims 1 and 2 will inform Aim 3, in which we will design components of intervention prototype to improve diet quality and increase physical activity in adolescents. The study will involve the creation of a panel of adolescents (i.e., Young Voices Panel) whose members will be actively engaged as partners in each step of the process (e.g., priority setting, data collection/analyses, intervention development). We will use purposeful sampling to recruit 40 key stakeholders including adolescents from the community and their caregivers. clinicians (doctors, nurses, dietitians from specialty clinics/pediatricians’ offices), administrators from government organizations (e.g., RI Department of Health, Housing Agencies), and representatives from community organizations (e.g., the Greater Providence YMCA, RI Food Bank; Schools, Progresso Latino) to inform our community needs assessment and the development of our intervention. An overview of data gathered in Aim 1 will be presented to the research team (i.e., Sponsor and Cosponsors and Young Voices Panel) to guide the qualitative component of community needs assessment in Aim 2. Group Concept Mapping will be used to identifying and reviewing existing scientific evidence to determine core components of behavioral interventions that reflect mechanisms of action. Community Asset Mapping will be used to obtain input from the community about barriers and facilitators to existing evidenced-based programs as well as locally developed program and community resources. Aim 3 will involve the creation of intervention protocol modules through an iterative process of discussions and content development with members of the YVP, community stakeholders, and the academic research team. The current study will initiate the development of a manualized intervention protocol to improve diet quality and increase physical activity for adolescents in Providence, RI to be evaluated in a future project (i.e., K23 award).

项目概要/摘要儿童期肥胖是一种全球性流行病，会造成严重的健康和社会后果。1-4 少数种族/族裔人口和经济弱势群体存在肥胖现象背景1 罗德岛州 (RI) 尤其受到儿童肥胖流行的影响；符合超重/肥胖 (OW/OB) 标准的人在整个 RI 中为 35%，在大普罗维登斯地区为 40%57。这项混合方法研究的目的是使用创译框架 56 来告知制定行为干预措施以改善青少年的饮食质量并增加身体活动罗德岛州大普罗维登斯市是一个种族/族裔多元化的城市地区。评估与青少年超重和肥胖相关的流行病学、社会和背景因素在目标 2 中，我们将与利益相关者合作确定社区。资产和未满足的需求，并评估现有基于证据的生活方式改变的组成部分计划（即饮食、身体活动、自我监控、目标设定和问题解决、社会支持）。目标 1 和目标 2 将为目标 3 提供信息，其中我们将设计干预原型的组件以改进该研究将涉及建立一个小组。青少年（即青年之声小组），其成员将作为合作伙伴积极参与每一步我们将使用有目的的流程（例如，优先级设定、数据收集/分析、干预开发）。抽样招募 40 个主要利益相关者，包括社区青少年及其照顾者。朝圣者（医生、护士、专科诊所/儿科医生办公室的营养师）、来自政府组织（例如罗德岛州卫生部、住房机构）以及来自社区组织（例如，大普罗维登斯基督教青年会、RI 食品银行；学校、Progresso Latino）为我们的社区需求评估和干预措施的制定提供信息数据概述。目标 1 中收集的信息将提交给研究团队（即赞助商和共同赞助商以及 Young Voices 小组）指导目标 2 中社区需求评估的定性部分。群体概念图将用于识别和审查现有的科学证据，以确定核心组成部分将使用反映行动机制的行为干预来获得。社区对现有循证计划的障碍和促进因素的意见以及目标 3 将涉及制定干预方案通过与 YVP 成员进行讨论和内容开发的迭代过程来构建模块，社区利益相关者和学术研究团队当前的研究将启动一个开发项目。手动干预方案，以改善青少年的饮食质量和增加身体活动罗得岛普罗维登斯将在未来的项目中进行评估（即 K23 奖）。